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Diagnostic and therapeutic challenges.

机译:诊断和治疗挑战。

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Cardiac T-type Ca(2+) channels are reexpressed in atrial and ventricular myocytes under various pathological conditions such as post-myocardial infarction, hypertrophy, and heart failure, but relatively little is known about the mechanisms. Our previous study found that bone morphogenetic protein-4 (BMP4) was reexpressed in pathological cardiac hypertrophy models and BMP4-mediated cardiomyocyte hypertrophy. We hypothesized that BMP4 could upregulate cardiac T-type Ca(2+) channels in HL-1 atrial myocytes. The T-type Ca(2+) currents were recorded by using the patch-clamp technique, and the expressions of Cav3.1 and Cav3.2 were measured by real-time PCR method in HL-1 cells. BMP4 and Cav3.1 mRNA expressions increased in the left atrium from the pressure overload-induced hypertrophy of mice hearts. BMP4 treatment for 48 h induced increase of Cav3.1 but not Cav3.2 mRNA expression in HL-1 cells, and the increase was inhibited by BMP4 inhibitor noggin. Acute treatment with BMP4 did not affect T-type Ca(2+) currents, but chronic treatment (48 h) significantly increased the amplitude of T-type Ca(2+) currents in HL-1 cells. Chronic treatment with BMP4 induced upregulation of NADPH oxidase-4 (NOX4), increase of reactive oxygen species (ROS) level, and activation of mitogen-activated protein kinase (MAPK)-activated protein kinases c-jun N-terminal kinases (JNK) and p38. BMP4-induced upregulation of Cav3.1 mRNA was inhibited by NADPH oxidase inhibitor apocynin, the radical scavenger tempol, JNK inhibitor SP600125, and p38 inhibitor SB203580. In conclusion, BMP4 induces upregulation of Cav3.1 Ca(2+) channels and T-type Ca(2+) currents in HL-1 atrial myocytes through ROS/MAPK pathways.
机译:心脏T型Ca(2+)通道在各种病理条件下(例如,心肌梗塞后,肥大和心力衰竭)在心房和心室肌细胞中重新表达,但对其机理的了解相对较少。我们先前的研究发现,骨形态发生蛋白4(BMP4)在病理性心肌肥大模型和BMP4介导的心肌肥大中重新表达。我们假设BMP4可以上调HL-1心房肌细胞的心脏T型Ca(2+)通道。使用膜片钳技术记录T型Ca(2+)电流,并通过实时PCR法检测HL-1细胞中Cav3.1和Cav3.2的表达。压力超负荷引起的小鼠心脏肥大导致左心房BMP4和Cav3.1 mRNA表达增加。 BMP4处理48小时可诱导HL-1细胞中Cav3.1的表达增加,但Cav3.2 mRNA的表达却没有被诱导,并且BMP4抑制剂头蛋白抑制了Cav3.1的表达。 BMP4的急性治疗不会影响T型Ca(2+)电流,但长期治疗(48 h)会显着增加HL-1细胞中T型Ca(2+)电流的幅度。 BMP4的慢性治疗诱导NADPH氧化酶4(NOX4)的上调,活性氧(ROS)水平的增加以及丝裂原激活的蛋白激酶(MAPK)激活的蛋白激酶c-jun N末端激酶(JNK)的激活和p38。 BMP4诱导的Cav3.1 mRNA上调被NADPH氧化酶抑制剂Apocynin,自由基清除剂tempol,JNK抑制剂SP600125和p38抑制剂SB203580抑制。总之,BMP4通过ROS / MAPK途径诱导HL-1心房肌细胞Cav3.1 Ca(2+)通道和T型Ca(2+)电流上调。

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