Key result
Extracellular acidosis caused a 2-fold greater inhibition of IKr in immature hiPSC-CMs compared with matured hiPSC-CMs, demonstrating that hERG1 subunit abundance determines proton sensitivity.
Why the study?
The impact of altered hERG1 subunit abundance on IKr and its response to external stressors, such as extracellular acidosis, is not well understood.
hERG1 subunit abundance is dynamically regulated and determines IKr proton sensitivity in hiPSC-CMs, which may have implications for understanding arrhythmias in ischemic heart disease and sudden infant death syndrome.
hERG1 subunit ratios may modulate IKr sensitivity to pH or drugs in human cardiomyocytes; leaves open whether this alters arrhythmia risk in vivo.
The voltage-gated channel, hERG1, conducts the rapid delayed rectifier potassium current ( I Kr ) and is critical for human cardiac repolarization. Reduced I Kr causes long QT syndrome and increases the risk for cardiac arrhythmia and sudden death. At least two subunits form functional hERG1 channels, hERG1a and hERG1b. Changes in hERG1a/1b abundance modulate I Kr kinetics, magnitude, and drug sensitivity. Studies from native cardiac tissue suggest that hERG1 subunit abundance is dynamically regulated, but the impact of altered subunit abundance on I Kr and its response to external stressors is not well understood. Here, we used a substrate-driven human-induced pluripotent stem cell–derived cardiomyocyte (hiPSC-CM) maturation model to investigate how changes in relative hERG1a/1b subunit abundance impact the response of native I Kr to extracellular acidosis, a known component of ischemic heart disease and sudden infant death syndrome. I Kr recorded from immatured hiPSC-CMs displays a 2-fold greater inhibition by extracellular acidosis (pH 6.3) compared with matured hiPSC-CMs. Quantitative RT-PCR and immunocytochemistry demonstrated that hERG1a subunit mRNA and protein were upregulated and hERG1b subunit mRNA and protein were downregulated in matured hiPSC-CMs compared with immatured hiPSC-CMs. The shift in subunit abundance in matured hiPSC-CMs was accompanied by increased I Kr . Silencing hERG1b's impact on native I Kr kinetics by overexpressing a polypeptide identical to the hERG1a N-terminal Per-Arnt-Sim domain reduced the magnitude of I Kr proton inhibition in immatured hiPSC-CMs to levels comparable to those observed in matured hiPSC-CMs. These data demonstrate that hERG1 subunit abundance is dynamically regulated and determines I Kr proton sensitivity in hiPSC-CMs.
No takes yet. Share an insight, caveat, or question.
Ukachukwu et al. (2022) studied this question. Extracellular acidosis (pH 6.3) vs. Matured hiPSC-CMs was evaluated on IKr proton inhibition. Extracellular acidosis caused a 2-fold greater inhibition of IKr in immature hiPSC-CMs compared with matured hiPSC-CMs, demonstrating that hERG1 subunit abundance determines proton sensitivity.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: