Why the study?
SCN10A/Nav1.8 may influence cardiac electrophysiology and arrhythmia susceptibility with non-uniform expression across cardiac chambers, but its functional significance among different ventricular cell types remains unclear.
Absolute Event Rate: 25% vs 87.5%
p-value: p=<0.05
Nav1.8 blockade reduces late sodium current and action potential duration in Purkinje fibers and M cells at slow pacing rates, and suppresses early afterdepolarizations, highlighting Nav1.8 as a potential therapeutic target for bradycardia-dependent arrhythmias.
Background Previous studies suggested that SCN10A /Nav1.8 may influence cardiac electrophysiology and the susceptibility to cardiac arrhythmias. Notably, the expression of SCN10A is not uniform, showing variable expression in each cardiac chamber. The present study aims to explore the functional significance of Nav1.8 expression among different cell types present in the ventricular myocardium. Methods The effect of the specific Nav1.8 blocker, A-803467, on action potential was recorded from epicardial, mid-myocardial (M cells) and Purkinje tissue slices isolated from the canine left ventricle using standard microelectrode techniques and on late sodium current from Purkinje cells using patch-clamp techniques. Results A-803467 treatment did not significantly affect maximum diastolic potential, action potential amplitude or maximum rate of rise of the action potential upstroke in epicardial cells, M cells or Purkinje fibers. Action potential duration (APD) was also unaffected by A-803467 in epicardial cells. However, administration of 1,000 nmol/L A-803467 reduced APD 30 , APD 50 , and APD 90 during relatively slow pacing rates of 0.2 and 0.5 Hz in M cells. In Purkinje fibers, A-803467 (100 and 1,000 nmol/L) substantially abbreviated APD 50 and APD 90 at slow pacing rates (0.2 and 0.5 Hz). Moreover, 100 nmol/L A-803467 significantly inhibited the development of early afterdepolarizations induced by 10 nmol/L ATX-II (7/8 vs. 2/8, p < 0.05) as well as the amplitude of late sodium current at 0.2 Hz in Purkinje cells. Conclusions The functional significance of Nav1.8 varies among different types of ventricular and conduction system cardiomyocytes. The reduction in I Na,L and APD, as well as suppression of early afterdepolarizations by Nav1.8 block in Purkinje fibers suggests Nav1.8 as a potential therapeutic target for bradycardia-dependent arrhythmias.
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Zhang et al. (2025) studied Cardiac arrhythmias. A-803467 vs. ATX-II alone (Control) was evaluated on Incidence of early afterdepolarizations (EADs) induced by ATX-II at 0.2 Hz in Purkinje fibers (p=<0.05).
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