rdf:type |
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lifeskim:mentions |
umls-concept:C0007634,
umls-concept:C0026336,
umls-concept:C0026339,
umls-concept:C0026882,
umls-concept:C0686907,
umls-concept:C1179404,
umls-concept:C1416612,
umls-concept:C1514562,
umls-concept:C1516769,
umls-concept:C1880157,
umls-concept:C1880389,
umls-concept:C1883204,
umls-concept:C1883221
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pubmed:issue |
12
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pubmed:dateCreated |
2004-12-13
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pubmed:abstractText |
The KCNQ1-G589D gene mutation, associated with a long-QT syndrome, has been shown to disrupt yotiao-mediated targeting of protein kinase A and protein phosphatase-1 to the I(Ks) channel. To investigate how this defect may lead to ventricular arrhythmia during sympathetic stimulation, we use integrative computational models of beta-adrenergic signaling, myocyte excitation-contraction coupling, and action potential propagation in a rabbit ventricular wedge. Paradoxically, we find that the KCNQ1-G589D mutation alone does not prolong the QT interval. But when coupled with beta-adrenergic stimulation in a whole-cell model, the KCNQ1-G589D mutation induced QT prolongation and transient afterdepolarizations, known cellular mechanisms for arrhythmogenesis. These cellular mechanisms amplified tissue heterogeneities in a three-dimensional rabbit ventricular wedge model, elevating transmural dispersion of repolarization and creating other T-wave abnormalities on simulated electrocardiograms. Increasing heart rate protected both single myocyte and the coupled myocardium models from arrhythmic consequences. These findings suggest that the KCNQ1-G589D mutation disrupts a critical link between beta-adrenergic signaling and myocyte electrophysiology, creating both triggers of cardiac arrhythmia and a myocardial substrate vulnerable to such electrical disturbances.
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pubmed:grant |
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pubmed:commentsCorrections |
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pubmed:language |
eng
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pubmed:journal |
|
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Adaptor Proteins, Signal Transducing,
http://linkedlifedata.com/resource/pubmed/chemical/Adrenergic beta-1 Receptor Agonists,
http://linkedlifedata.com/resource/pubmed/chemical/Cytoskeletal Proteins,
http://linkedlifedata.com/resource/pubmed/chemical/Isoproterenol,
http://linkedlifedata.com/resource/pubmed/chemical/KCNQ Potassium Channels,
http://linkedlifedata.com/resource/pubmed/chemical/KCNQ1 Potassium Channel,
http://linkedlifedata.com/resource/pubmed/chemical/Potassium,
http://linkedlifedata.com/resource/pubmed/chemical/Potassium Channels, Voltage-Gated,
http://linkedlifedata.com/resource/pubmed/chemical/Receptors, Adrenergic, beta-1
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
1524-4571
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pubmed:author |
|
pubmed:issnType |
Electronic
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pubmed:day |
10
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pubmed:volume |
95
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1216-24
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:15528464-Action Potentials,
pubmed-meshheading:15528464-Adaptor Proteins, Signal Transducing,
pubmed-meshheading:15528464-Adrenergic beta-1 Receptor Agonists,
pubmed-meshheading:15528464-Amino Acid Substitution,
pubmed-meshheading:15528464-Animals,
pubmed-meshheading:15528464-Binding Sites,
pubmed-meshheading:15528464-Computational Biology,
pubmed-meshheading:15528464-Computer Simulation,
pubmed-meshheading:15528464-Cytoskeletal Proteins,
pubmed-meshheading:15528464-Electrocardiography,
pubmed-meshheading:15528464-Heart Ventricles,
pubmed-meshheading:15528464-Ion Transport,
pubmed-meshheading:15528464-Isoproterenol,
pubmed-meshheading:15528464-KCNQ Potassium Channels,
pubmed-meshheading:15528464-KCNQ1 Potassium Channel,
pubmed-meshheading:15528464-Long QT Syndrome,
pubmed-meshheading:15528464-Models, Cardiovascular,
pubmed-meshheading:15528464-Models, Molecular,
pubmed-meshheading:15528464-Mutation, Missense,
pubmed-meshheading:15528464-Myocardial Contraction,
pubmed-meshheading:15528464-Myocytes, Cardiac,
pubmed-meshheading:15528464-Point Mutation,
pubmed-meshheading:15528464-Potassium,
pubmed-meshheading:15528464-Potassium Channels, Voltage-Gated,
pubmed-meshheading:15528464-Protein Binding,
pubmed-meshheading:15528464-Protein Conformation,
pubmed-meshheading:15528464-Protein Interaction Mapping,
pubmed-meshheading:15528464-Rabbits,
pubmed-meshheading:15528464-Receptors, Adrenergic, beta-1,
pubmed-meshheading:15528464-Structure-Activity Relationship
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pubmed:year |
2004
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pubmed:articleTitle |
Proarrhythmic consequences of a KCNQ1 AKAP-binding domain mutation: computational models of whole cells and heterogeneous tissue.
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pubmed:affiliation |
Department of Bioengineering, Whitaker Institute of Biomedical Engineering, University of California San Diego, La Jolla92037-0412, USA.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, U.S. Gov't, Non-P.H.S.,
Research Support, N.I.H., Extramural,
Validation Studies
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