Display options
Share it on

Int J Cardiol Heart Vasc. 2015 Dec 07;9:75-82. doi: 10.1016/j.ijcha.2015.10.003.

Conduction abnormalities and ventricular arrhythmogenesis: The roles of sodium channels and gap junctions.

International journal of cardiology. Heart & vasculature

Gary Tse, Jie Ming Yeo

Affiliations

  1. School of Biomedical Sciences, Li Ka Shing Faculty of Medicine, University of Hong Kong, Hong Kong.
  2. School of Medicine, Imperial College London, SW7 2AZ, UK.

PMID: 26839915 PMCID: PMC4695916 DOI: 10.1016/j.ijcha.2015.10.003

Abstract

Ventricular arrhythmias arise from disruptions in the normal orderly sequence of electrical activation and recovery of the heart. They can be categorized into disorders affecting predominantly cellular depolarization or repolarization, or those involving action potential (AP) conduction. This article briefly discusses the factors causing conduction abnormalities in the form of unidirectional conduction block and reduced conduction velocity (CV). It then examines the roles that sodium channels and gap junctions play in AP conduction. Finally, it synthesizes experimental results to illustrate molecular mechanisms of how abnormalities in these proteins contribute to such conduction abnormalities and hence ventricular arrhythmogenesis, in acquired pathologies such as acute ischaemia and heart failure, as well as inherited arrhythmic syndromes.

Keywords: Conduction; Conduction velocity; Gap junction; Sodium channel; Ventricular arrhythmia

