Key result
Nedd4-2 C2 knockout mice exhibited bradycardia, prolonged QRS and QT intervals, and suppressed PR interval at rest, with enhanced T peak/T end interval after acute myocardial infarction.
The Nedd4-2 C2 isoform plays a critical role in regulating cardiac electrophysiology, and its loss leads to conduction abnormalities and increased proarrhythmic risk post-MI.
Mouse Nedd4-2 C2 targeting drives salt-sensitive hypertension; leaves open SCN5A/KCNH2 roles in humans.
We have previously shown that neural precursor cell-expressed developmentally downregulated gene 4-2 (Nedd4-2) isoforms with a C2 domain are closely related to ubiquitination of epithelial sodium channel (ENaC), resulting in salt-sensitive hypertension by Nedd4-2 C2 targeting in mice. The sodium voltage-gated channel alpha subunit 5 (SCN5A) gene encodes the α subunit of the human cardiac voltage-gated sodium channel (I Na), and the potassium voltage-gated channel subfamily H member 2 (KCNH2) gene encodes rapidly activating delayed rectifier K channels (I Kr). Both ion channels have also been shown to bind to Nedd4-2 via a conserved Proline-Tyrosine (PY) motif in C-terminal with subsequent ubiquitination and degradation by proteasome. Therefore, loss of Nedd4-2 C2 isoform might be involved in electrophysiological impairment under various conditions. We demonstrate here that Nedd4-2 C2 isoform causes cardiac conduction change in resting condition as well as proarrhythmic change after acute myocardial infarction (MI). The Nedd4-2 C2 knockout (KO) mice showed bradycardia, prolonged QRS, QT intervals, and suppressed PR interval in resting condition. In addition, enhancement of T peak/T end interval was found in mice with surgical ligation of the distal left coronary artery. Morphological analyses based on both ultrasonography of the living heart, as well as histopathological findings revealed that Nedd4-2 C2 KO mice show no significant structural changes from wild-type littermates under resting conditions. These results suggested that Nedd4-2 with C2 domain might play an important role in cardio-renal syndrome through post-transcriptional modification of both ENaC and cardiac ion channels, which are critical for kidney and heart functions.
No takes yet. Share an insight, caveat, or question.
Minegishi et al. (2017) studied Electrophysiological cardiac abnormalities. Nedd4-2 C2 knockout vs. Wild-type littermates was evaluated on Cardiac conduction change in resting condition and proarrhythmic change after acute myocardial infarction. Nedd4-2 C2 knockout mice exhibited bradycardia, prolonged QRS and QT intervals, and suppressed PR interval at rest, with enhanced T peak/T end interval after acute myocardial infarction.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: