Key result
Phosphoproteomic mapping identifies 42 NaV1.5 phosphorylation sites regulating channel activation and surface expression.
Why the study?
Phosphorylation of cardiac NaV1.5 regulates cardiac excitability, but the specific phosphorylation sites regulating its function and underlying mechanisms remain largely unknown.
This study provides a comprehensive map of NaV1.5 phosphorylation sites, highlighting specific residues that dynamically regulate cardiac sodium channel function and expression in heart failure.
Identifies functional NaV1.5 sites in failing mouse hearts; leaves open whether they modulate human arrhythmia risk or expression.
Phosphorylation of the voltage-gated Na+ (NaV) channel NaV1.5 regulates cardiac excitability, yet the phosphorylation sites regulating its function and the underlying mechanisms remain largely unknown. Using a systematic, quantitative phosphoproteomic approach, we analyzed NaV1.5 channel complexes purified from nonfailing and failing mouse left ventricles, and we identified 42 phosphorylation sites on NaV1.5. Most sites are clustered, and three of these clusters are highly phosphorylated. Analyses of phosphosilent and phosphomimetic NaV1.5 mutants revealed the roles of three phosphosites in regulating NaV1.5 channel expression and gating. The phosphorylated serines S664 and S667 regulate the voltage dependence of channel activation in a cumulative manner, whereas the nearby S671, the phosphorylation of which is increased in failing hearts, regulates cell surface NaV1.5 expression and peak Na+ current. No additional roles could be assigned to the other clusters of phosphosites. Taken together, our results demonstrate that ventricular NaV1.5 is highly phosphorylated and that the phosphorylation-dependent regulation of NaV1.5 channels is highly complex, site specific, and dynamic.
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Lorenzini et al. (2020) studied Heart failure (n=9). Transverse aortic constriction (TAC) and NaV1.5 mutagenesis vs. Sham surgery and wild-type NaV1.5 was evaluated on Identification and functional characterization of NaV1.5 phosphorylation sites. Phosphoproteomic mapping identified 42 phosphorylation sites on NaV1.5, revealing that S664 and S667 regulate voltage dependence of activation while S671 regulates cell surface expression.
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