Loss of dihydrolipoyl succinyltransferase (DLST) leads to reduced resting heart rate in the zebrafish
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The genetic underpinnings of heart rate regulation are only poorly understood. In search for genetic regulators of cardiac pacemaker activity, we isolated in a large-scale mutagenesis screen the embryonic lethal, recessive zebrafish mutant schneckentempo (ste). Homozygous ste mutants exhibit a severely reduced resting heart rate with normal atrio-ventricular conduction and contractile function. External electrical pacing reveals that defective excitation generation in cardiac pacemaker cells underlies bradycardia in ste −/− mutants. By positional cloning and gene knock-down analysis we find that loss of dihydrolipoyl succinyltransferase (DLST) function causes the ste phenotype. The mitochondrial enzyme DLST is an essential player in the citric acid cycle that warrants proper adenosine-tri-phosphate (ATP) production. Accordingly, ATP levels are significantly diminished in ste −/− mutant embryos, suggesting that limited energy supply accounts for reduced cardiac pacemaker activity in ste −/− mutants. We demonstrate here for the first time that the mitochondrial enzyme DLST plays an essential role in the modulation of the vertebrate heart rate by controlling ATP production in the heart.
KeywordsBradycardia Pacemaker cell function Mitochondria Dihydrolipoyl succinyltransferase ATP
Diseases of cardiac pacemaker cells such as the sick sinus syndrome are the most common indications for cardiac pacemaker implantations [12, 27]. However, little is known about the genetic underpinnings of cardiac pacemaker function in vertebrates. Genetic studies in humans have demonstrated a significant contribution of genetic factors in heart rate regulation [11, 12, 38]. For instance, it was found that autosomal recessive mutations of the sodium-channel SCN5A lead to familial sick sinus syndrome . Furthermore, a combined genome-wide association study that included data from 181,171 individuals recently led to the identification of 14 distinct genomic regions that significantly impact on heart rate regulation . Interestingly, in these regions both, genes already known to be involved in heart rate regulation such as the hyperpolarization-activated cyclic nucleotide-gated cation channel 4 (HCN4), but also several novel modifier genes are located .
In recent years, large-scale forward genetic screens in zebrafish helped to dissect novel genetic underpinnings of cardiac rhythm control [10, 20, 31, 34, 42]. For instance, characterization of the zebrafish mutants island beat and tremblor revealed an essential role of the L-type calcium channel alpha 1 subunit and the sodium–calcium exchanger NCX1h in the pathogenesis of atrial and ventricular fibrillation, respectively [15, 24, 37]. Furthermore, characterization of a bradycardic zebrafish mutant and gene knock-down studies recently revealed an essential role of Shox2-Islet1 signaling in the control of cardiac pacemaker activity .
In search for novel regulators of basal heart rate we dissected here the genetic cause of the embryonic-lethal recessive ethylnitrosourea (ENU)-induced bradycardic zebrafish mutant schneckentempo (ste), and find that DLST, a mitochondrial enzyme that acts within the citric acid cycle to warrant ATP production, is essential for cardiac pacemaker cells.
Materials and methods
Zebrafish (Danio rerio) were bred and maintained at 28.5 °C as described by Westerfield . Pictures and movies were recorded at 48 h post-fertilization (hpf) and 72 hpf. To inhibit pigmentation 0.003 % 1-phenyl-2-thiourea was added to the regular embryo medium E3 (5 mM NaCl, 0.17 mM KCl, 0.33 mM CaCl2, 0.33 mM MgSO4 dissolved in water). Heart rate was counted at 48, 72, 96 and 120 hpf at room temperature.
We measured fractional shortening by videomicroscopy at room temperature and compared the diameters of the ventricle at the end of contraction (systole) and relaxation (diastole) as described before .
DNA from 48 ste −/− mutant and 48 wild-type embryos was pooled and bulked segregation analysis was performed as described before . The critical genomic interval for ste was defined by genotyping 613 mutant embryos for polymorphic markers in the area. RNA from ste −/− mutant and wild-type embryos was isolated using TRIZOL Reagent (Life Technologies) and reverse transcribed. cDNA of a total of 30 mutant and wild-type embryos was sequenced. Genomic DNA from ten ste −/− mutant and ten wild-type embryos was sequenced around the point mutation.
