TLR4 pathway induces proarrhythmogenic slow conduction by impaired depolarisation

Background

Cardiac inflammation driven by the Toll-Like-Receptor 4 (TLR4) is correlated to increased risk of arrhythmia. Cardiac arrhythmogenesis and the formation of re-entry tachycardia is highly dependent on conduction velocity (CV) and action potential (AP) duration (APD). As TLR4 induced APD shortening has been shown, we analyze in this study for the first time the TLR4 effect on conductance disturbances in a LPS induced septic mouse model.

Methods

Systemic activation of TLR4 in mice was achieved by intraperitoneal LPS injection 3.5 hours prior to experiments. In vivo electrophysiological investigation (EPI) was performed using an octapolar transvenous catheter placed to the right heart. Ex vivo experiments were performed on Langendorff-perfused hearts. AP propagation was measured by optical voltage mapping (OVM) with voltage sensitive dye Di-4-ANEPPS. For AP analysis including RMP, intracellular electrical recordings were performed using sharp microelectrodes. Wildtype mice after LPS injection were compared to wildtype mice after vehicle (NaCl) injection or ubiquitous TLR4 knockout (TLR4−/−) mice with LPS or vehicle application.

Results

In vivo EPI showed a tendency to more atrial fibrillation after LPS injection (+LPS 5/6, +NaCl 2/6, p=0.2). Ventricular stimulation evoked ventricular tachycardia in every LPS treated WT mouse but less in controls (+LPS 6/6, +NaCl 1/6, p=0.01). OVM measured decreased CV in both atria and ventricle after LPS treatment (atria: +LPS: 43.1±3.1cm/s, n=5; +NaCl: 72.6±9.8cm/s, n=10, p=0.04; ventricle: +LPS: 50.2±2.2cm/s, n=6; +NaCl: 67.7±5.0cm/s, n=10, p=0.02). In analysis of AP in atria upstroke velocity was slightly decreased (max.dV/dt: +LPS: 123.1±4.8V/s, n=22; +NaCl: 158.5±5.3V/s, n=39, p=0.04) but highly reduced in ventricle (max.dV/dt: +LPS: 91.8±3.6V/s, n=27; +NaCl: 140.7±6.3V/s, n=35, p<0.0001). RMP in atria was depolarised after LPS injection (+LPS: −70.1±1.9mV, n=22; +NaCl: −81.1±1.2mV, n=39, p=0.004) explaining decreased upstroke velocity and CV slowing in atria by voltage-dependent Na+ channel inactivation. Ventricular RMP was unaffected by LPS injection (+LPS: −75.1±1.1mV, n=44; +NaCl: −76.3±0.9mV, n=55, p=0.83). Therefore the Na+ currents were measured in isolated ventricular cardiomyocytes using whole cell patch clamp revealing the maximum Na+ current density lowered after LPS treatment (+LPS: −20.6±1.7 pA/pF, n=16, +NaCl 27.1±2.6 pA/pF, n=10, p=0.03). LPS did not affect EPI, CV, upstroke velocity or current density in TLR4−/− mice.

Conclusion

Herein we report for the first time impaired cardiac depolarisation and conduction after short term activation of TLR4 in vivo. Pro arrhythmogenic mechanisms differ in atria and ventricle: Increased atrial RMP inactivates Na+ current leading to reduction of CV. Ventricular slow CV is caused by reduced current density of Na+ channels. This different TLR4 effect might be important for novel antiarrhythmic and antiinflammatory applications.

Funding Acknowledgement

Type of funding sources: Public grant(s) – National budget only. Main funding source(s): GEROK-grant, University Bonn

OPN5 a new optogenetic receptor to study Gq signalling in the heart with light

Funding Acknowledgements

Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Deutsche Forschungsgemeinschaft (DFG) Deutsche Zentrum für Herz-Kreislauf-Forschung (DZHK)

Background

Gq signalling plays an imperative role in cardiac physiology as well as pathophysiologies such as arrhythmias, hypertrophy, and heart failure. However, the underlying kinetics and the transition from physiological to pathological signalling is yet to be investigated. Optogenetics provides an unprecedented spatial and temporal precision as well as cell specificity, but up to now, selective control of Gq signalling in the intact heart with light has not been achieved.

