Mutations of Voltage-Gated Ionic Channels and Risk of Severe Cardiac Arrhythmias
Amir Dehghani-Samani1, Samin Madreseh-Ghahfarokhi2, Azam Dehghani-Samani3
1Department of Clinical Sciences, Faculty of Veterinary Medicine, Shahrekord University, Shahrekord.
Background:
Arrhythmias as important malfunctions of heart are known as abnormal rhythm of heart. Several causes can make arrhythmias and most of them are related to generation and/or conduction of action potential in heart. Action potential in myocytes results from the sequential opening and closing of ion channel proteins that span the plasma membrane of individual myocytes. Action potential's conduction through the heart is depended on electrical coupling between myocytes, which is mediated by gap junctions. Generation and conduction of action potentials are related to perfect action of ionic channels in heart.
Objectives:
This novel review comprehensively addressed the ionic mechanisms of the arrhythmogenic mutations in cardiac voltage-gated ionic channels including: CACNA1C, CACNA1D, KCNA5, KCND2, KCND3, KCNE1, KCNE2, KCNE5, KCNH2, KCNJ2, KCNJ5, KCNQ1, SCN4A, SCN5A, SCN1B, SCN2B, SCN3B and SCN4B.
Methods:
Current study, for the first time, review and discuses about relation between cardiac arrhythmias and whole of important voltage gated ionic channels from different families, altogether and at the same time.
Results:
This review clears that mutations in voltage-gated ionic channels play important roles in generation of severe cardiac arrhythmias, and among them it is looked that mutations in voltage-gated potassium channels are more important.
Conclusions:
Most of induced arrhythmias due to voltage-gated ionic channels mutations result in action potentials prolongation and long QT syndromes. Study on ionic channel regulators can be considered as a subject for future research.
Insights
Mutations in cardiac voltage-gated ion channels can cause arrhythmias. This review highlights that potassium channel mutations are particularly significant in developing these heart rhythm disorders.
Area of Science:
- Cardiology
- Molecular Biology
- Genetics
Background:
- Cardiac arrhythmias stem from abnormal heart rhythms, often linked to issues in action potential generation and conduction.
- Action potentials in heart cells (myocytes) depend on ion channel proteins, and their electrical coupling via gap junctions is crucial for conduction.
- Proper function of cardiac ion channels is essential for generating and conducting action potentials, maintaining normal heart rhythm.
Purpose of the Study:
- To comprehensively review the ionic mechanisms underlying arrhythmogenic mutations in a wide range of cardiac voltage-gated ion channels.
- To examine mutations in specific channels including CACNA1C, CACNA1D, KCNA5, KCND2, KCND3, KCNE1, KCNE2, KCNE5, KCNH2, KCNJ2, KCNJ5, KCNQ1, SCN4A, SCN5A, SCN1B, SCN2B, SCN3B, and SCN4B.
Main Methods:
- A comprehensive review of existing literature on cardiac voltage-gated ion channels and their associated arrhythmias.
- Simultaneous discussion of the relationship between cardiac arrhythmias and various families of voltage-gated ion channels.
Main Results:
- Mutations in cardiac voltage-gated ion channels are significant contributors to the development of severe cardiac arrhythmias.
- Mutations affecting voltage-gated potassium channels appear to play a more critical role in arrhythmogenesis compared to other channel types.
Conclusions:
- Arrhythmias induced by voltage-gated ion channel mutations frequently lead to action potential prolongation and long QT syndromes.
- Investigating and understanding ionic channel regulators presents a promising avenue for future research in managing cardiac arrhythmias.
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