Quantitative real-time PCR was carried out according to standard protocols with the SYBR-Green method (Bio-Rad) and an Eppendorf Realplex-2 cycler. cDNA was generated from RNA of 72 hpf homozygous ste mutant and sibling embryos using oligo(dT) primer and SuperScript III reverse transcriptase (Invitrogen).
For all Morpholino-modified antisense oligonucleotide injection procedures, the TE wild-type strain was used. Morpholino-modified antisense oligonucleotides (MO; Gene Tools, LLC) were directed against the translational start site (5′-TCAGACAGCGGGAATGACACAACAT-3′) of zebrafish DLST (MO-DLST-start), the splice donor site of exon 5/intron 5 (5′-CATGTTGCCTTCTTACCTTTCTCCC-3′) of zebrafish DLST on chromosome 17 (MO-DLST-splice), the splice donor site exon 3/intron 3 (5′-ACTGGATGTCAGATCGGTACCTTAA-3′) of DLDH on chromosome 25 (MO-DLDH-splice), the splice donor site exon 5/intron 5 of zebrafish OGDH a (5′-AGACCTTCAAATCTTCTACCTGTGC-3′) on chromosome 8 (MO-OGDHa-splice) and the splice donor site exon 7/intron 7 of zebrafish OGDH b (5′-TTCTTGTTGTCCTGACTTACCTCTA-3′) on chromosome 10 (MO-OGDHb-splice). DLST, OGDH and DLDH Morpholino-modified antisense oligonucleotides or a standard control Morpholino (MO-control) were microinjected into zebrafish embryos up to the 4-cell stage.
For histology, embryos were fixed with 4 % paraformaldehyde and embedded in JB-4 (Polysciences, Inc). Then, 5-μm sections were cut, dried, and samples were stained with hematoxylin and eosin. Transmission electron micrographs (TEM) were obtained essentially as described previously . Whole-mount antisense RNA in situ hybridization was carried out as described previously [22, 23] using a digoxigenin-labeled antisense probe for zebrafish DLST.
Calcium imaging was performed as described before . Wild-type and ste −/− mutant embryos were injected with 1 nl of a 250 μM stock solution of calcium green-1 dextran (Molecular Probes) at the one-cell stage. At 72 hpf videos were recorded with a Proxitronic (Proxivision) camera at 29.97 frames per second. Relative fluorescence of the atrium and ventricle were analyzed with custom-made software .
Electrical stimuli were applied by a pacemaker (PACE100H; Osypka Medical GmbH). Patch clamp pipettes filled with 3 M potassium chloride with a resistance of 2–10 MΩ were used as cathode. As described before [31, 37], this electrode was approached to either the atrium or ventricle with a micromanipulator under microscopic control. The heart chambers were stimulated at different frequencies (80–150/min), applying 1–12 V.
Sodiumfluoroacetate (SFA) (FCH2CO2Na) was added at a concentration of 0.067 or 0.2 mg/ml to the medium of dechorionated wild-type zebrafish at 24 hpf and exchanged every 24 h. SFA blocks aconitate hydratase thereby inhibiting the citric acid cycle .
2,4-Dinitrophenol (DNP) (Sigma Aldrich) was added at a concentration of 10 µM to the medium of dechorionated wild-type zebrafish embryos at 48 hpf. 2,4-Dinitrophenol uncouples the respiratory chain reaction from ATP production [8, 39, 46]. At high concentrations it is known to decrease ATP production [9, 46], whereas at lower concentrations predominantly reactive oxygen species (ROS) production is influenced [8, 39].
Idebenone (IDB, Sigma Aldrich) proved to act antioxidative against ROS and to promote mitochondrial function and ATP production after acute exposure by increasing the effectiveness of the respiratory chain reaction [6, 19]. Zebrafish embryos were incubated at 48 hpf at a concentration of 0.3 µM dissolved in ethanol.
ATP content was measured with a luciferase-based assay (ATP Determination Kit A22066, Invitrogen, Life Technologies Corporation) with recombinant firefly luciferase and d-luciferin. Zebrafish embryos were mechanically lysed and luminescence was immediately quantified by Berthold Luminometer Lumat LB 9501. The ATP content was calculated by creating an ATP-luminescence standard curve in Microsoft Excel.
Data of protein expression was obtained from the protein expression database MOPED (http://www.proteinspire.org/MOPED/mopedviews/proteinExpressionDatabase.jsf) and PaxDb (http://www.pax-db.org).
