Transient outward potassium channel: a heart failure mediator

Verfasser / Beitragende:
[Qianwen He, Ying Feng, Yanggan Wang]
Ort, Verlag, Jahr:
2015
Enthalten in:
Heart Failure Reviews, 20/3(2015-05-01), 349-362
Format:
Artikel (online)
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024 7 0 |a 10.1007/s10741-015-9474-y  |2 doi 
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245 0 0 |a Transient outward potassium channel: a heart failure mediator  |h [Elektronische Daten]  |c [Qianwen He, Ying Feng, Yanggan Wang] 
520 3 |a Transient outward K+ current (I to) plays a crucial role in shaping the early phase of repolarization and setting the plateau voltage level of action potential. As a result, it extensively affects membrane current flow in the plateau window. A great body of evidence illustrates a transmural gradient of I to within ventricular wall with much higher density in epicardial than endocardial myocytes, which is important for the physiological ventricular repolarization. In heart failure (HF), this gradient is diminished due to a greater reduction of I to in epicardial myocytes. This attenuates the transmural gradient of early repolarization, facilitating conduction of abnormal impulses originated in the epicardium. In addition, I to reduction prolongs action potential duration and increases intercellular Ca2+, thus affecting Ca2+ handling and the excitation-contraction coupling. Furthermore, increased intercellular Ca2+ could activate CaMKII and calcineurin whose role in cardiac hypertrophy and HF development has been well established. Based on the impact of I to reduction on electrical activity, signal conduction, calcium handling and cardiac function, restoration of I to is likely a potential therapeutic strategy for HF. In this review, we summarize the physiological and pathological role of cardiac I to channel and the potential impact of I to restoration on HF therapy with an emphasis of recent novel findings. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Transient outward potassium current  |2 nationallicence 
690 7 |a Heart failure  |2 nationallicence 
690 7 |a Ca2+ handling  |2 nationallicence 
690 7 |a CaMKII  |2 nationallicence 
690 7 |a Calcineurin  |2 nationallicence 
700 1 |a He  |D Qianwen  |u Department of Cardiology, Zhongnan Hospital of Wuhan University, Wuhan University, 430071, Wuhan, China  |4 aut 
700 1 |a Feng  |D Ying  |u Department of Cardiology, Zhongnan Hospital of Wuhan University, Wuhan University, 430071, Wuhan, China  |4 aut 
700 1 |a Wang  |D Yanggan  |u Department of Cardiology, Zhongnan Hospital of Wuhan University, Wuhan University, 430071, Wuhan, China  |4 aut 
773 0 |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/3(2015-05-01), 349-362  |x 1382-4147  |q 20:3<349  |1 2015  |2 20  |o 10741 
856 4 0 |u https://doi.org/10.1007/s10741-015-9474-y  |q text/html  |z Onlinezugriff via DOI 
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900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10741-015-9474-y  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a He  |D Qianwen  |u Department of Cardiology, Zhongnan Hospital of Wuhan University, Wuhan University, 430071, Wuhan, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Feng  |D Ying  |u Department of Cardiology, Zhongnan Hospital of Wuhan University, Wuhan University, 430071, Wuhan, China  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Wang  |D Yanggan  |u Department of Cardiology, Zhongnan Hospital of Wuhan University, Wuhan University, 430071, Wuhan, China  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Heart Failure Reviews  |d Springer US; http://www.springer-ny.com  |g 20/3(2015-05-01), 349-362  |x 1382-4147  |q 20:3<349  |1 2015  |2 20  |o 10741