mortality/aging
N |
• unexpectedly, homozygotes are born at normal Mendelian ratios and are viable throughout adulthood in the absence of apparent illesses or increased mortality
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cardiovascular system
N |
• at 3-5 months of age, homozygotes have normal heart weight:body weight ratios and show no signs of cardiac fibrosis, inflammatory infiltrates, or cardiomyocyte hypertrophy
• heart rate and QTc interval are not significantly altered
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• optical mapping in isolated Langendorff-perfused hearts showed significantly increased total left ventricular activation times and significantly decreased longitudinal and transversal conduction velocities in mutant ventricles relative to wild-type ventricles
• ventricular conduction velocity is preferentially reduced in the transversal direction to myocardial fiber orientation, leading to increased anisotropy of ventricular conduction (increased longitudinal/transversal conduction velocity ratio)
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• atrial and atrioventricular and, most notably, His-ventricular conduction are significantly slower in mutant hearts relative to wild-type hearts
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• significant prolongation of the PR interval
• increase in the flecainide-induced prolongation of the PR interval compared to wild-type controls
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• significant prolongation of the P wave
• increase in the flecainide-induced prolongation of the P wave compared to wild-type controls
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• significant prolongation of the QRS duration
• increase in the flecainide-induced prolongation of the QRS duration compared to wild-type controls
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• isolated ventricular cardiomyocytes show a ~36% reduction in peak sodium current (INa) density but no changes in voltage dependence of INa activation and inactivation
• surprisingly, peak INa density is drastically reduced by ~62% at the cardiomyocyte lateral membrane but remains normal at the intercalated disk region
• maximum action potential (AP) upstroke velocity (dV/dtmax) is reduced by ~35% but resting membrane potential is not significantly altered
• a small but significant decrease is seen in the AP amplitude but AP durations at 30, 50, and 90% repolarization are not significantly altered
• no differences in Ba2+-sensitive inward rectifier potassium currents or in calcium channels are observed
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