Key result
Cardiomyocyte-specific ablation of mitofusins 1 and 2 significantly reduced baseline left ventricular conduction velocity to 10.4 cm/s compared to 47.9 cm/s in wild-type mice.
Why the study?
Although changes in mitochondrial morphology impact mitochondrial function, their role in cardiac arrhythmogenesis is not known.
Does genetic ablation of mitofusins 1 and 2 alter action potential duration and conduction velocity in mouse hearts following simulated ischemia-reperfusion?
Does genetic ablation of mitofusins 1 and 2 alter action potential duration and conduction velocity in mouse hearts following simulated ischemia-reperfusion?
Absolute Event Rate: 10.4% vs 47.9%
p-value: p=<0.05
Genetic ablation of cardiac mitofusins 1 and 2 increases action potential duration, reduces conduction velocity, and impairs recovery following ischemia-reperfusion, suggesting a role in post-MI arrhythmogenesis.
May warrant no clinical changes in post-MI care; leaves open mitofusin roles in arrhythmogenesis pending human validation.
Mitochondrial dysfunction induced by acute cardiac ischemia-reperfusion (IR), may increase susceptibility to arrhythmias by perturbing energetics, oxidative stress production and calcium homeostasis. Although changes in mitochondrial morphology are known to impact on mitochondrial function, their role in cardiac arrhythmogenesis is not known. To assess action potential duration (APD) in cardiomyocytes from the Mitofusins-1/2 (Mfn1/Mfn2)-double-knockout (Mfn-DKO) compared to wild-type (WT) mice, optical-electrophysiology was conducted. To measure conduction velocity (CV) in atrial and ventricular tissue from the Mfn-DKO and WT mice, at both baseline and following simulated acute IR, multi-electrode array (MEA) was employed. Intracellular localization of connexin-43 (Cx43) at baseline was evaluated by immunohistochemistry, while Cx-43 phosphorylation was assessed by Western-blotting. Mfn-DKO cardiomyocytes demonstrated an increased APD. At baseline, CV was significantly lower in the left ventricle of the Mfn-DKO mice. CV decreased with simulated-ischemia and returned to baseline levels during simulated-reperfusion in WT but not in atria of Mfn-DKO mice. Mfn-DKO hearts displayed increased Cx43 lateralization, although phosphorylation of Cx43 at Ser-368 did not differ. In summary, Mfn-DKO mice have increased APD and reduced CV at baseline and impaired alterations in CV following cardiac IR. These findings were associated with increased Cx43 lateralization, suggesting that the mitofusins may impact on post-MI cardiac-arrhythmogenesis.
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Kwek et al. (2022) studied Cardiac conduction abnormalities and arrhythmias. Genetic ablation of Mfn1 and Mfn2 (Mfn-DKO) vs. Wild-type (WT) mice was evaluated on Baseline left ventricular conduction velocity (cm/s) (p=<0.05). Cardiomyocyte-specific ablation of mitofusins 1 and 2 significantly reduced baseline left ventricular conduction velocity to 10.4 cm/s compared to 47.9 cm/s in wild-type mice.
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