Abstract
Potassium (K+) channels play a major role in generating cardiac electrical activity. Cardiac action potentials are characterized by a long duration which is pivotal for proper contraction. In physiological conditions the repolarization process is largely determined by several potassium channels with different time and voltage characteristics. These channels are distributed heterogeneously over different parts of the heart. In addition, developmental changes in channel diversity are pertinent. Furthermore, under the influence of a variety of stimuli, which include metabolic changes, neurohumoral influences and disease, the set of expressed potassium channels may change. In pathophysiological conditions such as cardiac hyperthrophy and/or heart failure, altered characteristics of potassium channels usually lead to prolonged repolarization. Arrhythmias ensue, based on either dispersion in repolarization or reexcitation during the course of the action potential (afterdepolarizations and triggered activity).
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References
Kukuljan M, Labarca P, Latorre R. Molecular determinants of on conduction and inactivation in K’ channels. Am J Physiol 1995; 268: C535–56.
Jan LY, Jan YN. Voltage-gated and inwardly rectifying potassium channels. J Physiol 1997; 505: 267–82.
Wang Z, Kiehn J, Yang Q, Brown AM, Wible BA. Comparison of binding and block produced by alternatively spliced Kv1 subunits. J Biol Chem 1996; 271: 28311–17.
Rhodes KJ, Monaghan MM, Barrezueta NX, et al. Voltage-gated K+ channel beta subunits: expression and distribution of Kv beta 1 and Kv beta 2 in adult rat brain. J Neurosci 1996; 16: 4846–60.
Fink M, Duprat F, Lesage F, et al. A new K’ channel beta subunit to specifically enhance Kv2.2 (CDRK) expression. J Biol Chem 1996; 271: 26341–48.
Drewe JA, Verma S, Frech G, Joho RH. Distinct spatial and temporal expression patterns of K’ channel mRNA from different subfamilies. J Neuroscience 1992; 12: 538–48.
Hugnot JP, Salinas M, Lesage F, et al. Kv8.1, a new neuronal potassium channel subunit with specific inhibitory properties towards Shab and Shaw channels. EMBO J 1996; 15: 3322–31.
Post MA, Kirsch GE, Brown AM. Kv2.1 and electrically silent Kv6.1 potassium channel subunits combine and express a novel current. FEBS Lett 1996; 399: 177–82.
Salinas M, de Weille J, Guillemare E, Lazdunski M, Hugnot W. Modes of regulation of shah K’ channel activity by the Kv8.1 subunit. J Biol Chem 1997; 272: 8774–80.
Jegla T, Salkoff L. A novel subunit for shal K+ channels radically alters activation and inactivation. J Neuroscience 1997; 17: 32–44.
Dixon JE, McKinnon D. Quantitative analysis of potassium channel mRNA expression in atrial and ventricular muscle of rats. Circ Res 1994; 75: 252–60.
Brahmajothi MV, Morales MJ, Rasmusson RL, Campbell DL, Strauss HC. Heterogeneity in K’ channel transcript expression detected in isolated ferret cardiac myocytes. PACE 1997; 20: 388–96.
Dixon JE, Shi W, Wang H-S, et al. Role of the Kv4.3 K’ channel in ventricular muscle. A molecular correlate for the transient outward current. Circ Res 1996; 79: 659–68.
Isacoff EY, Jan YN, Jan LY. Evidence for the formation of heteromultimeric potassium channels in Xenopus oocytes. Nature 1990; 345: 530–34.
Xu H, Dixon JE, Barry DM, et al. Developmental analysis reveals mismatches in the expression of K’ channel subunits and voltage-gated channel currents in rat ventricular myocytes. J Gen Physiol 1996; 108: 405–19.
Brown AM. Cardiac potassium channels in health and disease. Trends Cardiovasc Med 1997; 7: 118–24.
Warmke J, Drysdale R, Ganetzky B. A distinct potassium channel polypeptide encoded by the Drosophila EAG locus. Science 1991; 252: 1560–2.
Warmke JW, Ganetzky B. A family of potassium channel genes related to EAG in Drosophila and mammals. Proc Natl Acad Sci 1994; 91: 3438–42.
Titus SA, Warmke JW, Ganetzky B. The Drosophila ERG K’ channel polypeptide is encoded by the seizure locus. J Neuroscience 1997; 17: 875–81.
Shi WM, Wymore RS, Wang HS, Pan ZM, Cohen IS, Mckinnon D, Dixon JE. Identification of two nervous system-specific members of the erg potassium channel gene family. J Neuroscience 1997; 17: 9423–32
Wang XJ, Reynolds ER, Deak P, Hall LM The seizure locus encodes the Drosophila homologe of the HERG potassium channel. J Neuroscience 1997; 17: 882–90.
