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February 22, 2026JACC. Clinical electrophysiology0 citationsOpen Access

Caveolar Compartmentalization of Pacemaker Signaling Ensures Stable Sinoatrial Rhythmicity Which Is Disrupted in Heart Failure

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DLDi LangHNHaibo NiRMRoman Y. Medvedev

Key Result

Disruption of caveolae in sinoatrial node leads to sinoatrial node dysfunction, revealing caveolar signaling as crucial for stable pacemaking and a therapeutic target.

Key Points

  • This research aims to understand how the caveolar compartmentalization of pacemaker signaling influences sinoatrial node function and its role in heart failure.
  • Examined the role of caveolae in sinoatrial node (SAN) pacemaking
  • Analyzed protein interactions within the caveolar pacemaker signalosome
  • Defined the effects of caveolar disruption on SAN rhythmicity
  • Disruption of caveolae leads to altered sinoatrial node function and sick sinus node disorder (SND)
  • Identified caveolae as a critical component for maintaining stable heart rhythms
  • Proposed caveolar remodeling as a potential therapeutic target in heart failure

Structured PICO

I
Intervention
Disruption of caveolae
O
Outcome
Sinoatrial node dysfunction (SND)

Caveolar compartmentalization is essential for stable sinoatrial rhythmicity, and its disruption in heart failure leads to sinoatrial node dysfunction, representing a novel therapeutic target.

Abstract

SAN pacemaking is driven by complex protein interactions within a nanoscale caveolar pacemaker signalosome. Disruption of caveolae leads to SND, demonstrating a new dimension of SAN remodeling and revealing a novel therapeutic target.

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Cite This Study

Lang et al. (2026) studied this question. Disruption of caveolae in sinoatrial node leads to sinoatrial node dysfunction, revealing caveolar signaling as crucial for stable pacemaking and a therapeutic target.

synapsesocial.com/papers/699a9ca1482488d673cd2627https://doi.org/10.1016/j.jacep.2026.01.003
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