Key result
High glucose prevents isoprenaline-induced APD prolongation and transient outward potassium current changes in hiPSC-CMs.
Why the study?
Disorder of glucose metabolism is involved in the development of Takotsubo syndrome, but the effects of high glucose on electrophysiological mechanisms in its pathogenesis remained unclear.
Does high glucose prevent isoprenaline-induced action potential prolongation in human-induced pluripotent stem cell-derived cardiomyocytes?
Does high glucose prevent isoprenaline-induced action potential prolongation in human-induced pluripotent stem cell-derived cardiomyocytes?
High glucose levels may protect cardiomyocytes from catecholamine-induced QT prolongation by suppressing β1-adrenoceptor-Gs-PKA signaling, potentially explaining why diabetes might reduce arrhythmia risk in Takotsubo syndrome.
High glucose may attenuate catecholamine effects in TTS models; hypothesis-generating for reduced arrhythmia risk in diabetic patients, pending clinical studies.
Recent studies indicate that the disorder of glucose metabolism in myocardial tissue is involved in the development of Takotsubo syndrome (TTS). This study investigated the effects of a high level of glucose on the pathogenesis of TTS, focusing on the electrophysiological mechanisms. Human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) were treated with toxic concentration of isoprenaline (Iso, 1 mM) and a high level of glucose (22 mM) to mimic the setting of TTS and diabetes mellitus (DM). Iso prolonged action potential duration (APD) through enhancing the late sodium channel current and suppressing the transient outward potassium current (Ito). However, a high level of glucose prevented the APD prolongation and the change in Ito. High-level glucose reduced the expression levels of PI3K/Akt, β1-adrenoceptors, Gs-protein, and PKA, suggesting their involvement in the protective effects of high-level glucose against toxic effects of catecholamine. High glucose level did not influence Iso-induced ROS-generation, suggesting that the protective effects of high-level glucose against Iso did not result from changes in ROS generation. High-level glucose may protect cardiomyocytes from the toxic effects of catecholamine excess through suppressing β1-adrenoceptor-Gs-PKA signaling. DM may reduce the risk for occurrence of arrhythmias due to QT prolongation in TTS patients.
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Lin et al. (2022) studied Takotsubo syndrome (TTS). High level of glucose vs. Isoprenaline alone was evaluated on Action potential duration (APD) and ion channel currents. High-level glucose prevented isoprenaline-induced action potential duration prolongation and changes in transient outward potassium current in human-induced pluripotent stem cell-derived cardiomyocytes.
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