Related Experiment Video
Updated: Feb 18, 2026

Author Spotlight: Developing a Translational Model for Atrial Fibrillation Research Across Species
Published on: November 21, 2023
Ankyrins and Spectrins in Cardiovascular Biology and Disease
Mona M El Refaey1,2, Peter J Mohler1,2,3
1Dorothy M. Davis Heart and Lung Research Institute, Wexner Medical Center, The Ohio State University, Columbus, OH, United States.
Insights
Ankyrins and spectrins are vital proteins in heart function and disease. Their dysfunction is linked to cardiac arrhythmias, heart attacks, and atrial fibrillation.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Protein Interactions
Background:
- Ankyrins are crucial adaptor proteins for cardiac membrane proteins, signaling molecules, and cytoskeletal elements.
- Ankyrin dysfunction is implicated in various cardiovascular diseases, including cardiac arrhythmia.
- Ankyrin-B syndrome and Brugada syndrome are examples of human diseases linked to ankyrin variants.
Purpose of the Study:
- To review the roles of ankyrins and spectrins in cardiovascular physiology.
- To highlight the connection between ankyrin- and spectrin-based pathway dysfunction and cardiovascular disease.
- To emphasize the importance of ankyrin-spectrin interactions in cardiac ion channel and signaling complex regulation.
Main Methods:
- Literature review of human and animal model findings.
- Analysis of genetic variants associated with cardiovascular phenotypes.
- Examination of ankyrin and spectrin roles in cardiac ion channel and signaling complex regulation.
Main Results:
- Ankyrins are essential for normal cardiac physiology and are implicated in cardiovascular disease.
- Ankyrin-B and ankyrin-G pathways are linked to cardiac arrhythmias, myocardial infarction, and atrial fibrillation.
- Ankyrin-spectrin interactions are critical for cardiac function and the regulation of ion channels and signaling complexes.
Conclusions:
- Ankyrins and spectrins play critical roles in cardiovascular health and disease.
- Dysfunction in ankyrin- and spectrin-based pathways contributes to acquired cardiovascular conditions.
- Understanding these protein interactions is key to addressing cardiovascular diseases.
Abstract:
Ankyrins are adaptor proteins critical for the expression and targeting of cardiac membrane proteins, signaling molecules, and cytoskeletal elements. Findings in humans and animal models have highlighted the in vivo roles for ankyrins in normal physiology and in cardiovascular disease, most notably in cardiac arrhythmia. For example, human ANK2 loss-of-function variants are associated with a complex array of electrical and structural phenotypes now termed "ankyrin-B syndrome," whereas alterations in the ankyrin-G pathway for Nav channel targeting are associated with human Brugada syndrome. Further, both ankyrin-G and -B are now linked with acquired forms of cardiovascular disease including myocardial infarction and atrial fibrillation. Spectrins are ankyrin-associated proteins and recent studies support the critical role of ankyrin-spectrin interactions in normal cardiac physiology as well as regulation of key ion channel and signaling complexes. This review will highlight the roles of ankyrins and spectrins in cardiovascular physiology as well as illustrate the link between the dysfunction in ankyrin- and spectrin-based pathways and disease.
Related Concept Videos
Regulation of the Cardiovascular System
The regulation of the cardiovascular system involves the autonomic nervous system (ANS), baroreceptors, and chemoreceptors, ensuring that heart rate and blood pressure are appropriately modulated in response to varying physiological demands.
The ANS comprises two main divisions: the sympathetic and parasympathetic nervous systems. The sympathetic nervous system enhances...
Transducer Mechanism: Enzyme-Linked Receptors
Major types that are helpful drug targets include:
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
Heart Failure II: Pathophysiology
Cardiovascular Drugs: Classification based on Therapeutic Indications
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors

