Evidence map›Paper›PMID 26142302›Full record

ArticleHeart rhythm2015

Electrophysiologic consequences of KATP gain of function in the heart: Conduction abnormalities in Cantu syndrome.

Mark D Levin, Haixia Zhang, Keita Uchida, Dorothy K Grange, Gautam K Singh, Colin G Nichols

Abstract readComparative Study
In one paragraph

Article in Heart rhythm, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Case Report: Loss-of-FunctionFrontiers in genetics · 2022
    Article
  3. Cantú syndrome: Findings from 74 patients in the International Cantú Syndrome Registry.American journal of medical genetics. Part C, Seminars in medical genetics · 2019
    Article
  4. Genetic Discovery of ATP-Sensitive KCirculation. Arrhythmia and electrophysiology · 2019
    Review
  5. Article
  6. Article
  7. Article
  8. MiR-20 regulates myocardiac ischemia by targeting KATP subunit Kir6.1.Journal of Huazhong University of Science and Technology. Medical sciences = Hua zhong ke ji da xue xue bao. Yi xue Ying De wen ban = Huazhong keji daxue xuebao. Yixue Yingdewen ban · 2017
    Article
  9. Review
  10. Article
  11. K(ATP) channel gain-of-function leads to increased myocardial L-type Ca(2+) current and contractility in Cantu syndrome.Proceedings of the National Academy of Sciences of the United States of America · 2016
    Article
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Mark D LevinCenter for the Investigation of Membrane Excitability Diseases, Washington University School of Medicine, St. Louis, Missouri; Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri.
Haixia ZhangCenter for the Investigation of Membrane Excitability Diseases, Washington University School of Medicine, St. Louis, Missouri; Department of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri.
Keita UchidaCenter for the Investigation of Membrane Excitability Diseases, Washington University School of Medicine, St. Louis, Missouri; Department of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri.
Dorothy K GrangeCenter for the Investigation of Membrane Excitability Diseases, Washington University School of Medicine, St. Louis, Missouri; Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri.
Gautam K SinghCenter for the Investigation of Membrane Excitability Diseases, Washington University School of Medicine, St. Louis, Missouri; Department of Pediatrics, Washington University School of Medicine, St. Louis, Missouri.
Colin G NicholsCenter for the Investigation of Membrane Excitability Diseases, Washington University School of Medicine, St. Louis, Missouri; Department of Cell Biology and Physiology, Washington University School of Medicine, St. Louis, Missouri. Electronic address: cnichols@wustl.edu.
Washington University in St. Louis · US

Funding

ATP-SENSITIVE POTASSIUM CHANNELS IN THE HEARTR01HL045742 · NHLBI · WASHINGTON UNIVERSITY · PI NICHOLS, COLIN G · 1991 to 2016
$3.6M
A MODEL OF ATRIAL FIBRILATION TRIGGERSK08HL094748 · NHLBI · WASHINGTON UNIVERSITY · PI LEVIN, MARK DAVID · 2011 to 2014
$491k
NHLBI NIH HHS K08 HL094748NHLBI NIH HHS K08HL94748NHLBI NIH HHS R01 HL045742NHLBI NIH HHS R01HL45742
6 · The paper itself

Abstract

backgroundGain-of-function (GOF) mutations in the KATP channel subunits Kir6.1 and SUR2 cause Cantu syndrome (CS), a disease characterized by multiple cardiovascular abnormalities.

objectiveThe purpose of this study was to better determine the electrophysiologic consequences of such GOF mutations in the heart.

methodsWe generated transgenic mice (Kir6.1-GOF) expressing ATP-insensitive Kir6.1[G343D] subunits under α-myosin heavy chain (α-MHC) promoter control, to target gene expression specifically in cardiomyocytes, and performed patch-clamp experiments on isolated ventricular myocytes and invasive electrophysiology on anesthetized mice.

resultsIn Kir6.1-GOF ventricular myocytes, KATP channels showed decreased ATP sensitivity but no significant change in current density. Ambulatory ECG recordings on Kir6.1-GOF mice revealed AV nodal conduction abnormalities and junctional rhythm. Invasive electrophysiologic analyses revealed slowing of conduction and conduction failure through the AV node but no increase in susceptibility to atrial or ventricular ectopic activity. Surface ECGs recorded from CS patients also demonstrated first-degree AV block and fascicular block.

conclusionThe primary electrophysiologic consequence of cardiac KATP GOF is on the conduction system, particularly the AV node, resulting in conduction abnormalities in CS patients who carry KATP GOF mutations.

Indexed as

Gene Expression Regulation, DevelopmentalAnimalsAtrioventricular BlockBrugada SyndromeCardiac Conduction System DiseaseCardiomegalyCells, CulturedChild, PreschoolDisease Models, AnimalEchocardiography, DopplerElectrocardiographyElectrophysiological PhenomenaG Protein-Coupled Inwardly-Rectifying Potassium ChannelsHumansHypertrichosisKATP ChannelsG Protein-Coupled Inwardly-Rectifying Potassium ChannelsKATP ChannelsKCNJ5 protein, humanuK-ATP-1 potassium channelCantu syndromeConduction systemK(ATP)KCNJ8Kir6.1Mouse in vivo electrophysiologyTransgenic

Identifiers

PMID26142302
PMCPMC4624040
OpenAlexW1830465025

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.