References

  1. Cardiovasc Res. 2009 Jul 1;83(1):52-60 - PubMed
  2. Pflugers Arch. 2015 Oct;467(10):2093-105 - PubMed
  3. Biochem Soc Trans. 2015 Jun;43(3):508-12 - PubMed
  4. J Cell Biol. 1987 Dec;105(6 Pt 1):2621-9 - PubMed
  5. Cardiovasc Res. 2001 Mar;49(4):779-89 - PubMed
  6. Circ Res. 1996 May;78(5):916-24 - PubMed
  7. J Cell Biol. 2000 Jun 26;149(7):1503-12 - PubMed
  8. Am J Physiol. 1987 Oct;253(4 Pt 1):C607-12 - PubMed
  9. Biochim Biophys Acta. 2004 Mar 23;1662(1-2):42-60 - PubMed
  10. Basic Res Cardiol. 2000 Jun;95(3):250-60 - PubMed
  11. Clin Exp Pharmacol Physiol. 2005 Aug;32(8):655-62 - PubMed
  12. Nature. 2002 Jan 10;415(6868):213-8 - PubMed
  13. J Physiol. 1987 Feb;383:339-48 - PubMed
  14. Cardiovasc Pathol. 2002 May-Jun;11(3):158-65 - PubMed
  15. Circ Res. 2003 Feb 7;92(2):125-6 - PubMed
  16. Proc Natl Acad Sci U S A. 1996 Nov 12;93(23):13200-5 - PubMed
  17. J Electrocardiol. 2005 Oct;38(4 Suppl):60-3 - PubMed
  18. Circ Res. 1995 Oct;77(4):813-22 - PubMed
  19. Circ Res. 2002 Dec 13;91(12):1176-82 - PubMed
  20. Nature. 1989 Jun 22;339(6226):597-603 - PubMed
  21. Circulation. 1973 Feb;47(2):408-19 - PubMed
  22. J Clin Invest. 1997 Apr 15;99(8):1991-8 - PubMed
  23. FEBS Lett. 2014 Apr 17;588(8):1322-30 - PubMed
  24. Physiol Rev. 2004 Apr;84(2):431-88 - PubMed
  25. J Biol Chem. 1996 Nov 29;271(48):30971-9 - PubMed
  26. Circulation. 1980 Jan;61(1):182-91 - PubMed
  27. Biophys J. 1999 Sep;77(3):1384-93 - PubMed
  28. J Cell Biol. 1963 Oct;19:201-21 - PubMed
  29. Am J Physiol Heart Circ Physiol. 2014 Mar 1;306(5):H619-27 - PubMed
  30. Circ Arrhythm Electrophysiol. 2015 Aug;8(4):769-71 - PubMed
  31. J Physiol. 1996 Jul 15;494 ( Pt 2):431-42 - PubMed
  32. Cardiovasc Res. 2004 May 1;62(2):309-22 - PubMed
  33. Biophys J. 1996 Mar;70(3):1294-302 - PubMed
  34. J Physiol. 1992 Feb;447:649-73 - PubMed
  35. J Physiol. 2015 Mar 15;593(6):1347-60 - PubMed
  36. J Mol Cell Cardiol. 2005 Mar;38(3):475-83 - PubMed
  37. EMBO J. 1995 Mar 15;14(6):1084-90 - PubMed
  38. Endocrinology. 2004 Sep;145(9):4125-33 - PubMed
  39. PLoS One. 2013 Nov 04;8(11):e78328 - PubMed
  40. J Physiol. 1977 Sep;270(2):283-97 - PubMed
  41. Proc Natl Acad Sci U S A. 1992 Jan 15;89(2):554-8 - PubMed
  42. J Physiol. 2004 Sep 15;559(Pt 3):835-48 - PubMed
  43. Circulation. 1993 Feb;87(2):562-72 - PubMed
  44. J Am Coll Cardiol. 2004 Mar 17;43(6):929-35 - PubMed
  45. J Physiol. 1987 Feb;383:327-37 - PubMed
  46. Circulation. 2001 Oct 30;104(18):2158-63 - PubMed
  47. Am J Physiol Heart Circ Physiol. 2010 Aug;299(2):H310-21 - PubMed
  48. Physiol Rev. 1989 Oct;69(4):1049-169 - PubMed
  49. J Gen Physiol. 1997 Oct;110(4):391-401 - PubMed
  50. Eur J Heart Fail. 2010 Sep;12(9):913-21 - PubMed
  51. Biophys J. 2012 Dec 5;103(11):2243-51 - PubMed
  52. Circ Res. 1993 Feb;72(2):278-89 - PubMed
  53. Biophys J. 1984 Mar;45(3):509-12 - PubMed
  54. Nature. 1995 Aug 24;376(6542):683-5 - PubMed
  55. J Biol Chem. 1996 Nov 15;271(46):28837-43 - PubMed
  56. J Cell Sci. 1993 Aug;105 ( Pt 4):985-91 - PubMed
  57. J Cardiovasc Electrophysiol. 1995 Feb;6(2):115-31 - PubMed
  58. Exp Cell Res. 1991 Sep;196(1):72-81 - PubMed
  59. Cell. 1996 Feb 9;84(3):381-8 - PubMed
  60. IEEE Trans Biomed Eng. 2013 Feb;60(2):576-82 - PubMed
  61. Nature. 2002 Jan 10;415(6868):198-205 - PubMed
  62. Heart Rhythm. 2008 Aug;5(8):1178-85 - PubMed
  63. J Cardiovasc Electrophysiol. 2006 May;17 Suppl 1:S8-S14 - PubMed
  64. Am J Physiol. 1990 Feb;258(2 Pt 1):C195-205 - PubMed
