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KCNJ11 gene knockout of the Kir6.2 KATP channel causes maladaptive remodeling and heart failure in hypertension
Journal article   Peer reviewed

KCNJ11 gene knockout of the Kir6.2 KATP channel causes maladaptive remodeling and heart failure in hypertension

Garvan C KANE, Atta BEHFAR, Roy B DYER, D. Fearghas O'Cochlain, Xiao-Ke LIU, Denice M HODGSON, Santiago REYES, Takashi MIKI, Susumu SEINO and Andre TERZIC
Human molecular genetics, Vol.15(15), pp.2285-2297
2006
DOI: 10.1093/hmg/ddl154
PMID: 16782803

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Abstract

Heart failure is a growing epidemic, with systemic hypertension a major risk factor for development of disease. However, the molecular determinants that prevent the transition from a state of hypertensive load to that of overt cardiac failure remain largely unknown. Here in experimental hypertension, knockout of the KCNJ11 gene, encoding the Kir6.2 pore-forming subunit of the sarcolemmal ATP-sensitive potassium (K ATP ) channel, predisposed to heart failure and death. Defective decoding of hypertension-induced metabolic distress signals in the K ATP channel knockout set in motion pathological calcium overload and aggravated cardiac remodeling through a calcium/calcineurin-dependent cyclosporine-sensitive pathway. Rescue of the failing K ATP knockout phenotype was achieved by alternative control of myocardial calcium influx, bypassing uncoupled metabolic-electrical integration. The intact KCNJ11 -encoded K ATP channel is thus a required safety element preventing hypertension-induced heart failure, with channel dysfunction a molecular substrate for stress-associated channelopathy in cardiovascular disease.
Heart Fundamental and applied biological sciences. Psychology Cardiology. Vascular system Cell membranes. Ionic channels. Membrane pores Biological and medical sciences Molecular and cellular biology Genetics of eukaryotes. Biological and molecular evolution Medical sciences Heart failure, cardiogenic pulmonary edema, cardiac enlargement Cell structures and functions

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