Why the study?
Even though HCN channel genes were identified more than 20 years ago, the understanding of how cAMP regulates their gating remains fragmented.
Detailed structural knowledge of HCN4 channel regulation by cAMP paves the way for novel pharmacological tools to specifically control heart rate.
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New tools now permit experimental command of HCN4 cAMP regulation; leaves open their translation into selective heart-rate therapies.
Direct regulation of the pacemaker “funny” current (If) by cAMP underlies heart rate modulation by the autonomic nervous system. At the molecular level, cAMP activates Hyperpolarization-activated Cyclic nucleotide-gated channels (HCN) that drive If in sinoatrial node myocytes. Even though HCN channel genes were identified more than 20 years ago, the understanding of how cAMP regulates their gating is still fragmented. Here we summarize present understanding on how the cAMP signal is transmitted from the cytosolic to the transmembrane domain in HCN4. We further discuss how detailed structural knowledge prompted the development of pharmacological/genetic tools for the control of cAMP regulation in these channels.
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Porro et al. (2020) studied this question.
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