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Updated: May 12, 2026

Isolation and Kv Channel Recordings in Murine Atrial and Ventricular Cardiomyocytes
Published on: March 12, 2013
Dynamic Kv4.3-CaMKII unit in heart: an intrinsic negative regulator for CaMKII activation
Thitima Keskanokwong1, Hyun Joung Lim, Peng Zhang
1Department of Pediatrics and Children's Healthcare of Atlanta, Emory University, Atlanta, GA 30322, USA.
Insights
Transient outward current (I(to)) alterations regulate Ca(2+)/Calmodulin-dependent kinase II (CaMKII) activation in heart failure. Kv4.3 channel interaction with CaMKII controls its activity, impacting cardiac function.
Area of Science:
- Cardiovascular Physiology
- Molecular Cardiology
- Cardiac Electrophysiology
Background:
- Heart failure is characterized by reduced transient outward current (I(to)) and overactive Ca(2+)/Calmodulin-dependent kinase II (CaMKII) in ventricular myocytes.
- The precise relationship between I(to) and CaMKII activation in pathological conditions remains unclear.
Purpose of the Study:
- To investigate the hypothesis that alterations in I(to) directly modulate CaMKII activation within cardiomyocytes.
- To elucidate the molecular mechanisms linking I(to) channels to CaMKII signaling in the context of heart failure.
Main Methods:
- Utilized co-immunoprecipitation and fluorescence resonance energy transfer (FRET) to detect dynamic coupling between I(to) channel subunit Kv4.3 and CaMKII.
- Employed overexpression of Kv4.3 and utilized compartmental vs. bulk calcium chelators (BAPTA vs. EGTA) to assess CaMKII localization and activation.
Main Results:
- Discovered a membrane-localized dynamic association between Kv4.3 and CaMKII.
- CaMKII dissociation from Kv4.3 led to increased CaMKII autophosphorylation and L-type calcium current (I(Ca)) facilitation, dependent on compartmental calcium.
- Kv4.3 overexpression inhibited both basal and calcium-induced CaMKII activation by blocking calmodulin binding sites.
Conclusions:
- Identified a novel mechanism where I(to) channel subunit Kv4.3 regulates CaMKII activation in cardiomyocytes.
- Demonstrated that alterations in I(to) channels, specifically Kv4.3 function, are implicated in the pathological overactivation of CaMKII observed in heart failure.
Aims:
Reduction of transient outward current (I(to)) and excessive activation of Ca(2+)/Calmodulin-dependent kinase II (CaMKII) are general features of ventricular myocytes in heart failure. We hypothesize that alterations of I(to) directly regulate CaMKII activation in cardiomyocytes.
Methods And Results:
A dynamic coupling of I(to) channel subunit Kv4.3 and inactive CaMKII was discovered in cardiomyocytes with the membrane predominant distribution by co-immunoprecipitation and fluorescence resonance energy transfer techniques. CaMKII dissociation from Kv4.3-CaMKII units caused a significant increase in CaMKII autophosphorylation and L-type calcium current (I(Ca)) facilitation. I(Ca) facilitation was blunted by the compartmental Ca²(+) chelator BAPTA but unaffected by bulk Ca²(+) chelator EGTA, implicating membrane-localized CaMKII. Kv4.3 overexpression reduced basal CaMKII autophosphorylation in myocytes and eliminated Ca²(+)-induced CaMKII activation. Kv4.3 blocks CaMKII activation by binding to the calmodulin binding sites, whereas Kv4.3 uncoupling releases these sites and leads to a substantial CaMKII activation.
Conclusion:
Our results uncovered an important mechanism that regulates CaMKII activation in the heart and implicate I(to) channel alteration in pathological CaMKII activation.
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