Lees-Miller JP, Kondo C, Wang L, Duff HJ. Electrophysiological characterization of an alternatively processed ERG K’ channel in mouse and human hearts. Circ Res 1997; 81: 7 1926.
London B, Trudeau MC, Newton KP, et al. Two isoforms of the mouse ether-a-go-go-related gene coassemble to form channels with properties similar to the rapidly activating component of the cardiac delayed rectifier K. current. Circ Res 1997; 81: 870–8.
Guy HR, Durell SR, Warmke J, Drysdale R, Ganetzky B. Similarities in amino acid sequences of Drosophila EAG and cyclic nucleotide-gated channels. Science 1991; 254: 730.
Curran ME, Splawski I, Timothy KW, Vincent GM, Green ED, Keating MT. A molecular basis for cardiac arrhythmia: HERG mutations cause long QT syndrome. Cell 1995; 80: 795803.
Trudeau MC, Warmke JW, Ganetzky B, Robertson GA. HERG, a human inward rectifier in the voltage-gated potassium channel family. Science 1995; 269: 92–95.
Smith PL, Baukrowitz T, Yelle G. The inward rectification mechanism of the HERG cardiac potassium channel. Nature 1996; 379: 833–36.
Sanguinetti MC, Jiang C, Curran ME, Keating MT. A mechanistic link between an inherited and an acquired cardiac arrhythmia: HERG encodes the IKr potassium channel. Cell 1995; 81: 299–307.
McDonald TV, Yu Z, Ming Z, et al. A minK-HERG complex regulates the cardiac potassium current IKr. Nature 1997; 388: 289–92.
Wang Q, Curran ME, Splawski I, et al. Positional cloning of a novel potassium channel gene: KvLQT1 mutations cause cardiac arrhythmias. Nat Genet 1996; 12: 17–23.
Biervert C, Schroeder BC, Kubisch C, et al. A potassium channel mutation in neonatal human epilepsy. Science 1998; 279: 403–06.
Singh NA, Charlier C, Stauffer D, et al. A novel potassium channel gene, KCNQ2, is mutated in an inherited epilepsy of newborns. Nat Genet 1998; 18: 25–29.
Charlier C, Singh NA, Ryan SG, et al. A pore mutation in a novel KQT-like potassium channel gene in an idiopathic epilepsy family. Nat Genet 1998; 18: 53–55.
Barhanin J, Lesage F, Guillemare E, Fink M, Lazdunski M, Romey G. K(V)LQT1 and lsK (minK) proteins associate to form the I(Ks) cardiac potassium current. Nature 1996; 384: 7880.
Sanguinetti MC, Curran ME, Zou A, et al. Coassembly of K(V)LQT1 and minK (IsK) proteins to form cardiac I(Ks) potassium channel. Nature 1996; 384: 80–83.
Lee MP, Hu R-J, Johnson LA, Feinberg AP. Human KVLQT1 gene shows tissue-specific imprinting and encompasses Beckwith-Wiedemann syndrome chromosomal rearrangements. Nat Genet 1997; 15: 181–85.
Jiang M, Tseng-Crank J, Tseng GN. Suppression of slow delayed rectifier current by a truncated isoform of KvLQT1 cloned from normal human heart. J Biol Chem 1997; 272: 24109–12.
Demolombe S, Baro I, Pereon Y, et al. A negative dominant isoform of the long QT syndrome 1 gene product. J Biol Chem 1998; 273: 6837–43.
Sakagami M, Fukazawa K, Matsunaga T, et al. Cellular localization of rat Isk protein in the stria vascularis by immunohistochemical observation. Heart Res 1991; 56: 168–72.
Neyroud N, Tesson F, Denjoy I, et al. A novel mutation in the potassium channel gene KVLQT1 causes the Jervell and Lange-Nielsen cardioauditory syndrome. Nat Genet 1997; 15: 186–89.
Splawski I, Tristani-Firouzi M, Lehmann MH, Sanguinetti MC, Keating MT. Mutations in the hminK gene cause long QT syndrome and suppress IKr function. Nat Genet 1997; 17: 33840.
Romano C. Congenital cardiac arrhythmia. Lancet 1965; 1: 658–59.
Ward OC. A new familial cardiac syndrome in children. J Ir Med Assoc 1964; 54: 103–06.
Tyson J, Tranebjaerg L, Bellman S, et al. IsK and KvLQT1: mutation in either of the two subunits of the slow component of the delayed rectifier potassium channel can cause Jervell and Lange-Nielsen syndrome. Hum Mol Genet 1997; 6: 2179–85.
