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2014
DOI: 10.1007/978-3-642-41588-3_8
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Proton Modulation of Cardiac I Na: A Potential Arrhythmogenic Trigger

Abstract: Voltage-gated sodium (NaV) channels generate the upstroke and mediate duration of the ventricular action potential, thus they play a critical role in mediating cardiac excitability. Cardiac ischemia triggers extracellular pH to drop as low as pH 6.0, within just 10 min of its onset. Heightened proton concentrations reduce sodium conductance and alter the gating parameters of the cardiac-specific voltage-gated sodium channel, NaV1.5. Most notably, acidosis destabilizes fast inactivation, which plays a critical … Show more

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Cited by 14 publications
(38 citation statements)
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“…Within the cardiac system, acidosis disrupts the regulation of action potential duration associated with cardiac excitability. 34 Most notably, this action potential disruption is caused by cardiac ischemia and acidosis, which impairs sodium channels and can lead to life-threatening events such as arrhythmia, myocardial infarction, and cardiac death. [35][36][37] A decrease in interstitial tissue pH may alter angiogenesis.…”
Section: Role For the Ph-sensing Gpcrs In The Cardiovascular Systemmentioning
confidence: 99%
“…Within the cardiac system, acidosis disrupts the regulation of action potential duration associated with cardiac excitability. 34 Most notably, this action potential disruption is caused by cardiac ischemia and acidosis, which impairs sodium channels and can lead to life-threatening events such as arrhythmia, myocardial infarction, and cardiac death. [35][36][37] A decrease in interstitial tissue pH may alter angiogenesis.…”
Section: Role For the Ph-sensing Gpcrs In The Cardiovascular Systemmentioning
confidence: 99%
“…9). Proton block of vertebrae Na V s has been well characterized and occurs predominantly through the protonation of residues lining the extracellular vestibule above the SF 177; 178; 179 . The BacNa V structures suggest that protons might neutralize key sidechains required to coordinate and conduct Na + -water complexes through the SF or destabilize interactions required to maintain the SF in a conductive conformation.…”
Section: Introductionmentioning
confidence: 99%
“…The initiation and progression of arrhythmia depend upon electrical disorders in the heart2, but the mechanisms for electrical disorder remain unclear. Ion channels, including potassium, sodium and calcium, play essential roles in arrhythmia34. When suffering with ischemic stress, the cardiomyocytes (CMs) undergo lots of changes, especially the remodeling of ion channels of sarcolemma35.…”
mentioning
confidence: 99%