Sex Differences in Mouse Cardiac Electrophysiology Revealed by Simultaneous Imaging of Excitation-Contraction Coupling

Males and females differ in the basic anatomy and physiology of the heart. Sex differences are evident in cardiac repolarization in humans; women have longer corrected QT and JT intervals. However, the molecular mechanisms that lead to these differences are incompletely understood. Here, we present...

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Main Authors: James I. Emerson, Pablo Ariel, Wei Shi, Frank L. Conlon
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Journal of Cardiovascular Development and Disease
Subjects:
Online Access:https://www.mdpi.com/2308-3425/10/12/479
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author James I. Emerson
Pablo Ariel
Wei Shi
Frank L. Conlon
author_facet James I. Emerson
Pablo Ariel
Wei Shi
Frank L. Conlon
author_sort James I. Emerson
collection DOAJ
description Males and females differ in the basic anatomy and physiology of the heart. Sex differences are evident in cardiac repolarization in humans; women have longer corrected QT and JT intervals. However, the molecular mechanisms that lead to these differences are incompletely understood. Here, we present that, like in humans, sex differences in QT and JT intervals exist in mouse models; female mice had longer corrected QT and JT intervals compared with age-matched males. To further understand the molecular underpinning of these sex differences, we developed a novel technology using fluorescent confocal microscopy that allows the simultaneous visualization of action potential, Ca<sup>2+</sup> transients, and contractions in isolated cardiomyocytes at a high temporal resolution. From this approach, we uncovered that females at baseline have increased action potential duration, decreased Ca<sup>2+</sup> release and reuptake rates, and decreased contraction and relaxation velocities compared with males. Additionally, males had a shorter overall time from action potential onset to peak contraction. In aggregate, our studies uncovered male and female differences in excitation-contraction coupling that account for differences observed in the EKG. Overall, a better understanding of sex differences in electrophysiology is essential for equitably treating cardiac disease.
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spelling doaj.art-264bbcbee44b4c5294b835aa5c3de4aa2023-12-22T14:16:41ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252023-11-01101247910.3390/jcdd10120479Sex Differences in Mouse Cardiac Electrophysiology Revealed by Simultaneous Imaging of Excitation-Contraction CouplingJames I. Emerson0Pablo Ariel1Wei Shi2Frank L. Conlon3Department of Biochemistry and Biophysics, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USAMicroscopy Services Laboratory, Department of Pathology and Laboratory Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USADepartment of Biology and Genetics, McAllister Heart Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USADepartment of Biology and Genetics, McAllister Heart Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USAMales and females differ in the basic anatomy and physiology of the heart. Sex differences are evident in cardiac repolarization in humans; women have longer corrected QT and JT intervals. However, the molecular mechanisms that lead to these differences are incompletely understood. Here, we present that, like in humans, sex differences in QT and JT intervals exist in mouse models; female mice had longer corrected QT and JT intervals compared with age-matched males. To further understand the molecular underpinning of these sex differences, we developed a novel technology using fluorescent confocal microscopy that allows the simultaneous visualization of action potential, Ca<sup>2+</sup> transients, and contractions in isolated cardiomyocytes at a high temporal resolution. From this approach, we uncovered that females at baseline have increased action potential duration, decreased Ca<sup>2+</sup> release and reuptake rates, and decreased contraction and relaxation velocities compared with males. Additionally, males had a shorter overall time from action potential onset to peak contraction. In aggregate, our studies uncovered male and female differences in excitation-contraction coupling that account for differences observed in the EKG. Overall, a better understanding of sex differences in electrophysiology is essential for equitably treating cardiac disease.https://www.mdpi.com/2308-3425/10/12/479sex differencescardiac electrophysiologyexcitation-contraction coupling
spellingShingle James I. Emerson
Pablo Ariel
Wei Shi
Frank L. Conlon
Sex Differences in Mouse Cardiac Electrophysiology Revealed by Simultaneous Imaging of Excitation-Contraction Coupling
Journal of Cardiovascular Development and Disease
sex differences
cardiac electrophysiology
excitation-contraction coupling
title Sex Differences in Mouse Cardiac Electrophysiology Revealed by Simultaneous Imaging of Excitation-Contraction Coupling
title_full Sex Differences in Mouse Cardiac Electrophysiology Revealed by Simultaneous Imaging of Excitation-Contraction Coupling
title_fullStr Sex Differences in Mouse Cardiac Electrophysiology Revealed by Simultaneous Imaging of Excitation-Contraction Coupling
title_full_unstemmed Sex Differences in Mouse Cardiac Electrophysiology Revealed by Simultaneous Imaging of Excitation-Contraction Coupling
title_short Sex Differences in Mouse Cardiac Electrophysiology Revealed by Simultaneous Imaging of Excitation-Contraction Coupling
title_sort sex differences in mouse cardiac electrophysiology revealed by simultaneous imaging of excitation contraction coupling
topic sex differences
cardiac electrophysiology
excitation-contraction coupling
url https://www.mdpi.com/2308-3425/10/12/479
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AT weishi sexdifferencesinmousecardiacelectrophysiologyrevealedbysimultaneousimagingofexcitationcontractioncoupling
AT franklconlon sexdifferencesinmousecardiacelectrophysiologyrevealedbysimultaneousimagingofexcitationcontractioncoupling