Article

Rapid stimulation causes electrical remodeling in cultured atrial myocytes.

Department of Medicine, Vanderbilt University School of Medicine, Room 559 Preston Research Building, 23rd Avenue South at Pierce Avenue, Nashville, TN 37232-6602, USA.
Journal of Molecular and Cellular Cardiology (impact factor: 5.17). 03/2005; 38(2):299-308. DOI:10.1016/j.yjmcc.2004.11.015
Source: PubMed

ABSTRACT Rapid stimulation causes electrical remodeling in the intact atrium, with shortening of action potential duration (APD), down-regulation of L-type Ca2+ currents (I(Ca,L)), and increased vulnerability to atrial fibrillation (AF). The essential elements required for this process are currently unknown. We tested the hypothesis that rapid stimulation of cardiomyocytes in vitro is sufficient to recapitulate the remodeling process, and that atrial cells subjected to rapid pacing in culture would display changes similar to those that occur in vivo.
Atrial (HL-1) cells were cultured in the presence of rapid field stimulation (300 beats per min) for 24 h. Action potentials and ionic currents were recorded from stimulated cells, as well as control cells cultured in parallel, using whole-cell voltage-clamp techniques.
Rapid stimulation of atrial cells for 24 h significantly shortened APD. HL-1 cells displayed both I(Ca,L) blocked by nimodipine, and T-type Ca2+ currents (I(Ca,T)) sensitive to mibefradil. Rapid activation in culture caused down-regulation of I(Ca,L), while I(Ca,T) was similarly reduced. Multiple outward currents were present in response to a depolarizing voltage-clamp protocol, and rapid pacing resulted in up-regulation of the rapidly-activating delayed rectifier K+ current, I(Kr).
Rapid stimulation of atrial cells in culture produces electrical remodeling, recapitulating principal phenotypic features of atrial tachycardia remodeling in vivo. Our results demonstrate that an important component of this process is cell autonomous, given that in vivo conditions are not required for the development of electrical remodeling.

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Keywords

24 h. Action potentials
 
action potential duration
 
atrial cells
 
atrial tachycardia
 
control cells cultured
 
depolarizing voltage-clamp protocol
 
essential elements
 
HL-1 cells
 
intact atrium
 
ionic currents
 
L-type Ca2+ currents
 
Multiple outward currents
 
rapid field stimulation
 
rapid pacing
 
rapid stimulation
 
Rapid stimulation causes electrical
 
rapidly-activating
 
rectifier K+ current
 
remodeling process
 
T-type Ca2+ currents