Key result
Equine KV11.1 channels exhibited larger currents and a more negative voltage dependence of activation (V1/2 = -17.3 mV) compared to human channels (-14.2 mV), and were blocked by terfenadine.
Absolute Event Rate: -17.3% vs -14.2%
p-value: p=0.0178
Equine KV11.1 channels share similar electrophysiological properties and susceptibility to pharmacological block as human channels, suggesting horses may be predisposed to Long QT syndrome.
Species differences in KV11.1 may confound equine models of human drug effects; leaves open questions for clinical translation.
The KCNH2 and KCNE2 genes encode the cardiac voltage-gated K+ channel KV11.1 and its auxiliary β subunit KCNE2. KV11.1 is critical for repolarization of the cardiac action potential. In humans, mutations or drug therapy affecting the KV11.1 channel are associated with prolongation of the QT intervals on the ECG and increased risk of ventricular tachyarrhythmia and sudden cardiac death--conditions known as congenital or acquired Long QT syndrome (LQTS), respectively. In horses, sudden, unexplained deaths are a well-known problem. We sequenced the cDNA of the KCNH2 and KCNE2 genes using RACE and conventional PCR on mRNA purified from equine myocardial tissue. Equine KV11.1 and KCNE2 cDNA had a high homology to human genes (93 and 88%, respectively). Equine and human KV11.1 and KV11.1/KCNE2 were expressed in Xenopus laevis oocytes and investigated by two-electrode voltage-clamp. Equine KV11.1 currents were larger compared to human KV11.1, and the voltage dependence of activation was shifted to more negative values with V1/2 = -14.2±1.1 mV and -17.3±0.7, respectively. The onset of inactivation was slower for equine KV11.1 compared to the human homolog. These differences in kinetics may account for the larger amplitude of the equine current. Furthermore, the equine KV11.1 channel was susceptible to pharmacological block with terfenadine. The physiological importance of KV11.1 was investigated in equine right ventricular wedge preparations. Terfenadine prolonged action potential duration and the effect was most pronounced at slow pacing. In conclusion, these findings indicate that horses could be disposed to both congenital and acquired LQTS.
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Pedersen et al. (2015) studied Normal equine myocardium (Long QT syndrome model) (n=7). Equine KV11.1 channel expression and terfenadine block vs. Human KV11.1 channel / Control was evaluated on Half maximal activation (V1/2) of KV11.1 current in mV (p=0.0178). Equine KV11.1 channels exhibited larger currents and a more negative voltage dependence of activation (V1/2 = -17.3 mV) compared to human channels (-14.2 mV), and were blocked by terfenadine.
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