2003
DOI: 10.1046/j.1540-8167.2003.02307.x
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Sophisticated Architecture is Required for the Sinoatrial Node to Perform Its Normal Pacemaker Function

Abstract: The heart's pacemaker, the sinoatrial node, does not consist of a group of uniform sinoatrial node cells embedded in atrial muscle. Instead, it is a heterogeneous tissue with multiple cell types and a complex structure. Evidence suggests that from the periphery to the center of the sinoatrial node, there is a gradient in action potential shape, pacemaking, ionic current densities, connexin expression, Ca2+ handling, myofilament density, and cell size. This complexity may be necessary for the sinoatrial node to… Show more

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Cited by 55 publications
(48 citation statements)
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“…10 In a recent study of rabbit SAN explants, using in situ dye transfer, gap Figure 1 Schema of connexin43-expressing lentiviral vector constructs. The cDNA for the rat connexin43-GFP (Cx43GFP) fusion gene and a 21-bp Cx43 deletion mutant (Cx43D7) were sub-cloned into the third-generation lentiviral vector construct pRRLsin18.cPPT.CMV.…”
mentioning
confidence: 99%
See 1 more Smart Citation
“…10 In a recent study of rabbit SAN explants, using in situ dye transfer, gap Figure 1 Schema of connexin43-expressing lentiviral vector constructs. The cDNA for the rat connexin43-GFP (Cx43GFP) fusion gene and a 21-bp Cx43 deletion mutant (Cx43D7) were sub-cloned into the third-generation lentiviral vector construct pRRLsin18.cPPT.CMV.…”
mentioning
confidence: 99%
“…The structural organization of fibroblasts within the SAN and the ordered pattern of connexin expression in these cells strongly implicate an important electrophysiological function of heterologous coupling. 10,11 Electrical impulse generation and conduction occur in the SAN and both have dependence on membrane excitability. It is likely, therefore, that fibroblasts, via heterologous coupling, exert a modulatory effect on these processes.…”
mentioning
confidence: 99%
“…We first isolated K ATP currents in single SAN cells and find that only approximately half the cells contain currents [98]. This is not surprising given the heterogeneous electrophysiological nature of the SAN [100]. Importantly this number of cells was significantly reduced in cKO mice [98].…”
Section: Katp Channels Underlie Repolarising Currents In the Sa Nodementioning
confidence: 99%
“…Confocal microscopic analysis was performed on the specimens. We used the immunohistochemical definition of the adult SAN of Boyett et al [9][10][11], i.e., a heterogeneous population of automatic cells in the atria near the crista-terminalis with its core positive for Cx45 and HCN4 and periphery positive for both Cx45 and Cx43. Immunostained sections were then examined for the specificity of marker expression with respect to the CCS under an Axioplane LSM510 (Carl Zeiss) confocal microscope.…”
Section: Staining and Immunohistochemistry (Ihc)mentioning
confidence: 99%
“…Taken together, the SAN can be defined as a heterogeneous population of automatic cells in the atria near the crista-terminalis with its core positive for Cx45 and HCN4 and periphery positive for both Cx45 and Cx43 [9][10][11]. Cx40, Cx43, Cx45 and Cx30.2 are considered the primary connexins of the heart and have specific compartmentalized expression pattern both in the conduction system and in the myocardium.…”
Section: Introductionmentioning
confidence: 99%