Key result
iFGF12B and iFGF13VY differentially regulate NaV1.5 channel kinetics and voltage dependencies in cardiac cells.
Why the study?
The mechanisms underlying differential regulation of NaV channel gating by iFGFs remain elusive, and investigation into NaV1.5 regulation by human heart-dominant iFGF12B is lacking.
Individual intracellular fibroblast growth factor isoforms (iFGF13VY and iFGF12B) differentially regulate cardiac NaV1.5 channel gating through distinct interactions with the voltage sensor domain.
Differential iFGF effects on NaV1.5 may alter cardiac excitability; leaves open therapeutic targeting in human arrhythmias.
Voltage-gated sodium (NaV) channels are responsible for the initiation and propagation of action potentials. In the heart, the predominant NaV1.5 α subunit is composed of four homologous repeats (I–IV) and forms a macromolecular complex with multiple accessory proteins, including intracellular fibroblast growth factors (iFGF). In spite of high homology, each of the iFGFs, iFGF11–iFGF14, as well as the individual iFGF splice variants, differentially regulates NaV channel gating, and the mechanisms underlying these differential effects remain elusive. Much of the work exploring iFGF regulation of NaV1.5 has been performed in mouse and rat ventricular myocytes in which iFGF13VY is the predominant iFGF expressed, whereas investigation into NaV1.5 regulation by the human heart-dominant iFGF12B is lacking. In this study, we used a mouse model with cardiac-specific Fgf13 deletion to study the consequences of iFGF13VY and iFGF12B expression. We observed distinct effects on the voltage-dependences of activation and inactivation of the sodium currents (INa), as well as on the kinetics of peak INa decay. Results in native myocytes were recapitulated with human NaV1.5 heterologously expressed in Xenopus oocytes, and additional experiments using voltage-clamp fluorometry (VCF) revealed iFGF-specific effects on the activation of the NaV1.5 voltage sensor domain in repeat IV (VSD-IV). iFGF chimeras further unveiled roles for all three iFGF domains (i.e., the N-terminus, core, and C-terminus) on the regulation of VSD-IV, and a slower time domain of inactivation. We present here a novel mechanism of iFGF regulation that is specific to individual iFGF isoforms and that leads to distinct functional effects on NaV channel/current kinetics.
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Angsutararux et al. (2023) studied this question. iFGF12B and iFGF13VY differentially regulate NaV1.5 channel kinetics, impacting activation and inactivation voltage-dependencies in cardiac cells and oocytes.
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