Concomitant genetic ablation of L-type Cav1.3 (α1D) and T-type Cav3.1 (α1G) Ca2+ channels disrupts heart automaticity

Sci Rep. 2020 Nov 3;10(1):18906. doi: 10.1038/s41598-020-76049-7.

Abstract

Cardiac automaticity is set by pacemaker activity of the sinus node (SAN). In addition to the ubiquitously expressed cardiac voltage-gated L-type Cav1.2 Ca2+ channel isoform, pacemaker cells within the SAN and the atrioventricular node co-express voltage-gated L-type Cav1.3 and T-type Cav3.1 Ca2+ channels (SAN-VGCCs). The role of SAN-VGCCs in automaticity is incompletely understood. We used knockout mice carrying individual genetic ablation of Cav1.3 (Cav1.3-/-) or Cav3.1 (Cav3.1-/-) channels and double mutant Cav1.3-/-/Cav3.1-/- mice expressing only Cav1.2 channels. We show that concomitant loss of SAN-VGCCs prevents physiological SAN automaticity, blocks impulse conduction and compromises ventricular rhythmicity. Coexpression of SAN-VGCCs is necessary for impulse formation in the central SAN. In mice lacking SAN-VGCCs, residual pacemaker activity is predominantly generated in peripheral nodal and extranodal sites by f-channels and TTX-sensitive Na+ channels. In beating SAN cells, ablation of SAN-VGCCs disrupted late diastolic local intracellular Ca2+ release, which demonstrates an important role for these channels in supporting the sarcoplasmic reticulum based "Ca2+ clock" mechanism during normal pacemaking. These data implicate an underappreciated role for co-expression of SAN-VGCCs in heart automaticity and define an integral role for these channels in mechanisms that control the heartbeat.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Atrioventricular Node / physiopathology*
  • Bradycardia / diagnosis*
  • Bradycardia / genetics
  • Bradycardia / physiopathology
  • Calcium / metabolism
  • Calcium Channels, L-Type / genetics*
  • Calcium Channels, T-Type / genetics*
  • Disease Models, Animal
  • Electrocardiography
  • Heart Rate
  • Mice
  • Mice, Knockout
  • Sarcoplasmic Reticulum / metabolism
  • Sinoatrial Node / physiopathology*

Substances

  • CACNA1C protein, mouse
  • Cacna1d protein, mouse
  • Cacna1g protein, mouse
  • Calcium Channels, L-Type
  • Calcium Channels, T-Type
  • Calcium