Key result
In vivo imaging reveals LV intercalated discs undergo dynamic ~30% length changes during contraction.
Why the study?
Although gap junctions within the intercalated disc were thought to provide direct electric connectivity between cardiomyocytes, recent evidence suggests that mechanosensitive Nav1.5 channels in perinexii play an important role in spreading action potentials via ephaptic conduction.
This preclinical in vivo imaging study demonstrates that the cardiac intercalated disc undergoes substantial (~30%) mechanical flexing during contraction propagation, supporting the hypothesis that mechanical stretch across perinexii may activate mechanosensitive Nav1.5 channels to promote ephaptic conduction.
Answers are grounded in this paper and cite their sources.
Intercalated disc flexing remains preclinical; leaves open its relevance to human ephaptic conduction mechanisms.
Myocardial contraction is initiated by action potential propagation through the conduction system of the heart. It has been thought that connexin 43 in the gap junctions (GJ) within the intercalated disc (ID) provides direct electric connectivity between cardiomyocytes (electronic conduction). However, recent studies challenge this view by providing evidence that the mechanosensitive cardiac sodium channels Nav1.5 localized in perinexii at the GJ edge play an important role in spreading action potentials between neighboring cells (ephaptic conduction). In the present study, we performed real-time confocal imaging of the CellMask-stained ID in the living mouse heart in vivo. We found that the ID structure was not rigid. Instead, we observed marked flexing of the ID during propagation of contraction from cell to cell. The variation in ID length was between ~30 and ~42 μm (i.e., magnitude of change, ~30%). In contrast, tracking of α-actinin-AcGFP revealed a comparatively small change in the lateral dimension of the transitional junction near the ID (i.e., magnitude of change, ~20%). The present findings suggest that, when the heart is at work, mechanostress across the perinexii may activate Nav1.5 by promoting ephaptic conduction in coordination with electronic conduction, and, thereby, efficiently transmitting excitation-contraction coupling between cardiomyocytes.
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Kobirumaki-Shimozawa et al. (2020) studied Normal myocardial excitation-contraction coupling (in vivo mouse model). Real-time confocal nano-imaging of CellMask-stained intercalated discs and adenovirus-mediated alpha-actinin-AcGFP-labeled transitional junctions vs. Arrested mouse heart (>~5% isoflurane) vs beating heart at low heart rate (~5% isoflurane) was evaluated on Structural deformation and length change of the intercalated disc (ID) and transitional junction (TrJ) during cell-to-cell contraction propagation. Real-time in vivo confocal imaging revealed that mouse left ventricular intercalated discs flex and change in length by ~30% (between ~30 and ~42 μm) during cell-to-cell propagation of contraction.
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