All results are depicted as arithmetic mean ± standard error of mean from at least two independent experiments. Figures were created with Microsoft Excel. Area measurements in TEM were conducted with ArchiCAD (Graphisoft).
Statistical analysis was performed in Graph Pad Prism. Comparisons between experimental groups were performed using t test. Differences are considered significant at a p < 0.05 significance level and marked with “*”, very significant with p < 0.01 are labeled “**” and extremely significant with p < 0.001 are labeled “***”.
Zebrafish mutant schneckentempo exhibits bradycardia
In search for genetic modulators of the vertebrate heart rate, we isolated in a large-scale ENU-mutagenesis screen (Tübingen 2000) the embryonic-lethal zebrafish mutant line schneckentempo (ste), which displays a severely reduced resting heart rate, so-called bradycardia. Besides their reduced heart rate, ste −/− mutant zebrafish embryos exhibit decreased motility both spontaneously and in response to touch.
The ste locus encodes for zebrafish dihydrolipoyl succinyltransferase
DLST is an essential component of the α-ketoglutarate dehydrogenase complex of the citric acid cycle and is expressed ubiquitously in mammals with pronounced levels in the liver, the kidneys, the central nervous system and the heart (databases for protein expression MOPED and PaxDb). As shown in Fig. 2c, we find dlst RNA to be ubiquitously distributed in wild-type zebrafish embryos, with enhanced levels in the heart, skeletal muscle and pectoral fins. Zebrafish DLST is highly homologous to human DLST with a 74 % overall amino acid identity (Supplementary Fig. 1). The ste mutation resides within the NH2-terminal lipoyl domain of DLST and hence the COOH-terminal catalytic domain of DLST is predicted not to be translated in ste −/− mutants leading to loss of DLST function.
Loss of DLST function induces mitochondrial degeneration in schneckentempo mutants
Dihydrolipoyl succinyltransferase is known to localize to the mitochondrial matrix where it catalyzes within the α-ketoglutarate dehydrogenase complex the citric acid cycle. Loss of mitochondrial enzyme function is often accompanied by morphological alterations of mitochondria [1, 7, 25, 45]. To determine if this is also the case in DLST-deficient ste −/− mutant zebrafish, we analyzed the mitochondrial ultrastructure in ventricular and atrial cardiomyocytes of ste −/− mutants by transmission electron microscopy (TEM). We find in ste −/− hearts large vacuoles either in the vicinity of mitochondria or within mitochondria. Their position is shifted from the interfibrillar to the sub-sarcolemmal and perinuclear regions as seen in other mitochondriopathies involving the heart . Furthermore, similar to other mitochondriopathies  mitochondrial density is altered in ste −/− myocardium compared to wild-type embryos (2.20 ± 0.29 % in ste −/− versus 1.01 ± 0.20 % in wild-type, n = 100, p = 0.001) and the average size of mitochondria is significantly enlarged (0.67 ± 0.072 µm2 in ste −/− versus 0.35 ± 0.027 µm2 in wild types, n = 100, p < 0.0001). In addition, as shown in Fig. 3 mitochondria in ste −/− mutant hearts are pleomorphic, irregularly shaped and contain reduced numbers of cristae (4.8 ± 0.76 in ste −/− and 15.2 ± 1.7 in wild-type, n = 15, p = 0.0001). Similar changes on mitochondrial morphology could be observed in other ste −/− mutant tissues such as the skeletal muscle (Fig. 3g, h).
Resting heart rate depends on the citric acid cycle
Finally, to evaluate whether basal heart rate is regulated via the citric acid cycle or merely the α-ketoglutarate dehydrogenase complex, we blocked the citric acid cycle by a pharmacological approach independent of the α-ketoglutarate dehydrogenase complex. To do so, we inhibited aconitate hydratase and thereby efficiently citric acid cycle function by sodiumfluoroacetate (SFA) . After incubation of 24 hpf zebrafish wild-type embryos for 48 h in 0.2 mg/ml SFA 83 % (n = 30) of the wild-type embryos exhibit similar to ste −/− mutants bradycardia with an average heart rate of 78 ± 3 bpm compared to 125 ± 3 bpm in controls (n = 11, p < 0.0001). Remarkably, incubation of wild-type embryos in much lower doses of SFA (0.067 mg/ml) also impacts on heart rate, but with a less pronounced effect (heart rate 97 ± 3 bpm and 125 ± 3 bpm in controls; n = 11, p < 0.0001, Fig. 4e), demonstrating a dose-dependent effect of citric acid cycle inhibition on zebrafish heart rate. In summary, these findings indicate an essential role of the citric acid cycle in zebrafish heart rate control.
