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Updated: Apr 20, 2026

Electromechanical Assessment of Optogenetically Modulated Cardiomyocyte Activity
Published on: March 5, 2020
Activation of volume-sensitive outwardly rectifying chloride channel by ROS contributes to ER stress and cardiac
11] Department of Geriatrics, Xijing Hospital, Fourth Military Medical University, Xi'an, China [2] Department of Cardiology, Hainan Branch of PLA General Hospital, Sanya, China.
Abstract:
Endoplasmic reticulum (ER) stress occurring in stringent conditions is critically involved in cardiomyocytes apoptosis and cardiac contractile dysfunction (CCD). However, the molecular machinery that mediates cardiac ER stress and subsequent cell death remains to be fully deciphered, which will hopefully provide novel therapeutic targets for these disorders. Here, we establish tunicamycin-induced model of cardiomyocyte ER stress, which effectively mimicks pathological stimuli to trigger CCD. Tunicamycin activates volume-sensitive outward rectifying Cl(-) currents. Blockade of the volume-sensitive outwardly rectifying (VSOR) Cl(-) channel by 4,4'-diisothiocya-natostilbene-2,2'-disulfonic acid (DIDS), a non-selective Cl(-) channel blocker, and 4-(2-butyl-6,7-dichlor-2-cyclopentyl-indan-1-on-5-yl) oxybutyric acid (DCPIB), a selective VSOR Cl(-) channel blocker, improves cardiac contractility, which correlates with suppressed ER stress through inhibiting the canonical GRP78/eIF2α/ATF4 and XBP1 pathways, and promotes survival of cardiomyocytes by inverting tunicamycin-induced decrease of Wnt through the CHOP pathway. VSOR activation of tunicamycin-treated cardiomyocytes is attributed to increased intracellular levels of reactive oxygen species (ROS). Our study demonstrates a pivotal role of ROS/VSOR in mediating ER stress and functional impairment of cardiomyocytes via the CHOP-Wnt pathway, and suggests the therapeutic values of VSOR Cl(-) channel blockers against ER stress-associated cardiac anomalies.
Insights
Blocking volume-sensitive outward rectifying (VSOR) chloride channels reduces endoplasmic reticulum stress and improves cardiac function. This study identifies a novel therapeutic strategy for heart conditions linked to ER stress and reactive oxygen species.
Area of Science:
- Cardiology
- Molecular Biology
- Cell Physiology
Background:
- Endoplasmic reticulum (ER) stress contributes to cardiomyocyte apoptosis and cardiac contractile dysfunction (CCD).
- The precise molecular mechanisms underlying ER stress-induced cardiac damage require further elucidation for therapeutic development.
Purpose of the Study:
- To investigate the role of volume-sensitive outward rectifying (VSOR) chloride channels in tunicamycin-induced ER stress and cardiac dysfunction.
- To explore the therapeutic potential of VSOR channel blockers in mitigating ER stress-related cardiac anomalies.
Main Methods:
- Established a tunicamycin-induced model of cardiomyocyte ER stress.
- Utilized DIDS and DCPIB to block VSOR Cl(-) channels.
- Assessed ER stress markers (GRP78, eIF2α, ATF4, XBP1, CHOP), Wnt signaling, and cardiomyocyte function.
Main Results:
- Tunicamycin induced ER stress, cardiomyocyte apoptosis, and cardiac contractile dysfunction.
- Blockade of VSOR channels with DIDS or DCPIB ameliorated cardiac dysfunction and suppressed ER stress pathways.
- VSOR channel activation was linked to increased reactive oxygen species (ROS) and involved the CHOP-Wnt pathway.
Conclusions:
- The ROS/VSOR pathway plays a critical role in mediating ER stress and cardiac dysfunction via the CHOP-Wnt signaling axis.
- VSOR chloride channel blockers demonstrate therapeutic potential for treating ER stress-associated cardiac disorders.
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