Deletion of PDK1 causes cardiac sodium current reduction in mice

Zhonglin Han1, Yu Jiang1, Yuqing Yang1

  • 1Department of Cardiology, the First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Plos One
|March 18, 2015
PubMed
Abstract

Insights

3-phosphoinositide-dependent protein kinase-1 (PDK1) deficiency impairs cardiac sodium channel function via the PDK1-Foxo1 pathway, leading to electrophysiological abnormalities and sudden death in mice.

Area of Science:

  • Cardiology
  • Molecular Biology
  • Electrophysiology

Background:

  • The AGC protein kinase family, including PDK1, plays a role in cellular functions.
  • PDK1 and its downstream factor Foxo1 are implicated in arrhythmia pathogenesis.
  • PDK1 deletion in mice causes sudden death, but the electrophysiological basis is unknown.

Purpose of the Study:

  • To investigate the electrophysiological mechanisms linking the PDK1 signaling pathway to cardiac sodium current.
  • To elucidate the role of the PDK1-Foxo1 pathway in regulating cardiac sodium channel Nav1.5.

Main Methods:

  • Patch clamp and western blotting techniques were used in PDK1 knockout mice and cultured cardiomyocytes.
  • Selective inhibitors of PDK1, Akt, and Foxo1 were employed.
  • Neonatal rat cardiomyocytes were utilized for verification.

Main Results:

  • PDK1 knockout mice exhibited bradycardia, prolonged QRS and QTc intervals, and abnormal conduction.
  • Peak sodium current density decreased by 33% in PDK1-deficient cells.
  • PDK1 deficiency reduced Akt and Foxo1 phosphorylation, decreased Nav1.5 expression, and increased Foxo1 nuclear localization.

Conclusions:

  • PDK1 regulates cardiac sodium channel function and expression through the PDK1-Foxo1 pathway.
  • This pathway is critical for maintaining normal cardiac electrophysiology.
  • Dysregulation of the PDK1-Foxo1 pathway contributes to cardiac electrical abnormalities.

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