Reduced ATP levels lead to cardiac dysfunction in ste −/− mutant zebrafish
To further evaluate if indeed reduction of ATP directly accounts for bradycardia in ste −/− mutants, we next pharmacologically inhibited ATP production by incubation with 2,4-dinitrophenol (DNP) [8, 9, 46]. As shown in Fig. 5a, we find an average reduction of ATP levels in 72 hpf wild-type zebrafish embryos incubated for 24 h in 10 µM DNP down to 26 % of the ATP content of wild-type embryos (n = 10, p < 0.0001) accompanied by severe reduction of resting heart rate of DNP incubated embryos down to 80 ± 4 bpm compared to 125 ± 3 bpm in controls (n = 10, p < 0.0001). To further prove that the effect of loss of DLST on resting heart rate is mainly mediated via ATP, we incubated ste −/− mutant zebrafish embryos with the coenzyme Q10 analogue Idebenone (IDB), a known enhancer of global mitochondrial function and ATP production [6, 19]. As shown in Fig. 5b, incubation with 0.3 µM IDB leads to an increase of the resting heart rate of ste −/− mutants from 81 ± 1.8 to 117 ± 2.1 bpm (n = 10, p < 0.0001), indicating partial rescue of bradycardia in ste −/− mutants via enhanced mitochondrial function. In summary, these findings implicate an essential role of DLST for zebrafish heart rate control via ATP production.
Interestingly, as shown above, reduced ATP levels mediated by loss of DLST function, seem not to directly impact on ventricular cardiomyocyte contractile function, since fractional shortening of ste −/− mutants is not reduced under unstressed conditions, in comparison to the wild-type siblings. Hence, to evaluate if enhancement of ATP consumption might unmask the expected effect of ATP reduction on cardiomyocyte contractile function, we next raised the offspring of ste heterozygous embryos at an increased temperature of 32 °C [29, 32]. As shown in Fig. 5c, under normal rearing conditions of 29 °C, ste −/− mutant embryos exhibit preserved cardiac systolic function throughout the first 5 days of embryonic development, whereas raising the offspring at 32 °C unmasks impaired systolic ventricular function in ste −/− mutants. After 72 hpf ventricular fractional shortening is reduced to 48 ± 2.1 % in offspring raised at 32 °C compared to 54 ± 1.7 % in ste −/− mutants raised at 29 °C (n = 10, p = 0.0358), at 96 hpf down to 18 ± 4.0 % compared to 58 ± 1.8 % (n = 10, p < 0.0001) and at 120 hpf down to 9.9 ± 3.5 % compared to 51 ± 2.8 % (n = 10, p < 0.0001) in embryos raised at 29 °C.
Loss of DLST leads to pacemaker cell dysfunction in ste −/− mutant zebrafish
Next, to evaluate if either slowed excitation initiation in the cardiac pacemaker cells, or a prolonged electrical refractory period of cardiomyocytes underlies the ste bradycardic phenotype, we performed selective cardiac stimulation in ste −/− mutant embryos (Fig. 6b). As shown in Fig. 6a, similar to the situation in wild-type hearts, selective electrical atrial stimulation above the endogenous increases the heart rate in ste −/− mutants from around 80 up to 150 bpm (n = 15, exemplary Supplementary Movie), whereby each atrial stimulation is followed by coordinated sequential atrial and ventricular contractions. In summary, these findings indicate that bradycardia in ste −/− mutants is caused by defective excitation initiation in atrial pacemaker cells, so-called sinus bradycardia, and not by defective excitation propagation or excitation–contraction uncoupling.
In search for genetic regulators of the vertebrate heart rate, we isolated in a large-scale mutagenesis screen the bradycardic zebrafish mutant schneckentempo (ste) and find here by positional cloning that loss of dihydrolipoyl succinyltransferase (DLST) function leads to impaired cardiac pacemaker function in ste −/− mutant embryos. DLST is an essential component of the α-ketoglutarate dehydrogenase complex of the citric acid cycle localized in mitochondria, and hence involved in ATP production. Accordingly, we find severely altered mitochondrial morphology and reduced ATP levels in ste −/− mutant zebrafish embryos, suggesting that limited energy supply is the molecular cause for the observed bradycardia in ste −/− mutants.
