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December 23, 2015The Journal of PhysiologyOpen Access

Phospholamban ablation completely offset the high incidence of sustained bidirectional ventricular tachycardia seen in S2814D+/+ mice (0/6 vs 4/5, p<0.05) after catecholaminergic challenge.

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Why the study?

Does phospholamban ablation prevent arrhythmias in mice with CaMKII-constitutive phosphorylation of RyR2 at site S2814?

Population

3- to 4-month-old male mutant mice with phospholamban ablation, RyR2-S2814D+/+ knock-in mice, and mice…

Comparison

Phospholamban (PLN) ablation (genetic knock-out) vs S2814D+/+ mice and wild-type mice

Design

Preclinical

Key result

Phospholamban ablation completely offset the high incidence of sustained bidirectional ventricular tachycardia seen in S2814D+/+ mice (0/6 vs 4/5, p<0.05) after catecholaminergic challenge.

Authors

GMGabriela MazzocchiLSLeandro Matías SommeseJPJulieta Palomeque

Discussion

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Overview

Phospholamban ablation offsets CaMKII-driven arrhythmias in this mouse model; leaves open whether SR Ca2+ uptake enhancement merits clinical investigation.

Structured PICO

Does phospholamban ablation prevent arrhythmias in mice with CaMKII-constitutive phosphorylation of RyR2 at site S2814?

P
Population
Male mutant mice (3-4 months old) with CaMKII-constitutive phosphorylation of RyR2 at site S2814, with and without phospholamban ablation, used to study arrhythmogenesis.
I
Intervention
Phospholamban (PLN) ablation (genetic knock-out)
C
Comparator
S2814D+/+ mice (without PLN ablation) and wild-type mice
O
Outcome
Intracellular Ca2+ dynamics, SR Ca2+ leak, and propensity to ventricular arrhythmias under stress conditions (catecholaminergic challenge or high extracellular Ca2+)surrogate

Main Result

Absolute Event Rate: 0% vs 80%

Absolute Risk Reduction: 80%

p-value: p=<0.05

Increasing SR Ca2+ uptake by phospholamban ablation can prevent arrhythmic events triggered by SR Ca2+ leak due to CaMKII-dependent phosphorylation of the RyR2-S2814 site.

Cite This Study

Mazzocchi et al. (2015) studied Ventricular arrhythmias. Phospholamban (PLN) ablation vs. S2814D+/+ mice (no PLN ablation) was evaluated on Incidence of sustained bidirectional ventricular tachycardia after catecholaminergic challenge (p=<0.05). Phospholamban ablation completely offset the high incidence of sustained bidirectional ventricular tachycardia seen in S2814D+/+ mice (0/6 vs 4/5, p<0.05) after catecholaminergic challenge.

synapsesocial.com/papers/6a1f65d3d09bc027e4836844https://doi.org/10.1113/jp271622
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