Ageing is a major risk factor for the development of heart failure and arrhythmias. The inward rectifier potassium current, IK1, is crucial for terminal phase repolarisation and stabilising the resting membrane potential of cardiac myocytes. Reductions in IK1 contribute to an increased susceptibility to arrhythmias in heart failure (Pogwizd et al. 2001). Previously, we have shown an increase of IK1 in left ventricular midmyocardial myocytes that may reduce susceptibility to arrythmias. We investigated the expression of IK1 across the left ventricular free wall of young and old sheep as well as the sensitivity of IK1 to β-adrenergic stimulation. Young adult (18 months old) and old sheep (>8 years) were euthanased with 200 mg.kg-1 intravenous pentobarbitone. Myocytes were isolated from the endo-, midmyo- and epicardial layers of the left ventricular free wall by collagenase digestion. IK1 currents were recorded using the whole-cell voltage clamp technique with a K+-based pipette solution at 37oC. Statistical analyses were carried out using 1-way ANOVA or a Mann-Whitney rank sum test for non-normally distributed populations. Steady-state IK1 was uniform across the wall in young hearts, whereas the old hearts had developed a transmural IK1 gradient (endo > mid ≈ epi; P < 0.05). The IK1 gradient in the old hearts was due to a greater channel conductance and a rightward shift in Vmid in the endocardial myocytes (P < 0.05), with no difference in slope conductance (Vc). Steady-state IK1 in both endo- and midmyocardial myocytes was increased in the old sheep (young vs old, mid: -1.31 ± 0.10 vs -2.00 ± 0.18 pA/pF, n = 20 and 27; P < 0.05; endo: -1.55 ± 0.16 vs -5.09 ± 1.13 pA/pF, n = 10 and 11; P < 0.05). These changes were accompanied by an increased channel conductance and a rightward shift in Vmid, with a decrease in slope conductance (Vc). β-adrenergic stimulation using isoprenaline (100nM) reduced steady-state IK1 in old endocardial myocytes only (-5.09 ± 1.13 vs -2.22 ± 0.30 pA/pF, n = 11 and 8; P < 0.05). Channel conductance was decreased with isoprenaline with no change in Vmid, but an increase in slope conductance (Vc). β-adrenergic stimulation reduced steady-state IK1 to amplitudes similar to those in old epi- and midmyocardial myocytes and was sufficient to eliminate the steady-state IK1 transmural gradient present in the old hearts. In conclusion, we show that IK1 is remodelled in aged ventricular myocytes. Increases in IK1 in the endo- and midmyocardial layers may be an important mechanism in stabilising the resting membrane potential and limiting the prolongation of the action potential duration associated with ageing (Dibb et al. 2004). β-adrenergic-induced inhibition of IK1 may increase the arrythmogenic potential in endocardial myocytes of old sheep by preventing this mechanism thus increasing the dispersion of repolarisation in the old heart.
University of Cambridge (2008) Proc Physiol Soc 11, C22
Oral Communications: IK1 remodelling in the ageing heart
M. Richards1, A. W. Trafford1, K. M. Dibb1
1. Unit of Cardiac Physiology, University of Manchester, Manchester, United Kingdom.
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Where applicable, experiments conform with Society ethical requirements.