The essential role of regular ATP production and normal ATP levels for heart rate regulation of the embryonic zebrafish heart is further confirmed by the pharmacological inhibition of ATP production with the citric acid cycle blocker sodiumfluoroacetate SFA and the respiratory chain reaction uncoupler dinitrophenol DNP. Incubation of wild-type zebrafish embryos with either SFA or DNP significantly reduces global ATP levels in the zebrafish embryos as observed in the ste −/− zebrafish mutants and causes reduced resting heart rates.
In contrast to this, resting heart rate in ste −/− mutants can partially be rescued by incubation with the coenzyme Q10 analogue Idebenone, which is known to promote ATP production and improve mitochondrial function [6, 19], thereby further confirming that the effect of loss of DLST on resting heart rate is mainly mediated via ATP.
Cardiac calcium transient measurements and external electrical pacing experiments reveal that under normal conditions loss of DLST rather selectively impacts on cardiac pacemaker cell function, whereas contractile force is not significantly altered in ste −/− mutants, although ATP levels are globally reduced. However, enhancement of ATP consumption by rearing ste −/− mutants at higher temperatures unmasks an impact of DLST also on ventricular contractile function. DLST is known to catalyze energy generation in the citric acid cycle in the mitochondrial matrix, where GTP, NADH and FADH2 are produced. The energy equivalents NADH and FADH2 are then converted to ATP in the respiratory chain complex in the mitochondrial intermembrane space. Normally, this oxidative phosphorylation accounts for more than 90 % of the energy production of cells under normoxic conditions [14, 17, 35, 43]. Patients suffering from reduced activity of DLST develop lactate acidosis and usually die early during childhood. Similar to ste −/− mutants, cardiac morphology appears to be unaltered in DLST-deficient patients [5, 18, 26]. However, all reported cases in humans feature a residual DLST activity of 5–25 % [5, 18, 26]. By contrast, we expect no residual activity of DLST in ste −/− mutant zebrafish since translation of DLST is predicted to be prematurely terminated and significant nonsense mediated RNA decay of the mutated dlst transcript is observed in ste −/− mutants.
Disorganization of the mitochondrial inner membrane and deranged architecture of cristae are common in human disorders featuring mitochondrial dysfunction . Deficiency of the citric acid cycle is known to increase production of free radicals thereby inducing mitochondrial damage . Similar to the situation in humans , we find severe alterations in mitochondrial morphology in the hearts and skeletal muscle of ste −/− mutants with disorganization and increased mitochondrial density as well as vacuoles within mitochondria and in their vicinity. The ste −/− mitochondria exhibit an irregularly shape with reduced cristae.
Interestingly, in a retrospective analysis of 90 patients with inherited mitochondriopathies, 22.2 % exhibited cardiac arrhythmias including sinus bradycardia . ATP levels are significantly reduced in ste −/− mutants to one-third of the ATP content of wild-type zebrafish embryos. In the DLST-deficient ste −/− mutant embryos ATP production via oxidative phosphorylation is supposedly disrupted. However, ATP can usually also be produced by alternative pathways such as anaerobic glycolysis . Furthermore, ATP can be provided by maternally inherited mitochondria. Similar to the situation in humans, maternal inheritance of the mitochondrial DNA and passing on of thousands of functionally active maternal mitochondria to the embryo warrants oxidative phosphorylation during zebrafish embryogenesis [3, 16, 41, 50]. Interestingly, bradycardia in the ste −/− mutant zebrafish is first present at 72 hpf. At earlier developmental stages, we find no significantly reduced heart rates in ste −/− mutant embryos, suggesting that at these stages the residual ATP production supposedly by maternal mitochondria is still sufficient to maintain a normal heart rate.
There are three different possibilities how these reduced ATP levels in ste −/− mutants might lead to bradycardia. Reduced ATP levels could either impact on: (1) myofilament activation, (2) excitability of the working myocardium or (3) the depolarization of cardiac pacemaker cells. However, we find here by external electrical stimulation experiments and calcium transient analyses that bradycardia in ste −/− mutants is not caused by prolonged refractoriness of cardiomyocytes to excitation, or by uncoupling of cardiomyocyte excitation–contraction, but rather by reduced firing rates of the cardiac pacemaker cells.
