Key result
Genetic ablation of cardiac IKACh in mice prevented exercise-induced sinus bradycardia by suppressing training-induced remodeling of inward currents If, ICaT, and ICaL.
Why the study?
To determine whether genetic ablation of IKACh channels prevents sinus bradycardia induced by intensive exercise training in mice.
Does genetic ablation of IKACh channels prevent intensive exercise training-induced sinus bradycardia in mice?
Does genetic ablation of IKACh channels prevent intensive exercise training-induced sinus bradycardia in mice?
Genetic ablation of IKACh channels in mice prevents exercise-induced sinus bradycardia and associated molecular remodeling, suggesting IKACh as a potential therapeutic target for bradyarrhythmias in endurance athletes.
Hypothesis-generating for IKACh targeting in athlete bradycardia; leaves open human translation.
Background: Endurance athletes are prone to bradyarrhythmias, which in the long-term may underscore the increased incidence of pacemaker implantation reported in this population. Our previous work in rodent models has shown training-induced sinus bradycardia to be due to microRNA (miR)-mediated transcriptional remodeling of the HCN4 channel, leading to a reduction of the “funny” ( I f ) current in the sinoatrial node (SAN). Objective: To test if genetic ablation of G-protein-gated inwardly rectifying potassium channel, also known as I KACh channels prevents sinus bradycardia induced by intensive exercise training in mice. Methods: Control wild-type (WT) and mice lacking GIRK4 ( Girk4 –/– ), an integral subunit of I KACh were assigned to trained or sedentary groups. Mice in the trained group underwent 1-h exercise swimming twice a day for 28 days, 7 days per week. We performed electrocardiogram recordings and echocardiography in both groups at baseline, during and after the training period. At training cessation, mice were euthanized and SAN tissues were isolated for patch clamp recordings in isolated SAN cells and molecular profiling by quantitative PCR (qPCR) and western blotting. Results: At swimming cessation trained WT mice presented with a significantly lower resting HR that was reversible by acute I KACh block whereas Girk4 –/– mice failed to develop a training-induced sinus bradycardia. In line with HR reduction, action potential rate, density of I f , as well as of T- and L-type Ca 2+ currents ( I CaT and I CaL ) were significantly reduced only in SAN cells obtained from WT-trained mice. I f reduction in WT mice was concomitant with downregulation of HCN4 transcript and protein, attributable to increased expression of corresponding repressor microRNAs (miRs) whereas reduced I CaL in WT mice was associated with reduced Ca v 1.3 protein levels. Strikingly, I KACh ablation suppressed all training-induced molecular remodeling observed in WT mice. Conclusion: Genetic ablation of cardiac I KACh in mice prevents exercise-induced sinus bradycardia by suppressing training induced remodeling of inward currents I f , I CaT and I CaL due in part to the prevention of miR-mediated transcriptional remodeling of HCN4 and likely post transcriptional remodeling of Ca v 1.3. Strategies targeting cardiac I KACh may therefore represent an alternative to pacemaker implantation for bradyarrhythmias seen in some veteran athletes.
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Bidaud et al. (2021) studied Training-induced sinus bradycardia (n=135). Genetic ablation of Girk4 (Girk4-/-) and exercise training vs. Wild-type (WT) mice was evaluated on Spontaneous beating rate of isolated SAN cells (bpm) (p=<0.0001). Genetic ablation of cardiac IKACh in mice prevented exercise-induced sinus bradycardia by suppressing training-induced remodeling of inward currents If, ICaT, and ICaL.
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