The regulation of the small-conductance calcium-activated potassium current and the mechanisms of sex dimorphism in J wave syndrome

被引:6
作者
Chen, Mu [1 ]
Fei, Yudong [1 ]
Chen, Tai-Zhong [1 ]
Li, Yi-Gang [1 ]
Chen, Peng-Sheng [2 ]
机构
[1] Shanghai Jiao Tong Univ, Sch Med, Xinhua Hosp, Dept Cardiol, Shanghai, Peoples R China
[2] Cedars Sinai Med Ctr, Dept Cardiol, Smidt Heart Inst, 8700 Beverly BLVD, Los Angeles, CA 90048 USA
来源
PFLUGERS ARCHIV-EUROPEAN JOURNAL OF PHYSIOLOGY | 2021年 / 473卷 / 03期
基金
美国国家卫生研究院; 中国国家自然科学基金;
关键词
Sex difference; Sex dimorphism; J wave syndrome; Brugada syndrome; Early repolarization; Ion channel; Autonomic control; CA2+-ACTIVATED K+ CHANNELS; ACTION-POTENTIAL REPOLARIZATION; SURFACE-MEMBRANE EXPRESSION; ISOLATED HEART MODEL; ATRIAL-FIBRILLATION; SK CHANNELS; NERVE-STIMULATION; VENTRICULAR-ARRHYTHMIAS; FUNCTIONAL ROLES; CHROMOSOME; 1Q21;
D O I
10.1007/s00424-020-02500-3
中图分类号
Q4 [生理学];
学科分类号
071003 ;
摘要
Apamin-sensitive small-conductance calcium-activated potassium (SK) current (I-KAS) plays an important role in cardiac repolarization under a variety of physiological and pathological conditions. The regulation of cardiac I-KAS relies on SK channel expression, intracellular Ca2+, and interaction between SK channel and intracellular Ca2+. I-KAS activation participates in multiple types of arrhythmias, including atrial fibrillation, ventricular tachyarrhythmias, and automaticity and conduction abnormality. Recently, sex dimorphisms in autonomic control have been noticed in I-KAS activation, resulting in sex-differentiated action potential morphology and arrhythmogenesis. This review provides an update on the Ca2+-dependent regulation of cardiac I-KAS and the role of I-KAS on arrhythmias, with a special focus on sex differences in I-KAS activation. We propose that sex dimorphism in autonomic control of I-KAS may play a role in J wave syndrome.
引用
收藏
页码:491 / 506
页数:16
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