The pacemaker site of the zebrafish heart is localized in the right dorsal quadrant of the atrium, near the inflow tract of the atrium and the sinus venosus . Tessadori et al.  demonstrated that the pacemaker cells in zebrafish resemble those in mammals in their gene expression pattern and electrochemical properties, in particular their ability to spontaneously depolarize. In mammals, a variety of regulatory mechanisms exist to influence the action potential frequency in sinus node cells [40, 48]. Pacemaker cells in mammals depend strongly upon ATP to function and to regulate their activity . Yaniv et al.  recently demonstrated that in pacemaker cells the ATP supply is closely matched to the demand and is rapidly adjusted in phases of high ATP demand. ATP is necessary for the regulation of the action potential frequency in these cells via the Ca2+–calmodulin activated adenylyl cyclase/proteinkinase A, Ca2+–calmodulinkinase II, cAMP and Ca2+ pathways. The reduced ATP levels in ste −/− mutants are expected to impact on cAMP levels, since ATP is necessary to activate adenylyl cyclase to produce cAMP . Interestingly, absence of cAMP in cardiac pacemaker cells is known to cause sinus bradycardia in mammals . However, regular mitochondrial function not only warrants ATP production and enables consecutive pathways such as the cAMP/Ca2+ pathway, but is also crucial for various other essential mechanisms and metabolic pathways in mammals [1, 13]. Therefore, other ATP-independent mechanisms apart from reduced ATP levels might partially contribute to cardiac dysfunction in ste −/− mutant zebrafish embryos, since the ste −/− mutants’ mitochondrial function and structure is severely disrupted. Mitochondria are both an essential source of ROS as well as an important target of injury by ROS [25, 39]. Therefore, mitochondriopathies are often accompanied by enhanced ROS production causing further mitochondrial damage and leading to cell damage and inducing apoptosis [25, 39]. Similarly, increased ROS production and its consecutive injury to cells due to loss of mitochondrial DLST function possibly contribute to cardiac dysfunction in ste −/− mutants and thereby impact on heart rate regulation.
In search for novel genetic heart rate regulators den Hoed and co-workers recently conducted a GWAS meta-analysis and linked 14 chromosomal loci to heart rate regulation . Interestingly, one of the associated loci contains DLST. Hence, thorough genetic analysis might reveal a modifying or even causal role of DLST gene variants in the pathogenesis of cardiac pacemaker diseases, such as the sick sinus syndrome.
We thank Regine Baur, Karen Frese, Kristin Haugg, Sabine Marquart, and Jessica Rudloff for their excellent technical assistance. We acknowledge the Tübingen 2000 Screen Consortium (Max-Planck-Institut für Entwicklungsbiologie, Tübingen: Bebber van, F., Busch-Nentwich, E., Dahm, R., Frohnhöfer, H.-G., Geiger, H., Gilmour, D., Holley, S., Hooge, J., Jülich, D., Knaut, H., Maderspacher, F., Neumann, C., Nicolson, T., Nüsslein-Volhard, C., Roehl, H., Schönberger, U., Seiler, C., Söllner, C., Sonawane, M., Wehner, A., and Weiler, C.) and Exelixis Deutschland GmbH (Erker, P.; Habeck, H.; Hagner, U., Hennen, E., Kaps, C., Kirchner, A., Koblizek, T.I., Langheinrich, U., Loeschke, C; Metzger, C., Nordin, R., Loeschke, C.; Pezzuti, M., Schlombs, K., deSantana-Stamm, J., Trowe, T., Vacun, G., Walderich, B.; Walker, A., and Weiler, C.) for carrying out the ENU-mutagenesis-screen and providing the zebrafish mutant line. This work was supported by the Deutsche Forschungsgemeinschaft (DFG) RO2173/4-1, RO2173/4-2, JU2859/1-2, Bundesministerium für Bildung und Forschung 01GS1104 (NGFNplus), 01KU0901C (Insight-DCM), Hertha-Nathorff-Scholarship and the European Union (Inheritance).
Conflict of interest
Supplementary Movie Electrical stimulation of a ste −/− mutant heart at 72 hpf. ste −/− mutants were injected with fluorescent dye to monitor free cytosolic myocardial calcium and cardiac contraction simultaneously. Electrical stimulation drives up basal heart rate of ste −/− mutants to normofrequency and leads to sequential and coordinated contractions of atrium and ventricle (MPG 7736 kb)
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