In heart failure (HF) impaired ventricular relaxation means the atrial component of ventricular filling becomes more important. However, the amplitude of the Ca2+ transient in the atria, which underlies contraction, is decreased in HF. We have shown that a decrease in atrial L-type Ca2+ current (ICa-L) in HF underlies the decrease in Ca2+ transient amplitude but the mechanism behind the decrease in ICa-L in HF is not fully understood. Since transverse (t)-tubules, the deep invaginations of the cell membrane on which ICa-L resides, are almost completely lost in HF we investigated if ICa-L expression is decreased in the HF atria. HF was induced in sheep by rapid ventricular pacing at 210 beats per minute for ~6 weeks. A pacing lead was implanted in the endocardial apex of the right ventricle using a minimally invasive transvenous approach under fluoroscopic guidance. Surgical plane anaesthesia was maintained under isoflurane (3-5%) mixed with of oxygen (4.5-6 L.min-1). HF progression was monitored via echocardiography. We have employed a transcriptomic based approach through RNA-sequencing and qPCR of atrial tissue in control and HF in order to determine the causes of reduced Ica-L in HF. RNA was isolated from time-matched control and HF tissue using a Trizol method and column-size isolation. Following quality control, samples (normalised to 1 µg), with an RNA integrity number of ≈8, were synthesised into a cDNA library by polyadenylation enrichment and sequenced on an Illumina HiSeq4000 at the Wellcome trust for Human Genetics, Oxford. Samples were pooled and run across three lanes at a length of 75 base pairs with paired-end reads. Subsequent BAM files were analysed through DESeq2 at QFAB. Despite T-tubules loss in HF no change in the LTCC pore forming unit, CACNA1C, was detected through RNA-Seq or qPCR. Secondly, the associated subunits that form the LTCC together with CACNA1C were investigated. Expressional changes (P<0.05) were detected in three subunits, CACNB1, CACNA2D1 and CACNG6, none of which would be expected to decrease ICa-L . Finally, external modulators of ICa-L were considered. Phosphodiesterases (PDEs) are known to modulate ICa-L through protein kinases A and G (PKA/G) and were identified as potential candidates via PANTHER. Six PDEs were found to change in HF; PDEs 3B,3A,8A,6D and 12 were upregulated whilst 1B is downregulated. Of these six PDE3B is thought the most likely to co-localise to the LTCC nanodomain at the cell membrane. Increased expression of PDE3B was confirmed by qPCR and thus may be responsible for the decrease in ICa-L in HF. In conclusion we show the decrease in atrial ICa-L in HF is not brought about by a decrease in mRNA encoding the channel subunits. Our data suggests alterations in ICa-L regulators such as PRKAR1A and an increase in PDEs may play a role in decreased ICa-L function and warrant further investigation.
Future Physiology 2019 (Liverpool, UK) (2019) Proc Physiol Soc 45, C03
Oral Communications: A transcriptomic insight into the mechanism underlying the decrease in atrial ICa-L in heart failure
G. W. Madders1, J. Eales1, L. Becker1, X. Chua2, G. Price2, L. Toms1, C. Smith1, C. Waddell1, E. Radcliffe1, A. Watkins1, A. Trafford1, D. Eisner1, K. Dibb1
1. Cardiovascular Physiology, University of Manchester, Manchester, United Kingdom. 2. QFAB Bioinformatics, The University of Queensland, Brisbane, Queensland, Australia.
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Where applicable, experiments conform with Society ethical requirements.