Sinoatrial node (SAN) disease mechanisms are poorly understood, and therapeutic options are limited. Natriuretic peptide(s) (NP) are cardioprotective hormones whose effects can be mediated partly by the NP receptor C (NPR-C). We investigated the role of NPR-C in angiotensin II (Ang II)-mediated SAN disease in mice. Ang II caused SAN disease due to impaired electrical activity in SAN myocytes and increased SAN fibrosis. Strikingly, Ang II treatment in NPR-C-/- mice worsened SAN disease, whereas co-treatment of wild-type mice with Ang II and a selective NPR-C agonist (cANF) prevented SAN dysfunction. NPR-C may represent a new target to protect against the development of Ang II-induced SAN disease.
Keywords: AP, action potential; Ang II, angiotensin II; CV, conduction velocity; DD, diastolic depolarization; Gmax, maximum conductance; HR, heart rate; ICa,L, L-type calcium current; ICa,T, T-type calcium current; INCX, sodium–calcium exchanger current; IV, current voltage relationship; If, hyperpolarization-activated current; NP, natriuretic peptide; NPR, natriuretic peptide receptor; NPR-C, natriuretic peptide receptor C; SAN, sinoatrial node; SBP, systolic blood pressure; V1/2(act), voltage for 50% channel activation; cSNRT, corrected sinoatrial node recovery time; fibrosis; hypertension; ion currents; natriuretic peptide; sinoatrial node.