Stress and high heart rate provoke ventricular tachycardia in mice expressing triadin

Paulus Kirchhof1, Jan Klimas, Larissa Fabritz

  • 1Department of Cardiology and Angiology, Hospital of the University of Münster, Germany. kirchhp@uni-muenster.de

Insights

Enhanced triadin expression in mice causes stress-induced ventricular tachycardia (VT). This occurs due to an imbalance in intracellular calcium release and shortened action potential duration, suggesting triadin

Area of Science:

  • Cardiovascular Physiology
  • Molecular Cardiology
  • Arrhythmogenesis

Background:

  • Reduced function of cardiac ryanodine receptor or calsequestrin is linked to catecholaminergic ventricular tachycardia (VT).
  • Triadin and junctin are accessory proteins crucial for sarcoplasmic reticulum Ca(2+) release, alongside ryanodine receptors and calsequestrin.
  • Previous studies suggest a potential role for triadin in arrhythmogenesis, but in vivo evidence is limited.

Purpose of the Study:

  • To investigate the hypothesis that enhanced triadin expression can induce VT.
  • To assess the in vivo and ex vivo electrophysiological consequences of altered triadin and junctin expression.
  • To elucidate the underlying mechanisms of VT development in a mouse model with modified triadin/junctin levels.

Main Methods:

  • Generation and characterization of transgenic mice expressing junctin, triadin, or both (TRDxJCN).
  • In vivo assessment of arrhythmias during exercise or stress.
  • Ex vivo electrophysiological studies on isolated hearts and cardiomyocytes, including calcium transient measurements and drug interventions.

Main Results:

  • TRDxJCN mice exhibited stress- and tachycardia-induced repetitive VT at heart rates >600 bpm.
  • Enhanced triadin expression (2.9-fold) with normal junctin levels provoked VT in response to beta-adrenergic stimulation.
  • VT was associated with shortened action potential duration and prolonged Ca(2+) transient duration in TRDxJCN cardiomyocytes; VT was suppressed by drugs prolonging action potential.

Conclusions:

  • Overexpression of triadin provokes stress- and tachycardia-related ventricular arrhythmias in mice.
  • An imbalance between prolonged intracellular calcium release and shortened ventricular action potential duration contributes to VT genesis in this model.
  • Triadin's role in regulating calcium handling and action potential dynamics is critical for cardiac electrical stability.

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