Aim

To prove the potential of human Neuropsin (OPN5) to selectively control Gq signalling in the adult heart.

Methods

The biophysical behaviour of OPN5 in HEK293 cells was characterized by measuring IP1 accumulation, Ca2+ imaging, and patch-clamp analysis of GIRK current activity. We generated a new transgenic mouse model expressing OPN5 in fusion with eYFP under the control of the chicken-β-actin promotor and analysed the expression pattern in the whole heart after tissue clearing with light sheet microscopy and the expression rate after single cell dissociation. Adult isolated cardiomyocytes were examined to measure the effect of OPN5 activation on contractility with a novel custom-made software for on-line contraction analysis by pixel tracking. In Langendorff-perfused hearts, illumination of the sinus node region with UV light (385 nm, 10 s, 1 mW/mm2) was used to measure the influence on the heart rate in electrogram recordings. The light-induced effects and basal ECG parameters as well as the heart-weight-to-femur-length ratio of OPN5 hearts were compared to hearts from non-expressing siblings as well as from CD1 wild-type.

Results

We prove the selective activation of the Gq proteins by UV light-induced increase in IP3 production and induction of Ca2+ transients in HEK293 cells because both effects were abolished after applying the Gq protein specific blocker FR900359. Promiscuous activation of Gi proteins was excluded by light-induced inhibition of GIRK channels instead of activation. Within two different mouse lines, we found an OPN5/eYFP expression rate of ∼70% within the cardiomyocytes targeted to the plasmamembrane. UV light induced a significant increase in contraction velocity in ventricular cardiomyocytes, and this effect could be abolished by blocking Gq proteins. In the right atrium HCN4 positive sinus nodal cells expressed OPN5/ eYFP and illumination of this region resulted in OPN5 expressing hearts in an average increase of 5.9 ± 0.97% (n= 20, in founder line 1) in the heart rate, which was significant lager than control hearts (all groups <2.4% increase, n≥17). Importantly we could not find any differences in basal ECG parameters or the heart weight-to-femur-length between OPN5 expressing and control. 

Conclusion

We herein prove the specificity of OPN5 for Gq protein activation and demonstrate its use in cardiomyocytes as well as the whole heart. Thus OPN5 is the first optogenetic tool allowing to control Gq signalling in the whole heart precisely.

Synchronization of excitable cardiac cultures of different origin

In the present work, we investigated the synchronization of electrical activity in cultured cardiac cells of different origin put in direct contact. In the first set of experiments synchronization was studied in the primary culture cells of neonatal rats taken at different developmental ages, and in the second - in the neonatal rat cardiomyocytes and HL-1 cells. The electrical excitation of cells was recorded using the calcium transient marker Fluor-4. In the confluent cell layers created with the aid of a specially devised mask, the excitation waves and their propagation between areas occupied by cells of different origin were observed. On the level of individual cells, their contact and synchronization was monitored with the aid of scanning fluorescence microscopy. It was found that populations of cultured cells of different origin are able to synchronize, suggesting the formation of electrical coupling between them. The results obtained may be considered as a proof of concept that implanted alien grafted cells are able to create electrical coupling with the host cardiac tissue.

Implication of therapeutic cloning for organ transplantation

Replacement of damaged myocardium with electrically functional, contracting syncytium with a balanced blood supply remains a key goal for the treatment of hearts damaged by coronary heart disease or other disorders. Stem cell therapy offers a potential solution. This paper describes the value of in vitro stem cell research to unravel the roles of key regulatory molecules in embryogenesis of myocardium and blood vessels. Studies have shown that functioning myocytes can be derived from stem cells in vitro and engrafted into infarcted areas of heart where they develop into functional adult like cardiomyocytes with action potentials and capacity for beta adrenergic and muscarinic regulation. Further studies have identified specific roles for platelet endothelial cell adhesion molecule (PECAM), vascular endothelial growth factor (VEGF) and fibroblast growth factor (FGF) in the sequential differentiation of blood vessels and capillaries.