Jervell A, Lange-Nielsen F. Congenital deaf mutism, functional heart disease with prolongation of the QT interval, and sudden death. Am Heart J 1957; 54: 59–78.
Vetter DE, Mann JR, Wangemann P, et al. Inner ear defects induced by null mutation of the isk gene. Neuron 1996; 17: 1251–64.
Wilde AAM, Janse MJ. Electrophysiological effects of ATP-sensitive potassium channel modulation: Implications for arrhythmogenesis. Cardiovasc Res 1994; 28; 16–24.
Aquilar-Bryan L, Nichols CG, Wechsler SW, et al. Cloning of the (3-cell high-affinity sulfonylurea receptor: a regulator of insulin secretion. Science 1995; 268: 423–26.
Inagaki N, Gonoi T, Clement IV JP, et al. Reconstitution of IK.ATP: an inward rectifier subunit plus the sulphonylurea receptor. Science 1995; 270: 1166–70.
Inagaki N, Gonoi T, Clement IV JP, et al. A family of sulphonylurea receptors determines the pharmacological properties of ATP-sensitive K’ channels. Neuron 1996; 16: 1011–17.
Isomoto S, Kondo C, Yamada M, et al. A novel sulphonylurea receptor form with BIR (Kir 6.2) a smooth muscle type ATP-sensitive K’ channel. J Biol Chem 1996; 271: 24321–24.
Krapivinsky G, Gordon EA, Wickman K, et al., The G-protein-gated atrial KC channel IK.ACh is a heteromultimer of two inwardly rectifying K’ channel proteins. Nature 1995; 374: 135–41.
Kass RS, Davies MP. The roles of ion channels in an inherited heart disease: molecular genetics of the long QT syndrome. Cardiovasc Res 1996; 32: 443–54.
Roden DM, Lazzara R, Rosen M, et al. Multiple mechanisms in the long QT syndrome. Current knowledge, gaps, and future directions. Circulation 1996; 94: 1996–2012.
Schwartz PJ, Matteo PS, Moss AJ, et al. Gene-specific influence on the triggers for cardiac arrest in the long QT syndrome (abstract). Circulation 1997; 96: 1–212.
Shalaby FY, Levesque PC, Yang WP, et al. Dominant-negative KvLQT1 mutations underlie the LQT1 form of long QT syndrome. Circulation 1997; 96: 1733–36.
Chouabe C, Neyroud N, Guicheney P, Lazdunski M, Romey G, Barhanin J. Properties of KvLQT1 K’ channel mutations in Romano-Ward and Jervell and Lange-Nielsen inherited cardiac arrhythmias. EMBO J 1997; 16: 5472–79.
Wollnik B, Schroeder BC, Kubisch C, Esperer HD, Wieacker P, Jentsch TJ. Pathophysiological mechanisms of dominant and recessive KVLQT1 K’ channel mutations found in inherited cardiac arrhythmias. Hum Mol Genet 1997; 6: 1943–49.
Fraser GR, Froggatt P, James TN. Congenital deafness associated with electrocardiographic abnormalities. Ann Hum Genet 1964; 28: 133–57.
Sanguinetti MC, Curran ME, Spector PS, Keating MT Spectrum of HERG K`-channel dysfunction in an inherited cardiac arrhythmia. Proc Natl Acad Sci USA 1996; 93: 2208–12.
Moss AJ, Zareba W, Benhorin J, et al. ECG T-wave patterns in genetically distinct forms of the heriditary Long QT syndrome. Circulation 1995; 92: 2929–34.
Wilde AAM, Veldkamp MW. Ion channels, the QT-interval and arrhythmias. PACE 1997; 20: 2048–51.
Tomaselli GF, Beuckelmann DJ, Calkins HG, et al. Sudden cardiac death in heart failure. The role of abnormal repolarization. Circulation 1994; 90: 2534–39.
Choy AMJ, Kupershmidt S, Lang CC, et al. Regional expression of HERG and KvLQT1 in heart failure (abstract). Circulation 1996; 94, suppl I: I - 164.
Gidh-Jain M, Huang B, Jain P, El-Sherif N. Differential expression of voltage-gated K’ channel genes in left ventricular remodeled myocardium after experimental myocardial infarction. Circ Res 1996; 79: 669–75.
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Alshinawi, C., Wilde, A.A.M. (1999). Potassium Channels; Genes, Proteins, and Patients. In: Doevendans, P.A., Reneman, R.S., van Bilsen, M. (eds) Cardiovascular Specific Gene Expression. Developments in Cardiovascular Medicine, vol 214. Springer, Dordrecht. https://doi.org/10.1007/978-94-015-9321-2_14
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DOI: https://doi.org/10.1007/978-94-015-9321-2_14
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