KChIP2 is a core transcriptional regulator of cardiac excitability

Arrhythmogenesis from aberrant electrical remodeling is a primary cause of death among patients with heart disease. Amongst a multitude of remodeling events, reduced expression of the ion channel subunit KChIP2 is consistently observed in numerous cardiac pathologies. However, it remains unknown if...

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Main Authors: Drew M Nassal, Xiaoping Wan, Haiyan Liu, Danielle Maleski, Angelina Ramirez-Navarro, Christine S Moravec, Eckhard Ficker, Kenneth R Laurita, Isabelle Deschênes
Format: Article
Language:English
Published: eLife Sciences Publications Ltd 2017-03-01
Series:eLife
Subjects:
Online Access:https://elifesciences.org/articles/17304
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author Drew M Nassal
Xiaoping Wan
Haiyan Liu
Danielle Maleski
Angelina Ramirez-Navarro
Christine S Moravec
Eckhard Ficker
Kenneth R Laurita
Isabelle Deschênes
author_facet Drew M Nassal
Xiaoping Wan
Haiyan Liu
Danielle Maleski
Angelina Ramirez-Navarro
Christine S Moravec
Eckhard Ficker
Kenneth R Laurita
Isabelle Deschênes
author_sort Drew M Nassal
collection DOAJ
description Arrhythmogenesis from aberrant electrical remodeling is a primary cause of death among patients with heart disease. Amongst a multitude of remodeling events, reduced expression of the ion channel subunit KChIP2 is consistently observed in numerous cardiac pathologies. However, it remains unknown if KChIP2 loss is merely a symptom or involved in disease development. Using rat and human derived cardiomyocytes, we identify a previously unobserved transcriptional capacity for cardiac KChIP2 critical in maintaining electrical stability. Through interaction with genetic elements, KChIP2 transcriptionally repressed the miRNAs miR-34b and miR-34c, which subsequently targeted key depolarizing (INa) and repolarizing (Ito) currents altered in cardiac disease. Genetically maintaining KChIP2 expression or inhibiting miR-34 under pathologic conditions restored channel function and moreover, prevented the incidence of reentrant arrhythmias. This identifies the KChIP2/miR-34 axis as a central regulator in developing electrical dysfunction and reveals miR-34 as a therapeutic target for treating arrhythmogenesis in heart disease.
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spelling doaj.art-b6bb4391289341408afd11106adb8d982022-12-22T03:33:24ZengeLife Sciences Publications LtdeLife2050-084X2017-03-01610.7554/eLife.17304KChIP2 is a core transcriptional regulator of cardiac excitabilityDrew M Nassal0https://orcid.org/0000-0002-8018-3913Xiaoping Wan1Haiyan Liu2Danielle Maleski3Angelina Ramirez-Navarro4Christine S Moravec5Eckhard Ficker6Kenneth R Laurita7Isabelle Deschênes8https://orcid.org/0000-0002-1812-7267Heart and Vascular Research Center, Department of Medicine, Case Western Reserve University, Cleveland, United States; Department of Physiology and Biophysics, Case Western Reserve University, Cleveland, United StatesHeart and Vascular Research Center, Department of Medicine, Case Western Reserve University, Cleveland, United StatesHeart and Vascular Research Center, Department of Medicine, Case Western Reserve University, Cleveland, United StatesHeart and Vascular Research Center, Department of Medicine, Case Western Reserve University, Cleveland, United StatesHeart and Vascular Research Center, Department of Medicine, Case Western Reserve University, Cleveland, United StatesDepartment of Molecular Cardiology, Cleveland Clinic, Cleveland, United StatesHeart and Vascular Research Center, Department of Medicine, Case Western Reserve University, Cleveland, United StatesHeart and Vascular Research Center, Department of Medicine, Case Western Reserve University, Cleveland, United StatesHeart and Vascular Research Center, Department of Medicine, Case Western Reserve University, Cleveland, United States; Department of Physiology and Biophysics, Case Western Reserve University, Cleveland, United StatesArrhythmogenesis from aberrant electrical remodeling is a primary cause of death among patients with heart disease. Amongst a multitude of remodeling events, reduced expression of the ion channel subunit KChIP2 is consistently observed in numerous cardiac pathologies. However, it remains unknown if KChIP2 loss is merely a symptom or involved in disease development. Using rat and human derived cardiomyocytes, we identify a previously unobserved transcriptional capacity for cardiac KChIP2 critical in maintaining electrical stability. Through interaction with genetic elements, KChIP2 transcriptionally repressed the miRNAs miR-34b and miR-34c, which subsequently targeted key depolarizing (INa) and repolarizing (Ito) currents altered in cardiac disease. Genetically maintaining KChIP2 expression or inhibiting miR-34 under pathologic conditions restored channel function and moreover, prevented the incidence of reentrant arrhythmias. This identifies the KChIP2/miR-34 axis as a central regulator in developing electrical dysfunction and reveals miR-34 as a therapeutic target for treating arrhythmogenesis in heart disease.https://elifesciences.org/articles/17304KChIP2Nav1.5Kv4.3INaItoheart failure (HF)
spellingShingle Drew M Nassal
Xiaoping Wan
Haiyan Liu
Danielle Maleski
Angelina Ramirez-Navarro
Christine S Moravec
Eckhard Ficker
Kenneth R Laurita
Isabelle Deschênes
KChIP2 is a core transcriptional regulator of cardiac excitability
eLife
KChIP2
Nav1.5
Kv4.3
INa
Ito
heart failure (HF)
title KChIP2 is a core transcriptional regulator of cardiac excitability
title_full KChIP2 is a core transcriptional regulator of cardiac excitability
title_fullStr KChIP2 is a core transcriptional regulator of cardiac excitability
title_full_unstemmed KChIP2 is a core transcriptional regulator of cardiac excitability
title_short KChIP2 is a core transcriptional regulator of cardiac excitability
title_sort kchip2 is a core transcriptional regulator of cardiac excitability
topic KChIP2
Nav1.5
Kv4.3
INa
Ito
heart failure (HF)
url https://elifesciences.org/articles/17304
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AT xiaopingwan kchip2isacoretranscriptionalregulatorofcardiacexcitability
AT haiyanliu kchip2isacoretranscriptionalregulatorofcardiacexcitability
AT daniellemaleski kchip2isacoretranscriptionalregulatorofcardiacexcitability
AT angelinaramireznavarro kchip2isacoretranscriptionalregulatorofcardiacexcitability
AT christinesmoravec kchip2isacoretranscriptionalregulatorofcardiacexcitability
AT eckhardficker kchip2isacoretranscriptionalregulatorofcardiacexcitability
AT kennethrlaurita kchip2isacoretranscriptionalregulatorofcardiacexcitability
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