Membrane potential dependent modulations of calcium oscillations in insulin-secreting INS-1 cells

This study was undertaken to examine the role of K(+) channels on cytosolic Ca(2+) ([Ca(2+)](i)) in insulin secreting cells. [Ca(2+)](i) was measured in single glucose-responsive INS-1 cells using the fluorescent Ca(2+) indicator Fura-2. Glucose, tolbutamide and forskolin elevated [Ca(2+)](i) and induced [Ca(2+)] oscillations. Whereas the glucose effect was delayed and observed in 60% and 93% of the cells, in a poorly and a highly glucose-responsive INS-1 cell clone, respectively, tolbutamide and forskolin increased [Ca(2+)](i) in all cells tested. In the latter clone, glucose induced [Ca(2+)](i) oscillations in 77% of the cells. In 16% of the cells a sustained rise of [Ca(2+)](i) was observed. The increase in [Ca(2+)](i) was reversed by verapamil, an L-type Ca(2+) channel inhibitor. Adrenaline decreased [Ca(2+)](i) in oscillating cells in the presence of low glucose and in cells stimulated by glucose alone or in combination with tolbutamide and forskolin. Adrenaline did not lower [Ca(2+)](i) in the presence of 30mM extracellular K(+), indicating that adrenaline does not exert a direct effect on Ca(2+) channels but increases K(+) channel activity. As for primary b-cells, [Ca(2+)](i) oscillations persisted in the presence of closed K(ATP) channels; these also persisted in the presence of thapsigargin, which blocks Ca(2+) uptake into Ca(2+) stores. In contrast, in voltage-clamped cells and in the presence of diazoxide (50mM), which hyperpolarizes the cells by opening K(ATP) channels, [Ca(2+)](i) oscillations were abolished. These results support the hypothesis that [Ca(2+)](i) oscillations depend on functional voltage-dependent Ca(2+) and K(+) channels and are interrupted by a hyperpolarization in insulin-secreting cells.

Loss of annexin A7 leads to alterations in frequency-induced shortening of isolated murine cardiomyocytes

Annexin A7 has been proposed to function in the fusion of vesicles, acting as a Ca(2+) channel and as Ca(2+)-activated GTPase, thus inducing Ca(2+)/GTP-dependent secretory events. To understand the function of annexin A7, we have performed targeted disruption of the Anxa7 gene in mice. Matings between heterozygous mice produced offspring showing a normal Mendelian pattern of inheritance, indicating that the loss of annexin A7 did not interfere with viability in utero. Mice lacking annexin A7 showed no obvious phenotype and were fertile. To assay for exocytosis, insulin secretion from isolated islets of Langerhans was examined. Ca(2+)-induced and cyclic AMP-mediated potentiation of insulin secretion was unchanged in the absence of annexin A7, suggesting that it is not directly implicated in vesicle fusion. Ca(2+) regulation studied in isolated cardiomyocytes, showed that while cells from early embryos displayed intact Ca(2+) homeostasis and expressed all of the components required for excitation-contraction coupling, cardiomyocytes from adult Anxa7(-/-) mice exhibited an altered cell shortening-frequency relationship when stimulated with high frequencies. This suggests a function for annexin A7 in electromechanical coupling, probably through Ca(2+) homoeostasis.

[Mineral content and morphology of heart muscle in different causes of death (author's transl)]

Mineral and water content of the right and left heart muscle were analyzed by atomic absorption spectrophotometry in 93 autopsy cases. Sodium, potassium, magnesium, and calcium concentrations were measured after acid digestion of tissues. Marked differences of the element distribution of both ventricles are seen constantly, although a significant correlation between water content and sodium as well as potassium and magnesium concentrations in both ventricles in seen. Comparing multiple causes of death (cardiac and non-cardiac) there are no differences in the postmortem mineral contents of heart muscle. Age-dependent correlations of mineral concentrations (as seen by Burger, 1960) were not detectable in this investigation. Postmortem mineral analyses of human heart muscles are excessively influenced by modern intensive care. Most of our cases had several causes of death, one of which was to be declared as the main cause of death in the necropsy record. Postmortem chemical mineral analysis of heart muscle can give an exact description of local variations and-in special cases-signs of general disorders of mineral metabolism, which are not detected by exclusively histologic investigations.