  65. J Gen Physiol. 1996 Nov;108(5):375-9 - PubMed
  66. J Biol Chem. 2001 Jul 27;276(30):28197-203 - PubMed
  67. J Biol Chem. 1993 Nov 5;268(31):23580-4 - PubMed
  68. Am J Physiol Heart Circ Physiol. 2008 Apr;294(4):H1597-608 - PubMed
  69. Circ Arrhythm Electrophysiol. 2015 Aug;8(4):912-20 - PubMed
  70. Circulation. 2005 Nov 1;112(18):2769-77 - PubMed
  71. Circulation. 1998 Feb 24;97(7):686-91 - PubMed
  72. Hypertension. 1991 Aug;18(2):148-57 - PubMed
  73. Nature. 1967 Jan 21;213(5073):296-7 - PubMed
  74. Nat Genet. 1999 Sep;23(1):20-1 - PubMed
  75. Pflugers Arch. 1998 Oct;436(5):631-8 - PubMed
  76. Curr Cardiol Rep. 2008 Sep;10(5):376-83 - PubMed
  77. Circ Res. 1985 May;56(5):696-703 - PubMed
  78. Cardiovasc Res. 2001 Sep;51(4):681-90 - PubMed
  79. Nature. 2001 Feb 22;409(6823):1043-7 - PubMed
  80. Science. 1997 Feb 7;275(5301):841-4 - PubMed
  81. Circ Res. 1989 May;64(5):977-90 - PubMed
  82. Circ Arrhythm Electrophysiol. 2013 Dec;6(6):1208-14 - PubMed
  83. Circ Res. 2006 Mar 17;98(5):667-74 - PubMed
  84. Circ Res. 1973 Jul;33(1):54-62 - PubMed
  85. J Gen Physiol. 1985 Jul;86(1):89-104 - PubMed
  86. Circ Res. 1994 Jun;74(6):1050-7 - PubMed
  87. Nature. 1998 Mar 19;392(6673):293-6 - PubMed
  88. Life Sci. 2004 Jul 2;75(7):881-91 - PubMed
  89. Heart Rhythm. 2004 May;1(1):3-11 - PubMed
  90. J Mol Cell Cardiol. 2010 Oct;49(4):543-53 - PubMed
  91. Circ Res. 2006 Nov 24;99(11):1156-8 - PubMed
  92. Circ Res. 1994 Sep;75(3):483-90 - PubMed
  93. J Mol Cell Cardiol. 1997 Aug;29(8):2131-45 - PubMed
  94. Heart Rhythm. 2004 Oct;1(4):500-15 - PubMed
  95. Circ Res. 2004 Jul 23;95(2):170-8 - PubMed
  96. J Cell Biol. 1991 Dec;115(5):1357-74 - PubMed
  97. Nature. 1981 Jun 4;291(5814):426-7 - PubMed
  98. Circ Res. 1981 Jan;48(1):39-54 - PubMed
  99. Circulation. 1996 Dec 15;94(12):3083-6 - PubMed
  100. J Physiol. 1976 Feb;255(2):335-46 - PubMed
  101. J Mol Cell Cardiol. 1984 Mar;16(3):247-59 - PubMed
  102. Nat Rev Cardiol. 2014 Oct;11(10):607-15 - PubMed
  103. Front Physiol. 2014 Nov 03;5:424 - PubMed
  104. J Physiol. 1952 Nov;118(3):348-60 - PubMed
  105. J Biol Chem. 1997 Jun 6;272(23):14805-9 - PubMed
  106. Biochemistry. 2002 May 7;41(18):5754-64 - PubMed
  107. Heart Rhythm. 2012 Feb;9(2):308-11 - PubMed
  108. Cardiovasc Res. 2006 Nov 1;72(2):250-61 - PubMed
  109. Circulation. 1998 Nov 24;98(21):2334-51 - PubMed
  110. J Cell Sci. 1990 Jun;96 ( Pt 2):231-8 - PubMed
  111. Pflugers Arch. 1987 Aug;409(4-5):394-402 - PubMed
  112. Biochemistry. 2000 Feb 15;39(6):1316-23 - PubMed
  113. Mol Biol Cell. 1995 Dec;6(12 ):1707-19 - PubMed
  114. J Mol Cell Cardiol. 2012 Mar;52(3):608-19 - PubMed
  115. Rev Physiol Biochem Pharmacol. 1975;72:55-81 - PubMed
  116. Circulation. 2004 Mar 2;109(8):1048-55 - PubMed
  117. Trends Cardiovasc Med. 2008 Apr;18(3):78-87 - PubMed
  118. J Gen Physiol. 1997 May;109(5):607-17 - PubMed
  119. Circ Res. 2003 Jun 13;92(11):1209-16 - PubMed
  120. Science. 1992 May 22;256(5060):1202-5 - PubMed
  121. Proc Natl Acad Sci U S A. 1992 Nov 15;89(22):10910-4 - PubMed
  122. J Clin Invest. 2003 Oct;112(7):1019-28 - PubMed
  123. Circulation. 2007 Jan 23;115(3):310-8 - PubMed
  124. FEBS Lett. 2014 Apr 17;588(8):1244-8 - PubMed
  125. Circ Res. 2000 May 12;86(9):E91-7 - PubMed
  126. J Cardiovasc Electrophysiol. 1994 Nov;5(11):933-44 - PubMed
  127. Muscle Nerve. 1988 May;11(5):502-10 - PubMed
  128. J Cardiovasc Electrophysiol. 1999 Jan;10(1):79-91 - PubMed
  129. J Gen Physiol. 1997 May;109(5):589-605 - PubMed
  130. Nat Struct Mol Biol. 2004 Mar;11(3):219-25 - PubMed
  131. Circ Res. 1997 Nov;81(5):727-41 - PubMed
  132. Hum Mol Genet. 1995 Sep;4(9):1603-7 - PubMed
  133. Circ Res. 1994 Jun;74(6):1065-70 - PubMed
  134. Mayo Clin Proc. 1996 Feb;71(2):150-60 - PubMed
  135. Circ Res. 2001 Jun 8;88(11):1196-202 - PubMed
  136. PLoS One. 2013;8(2):e55427 - PubMed
  137. J Physiol Sci. 2012 Mar;62(2):79-92 - PubMed
  138. Circ Res. 1979 Jun;44(6):800-14 - PubMed
  139. Circ Res. 1973 May;32(5):625-34 - PubMed
  140. Am J Physiol. 1992 Aug;263(2 Pt 1):C494-501 - PubMed
  141. Pflugers Arch. 1987 Jan;408(1):18-26 - PubMed
  142. Circ Res. 1999 Oct 15;85(8):672-81 - PubMed
  143. Physiol Rev. 1999 Jul;79(3):917-1017 - PubMed
  144. J Clin Invest. 2006 Dec;116(12):3127-38 - PubMed
  145. J Neurosci Res. 2000 Apr 1;60(1):37-44 - PubMed
  146. Circ Arrhythm Electrophysiol. 2008 Dec;1(5):379-86 - PubMed
  147. Proc Natl Acad Sci U S A. 2002 Mar 19;99(6):4073-8 - PubMed
  148. Circ Res. 1959 Mar;7(2):262-7 - PubMed
  149. Jpn Heart J. 1997 May;38(3):297-315 - PubMed
  150. J Cardiovasc Electrophysiol. 2001 Feb;12(2):218-25 - PubMed
  151. Circulation. 2005 Apr 12;111(14):1738-46 - PubMed
  152. Heart Rhythm. 2015 Oct;12 (10 ):2115-24 - PubMed
  153. Circ Res. 1998 Oct 19;83(8):781-94 - PubMed
  154. J Membr Biol. 1980 Mar 31;53(1):63-75 - PubMed
  155. Cardiovasc Res. 2005 Jan 1;65(1):117-27 - PubMed
  156. Trends Cardiovasc Med. 2014 Jul;24(5):184-90 - PubMed
  157. J Cardiovasc Electrophysiol. 1999 Oct;10(10):1361-75 - PubMed
  158. J Physiol. 1975 Sep;250(2):231-45 - PubMed
  159. Cardiovasc Res. 2014 Nov 1;104(2):371-81 - PubMed
  160. Am J Physiol Heart Circ Physiol. 2012 Jan 1;302(1):H278-86 - PubMed
  161. J Physiol. 1913 Jul 18;46(4-5):349-83 - PubMed
  162. Circ Res. 1970 May;26(5):565-74 - PubMed
  163. J Membr Biol. 1983;74(3):203-15 - PubMed
  164. J Am Coll Cardiol. 2003 Feb 19;41(4):643-52 - PubMed
  165. Cardiovasc Res. 1995 Sep;30(3):449-59 - PubMed
  166. Cardiovasc Res. 1992 Nov;26(11):1011-6 - PubMed
  167. Eur J Cell Biol. 1984 Jul;34(2):307-12 - PubMed
  168. Circ Res. 2010 Jun 11;106(11):1675-80 - PubMed
  169. Cardiovasc Res. 1994 Jun;28(6):770-7 - PubMed
  170. Pflugers Arch. 1995 Nov;431(1):138-40 - PubMed
  171. Cardiovasc Res. 2003 Mar 15;57(4):874-86 - PubMed
  172. Nat Rev Cardiol. 2010 Apr;7(4):216-25 - PubMed
  173. J Am Coll Cardiol. 1994 Oct;24(4):1124-32 - PubMed
  174. Circ Res. 1989 Feb;64(2):389-97 - PubMed
  175. J Membr Biol. 1993 Nov;136(2):135-45 - PubMed
  176. Circ Res. 2001 Feb 16;88(3):333-9 - PubMed
  177. Adv Exp Med Biol. 2012;740:1145-74 - PubMed
  178. Pflugers Arch. 2015 Nov;467(11):2287-97 - PubMed
  179. Circ Res. 2005 Dec 9;97(12):1314-22 - PubMed
  180. Am J Pathol. 1991 Oct;139(4):801-21 - PubMed
  181. Mol Cell Endocrinol. 2008 Jan 2;280(1-2):30-8 - PubMed
  182. Res Commun Chem Pathol Pharmacol. 1977 Oct;18(2):283-90 - PubMed
  183. Proc Natl Acad Sci U S A. 2007 Dec 18;104(51):20512-6 - PubMed
  184. Circulation. 2006 Jul 11;114(2):110-8 - PubMed
  185. Circ Res. 1988 Jan;62(1):116-26 - PubMed
  186. Circulation. 2005 Sep 27;112(13):1927-35 - PubMed
  187. J Cardiovasc Electrophysiol. 2015 Jan;26(1):93-7 - PubMed
  188. Circ Res. 1991 Aug;69(2):378-95 - PubMed
  189. Biophys J. 1997 Oct;73(4):1885-95 - PubMed
  190. PLoS One. 2011;6(6):e20310 - PubMed
  191. Circ Res. 2000 Oct 13;87(8):656-62 - PubMed
  192. J Physiol. 1949 Mar 1;108(1):37-77 - PubMed
  193. JAMA. 2001 May 9;285(18):2370-5 - PubMed

Publication Types