Evidence map›Paper›PMID 26831068›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2016

G protein-gated IKACh channels as therapeutic targets for treatment of sick sinus syndrome and heart block.

Pietro Mesirca, Isabelle Bidaud, François Briec, Stéphane Evain, Angelo G Torrente, Khai Le Quang, Anne-Laure Leoni, Matthias Baudot, Laurine Marger, Antony Chung You Chong and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

35 citing papers in PubMed, 55 citations in OpenAlex.

  1. Article
  2. L-Type CaCirculation research · 2026
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  5. Selective blockade of CaNature communications · 2024
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  8. Relevance ofInternational journal of molecular sciences · 2023
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  9. Review
  10. Article
  11. Heart rate reduction after genetic ablation of L-type CaFrontiers in cardiovascular medicine · 2023
    Article
  12. Pathophysiology of CaFrontiers in physiology · 2023
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Implementing Biological Pacemakers: Design Criteria for Successful.Circulation. Arrhythmia and electrophysiology · 2021
    Review
  18. Article
  19. Pharmacologic Approach to Sinoatrial Node Dysfunction.Annual review of pharmacology and toxicology · 2021
    Review
  20. 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

15 authors at 7 institutions in 2 countries.

Pietro MesircaDépartement de Physiologie, Institut de Genomique Fonctionnelle, Laboratory of Excellence in Ion Channel Science and Therapeutics, UMR-5203, CNRS, F-34094 Montpellier, France; INSERM U661, F-34094 Montpellier, France; Université de Montpellier, F-34094 Montpellier, France; pietro.mesirca@igf.cnrs.fr matteo.mangoni@igf.cnrs.fr.
Isabelle BidaudDépartement de Physiologie, Institut de Genomique Fonctionnelle, Laboratory of Excellence in Ion Channel Science and Therapeutics, UMR-5203, CNRS, F-34094 Montpellier, France; INSERM U661, F-34094 Montpellier, France; Université de Montpellier, F-34094 Montpellier, France;
François BriecINSERM, UMR_S1087, l'Institut du Thorax, F-44007 Nantes, France;
Stéphane EvainINSERM, UMR_S1087, l'Institut du Thorax, F-44007 Nantes, France;
Angelo G TorrenteDépartement de Physiologie, Institut de Genomique Fonctionnelle, Laboratory of Excellence in Ion Channel Science and Therapeutics, UMR-5203, CNRS, F-34094 Montpellier, France; INSERM U661, F-34094 Montpellier, France; Université de Montpellier, F-34094 Montpellier, France;
Khai Le QuangINSERM, UMR_S1087, l'Institut du Thorax, F-44007 Nantes, France; Université de Nantes, F-44007 Nantes, France;
Anne-Laure LeoniINSERM U661, F-34094 Montpellier, France;
Matthias BaudotDépartement de Physiologie, Institut de Genomique Fonctionnelle, Laboratory of Excellence in Ion Channel Science and Therapeutics, UMR-5203, CNRS, F-34094 Montpellier, France; INSERM U661, F-34094 Montpellier, France; Université de Montpellier, F-34094 Montpellier, France;
Laurine MargerDépartement de Physiologie, Institut de Genomique Fonctionnelle, Laboratory of Excellence in Ion Channel Science and Therapeutics, UMR-5203, CNRS, F-34094 Montpellier, France; INSERM U661, F-34094 Montpellier, France; Université de Montpellier, F-34094 Montpellier, France;
Antony Chung You ChongDépartement de Physiologie, Institut de Genomique Fonctionnelle, Laboratory of Excellence in Ion Channel Science and Therapeutics, UMR-5203, CNRS, F-34094 Montpellier, France; INSERM U661, F-34094 Montpellier, France; Université de Montpellier, F-34094 Montpellier, France;
Joël NargeotDépartement de Physiologie, Institut de Genomique Fonctionnelle, Laboratory of Excellence in Ion Channel Science and Therapeutics, UMR-5203, CNRS, F-34094 Montpellier, France; INSERM U661, F-34094 Montpellier, France; Université de Montpellier, F-34094 Montpellier, France;
Joerg StriessnigInstitute of Pharmacy, Pharmacology and Toxicology and Center of Molecular Biosciences Innsbruck, A-6020 Innsbruck, Austria;
Kevin WickmanDepartment of Pharmacology, University of Minnesota, Minneapolis, MN 554557;
Flavien CharpentierINSERM, UMR_S1087, l'Institut du Thorax, F-44007 Nantes, France; Université de Nantes, F-44007 Nantes, France; CNRS UMR 6291, l'Institut du Thorax, F-44007 Nantes, France; Centre Hospitalier Universitaire Nantes, F-44007 Nantes, France.
Matteo E MangoniDépartement de Physiologie, Institut de Genomique Fonctionnelle, Laboratory of Excellence in Ion Channel Science and Therapeutics, UMR-5203, CNRS, F-34094 Montpellier, France; INSERM U661, F-34094 Montpellier, France; Université de Montpellier, F-34094 Montpellier, France; pietro.mesirca@igf.cnrs.fr matteo.mangoni@igf.cnrs.fr.
Inserm · FRInstitut de Génomique Fonctionnelle · FRLaboratoire d'Excellence Canaux Ioniques d'Intérêt Thérapeutique · FRNantes Université · FRUniversité de Montpellier · FRInstitut du Thorax · FRUniversity of Minnesota · US

Funding

The role of RGS proteins in the parasympathetic control of heart rateR01HL105550 · NHLBI · UNIVERSITY OF MINNESOTA · PI MARTEMYANOV, KIRILL A., WICKMAN, KEVIN D · 2011 to 2018
$3.2M
Modulation of Cav 1.3 L-type Ca2+ channels by PDZ-protein interactionsR01HL087120 · NHLBI · UNIVERSITY OF IOWA · PI LEE, AMY · 2009 to 2012
$1.4M
NHLBI NIH HHS R01 HL087120NHLBI NIH HHS R01 HL087120-A2NHLBI NIH HHS R01 HL105550
6 · The paper itself

Abstract

Dysfunction of pacemaker activity in the sinoatrial node (SAN) underlies "sick sinus" syndrome (SSS), a common clinical condition characterized by abnormally low heart rate (bradycardia). If untreated, SSS carries potentially life-threatening symptoms, such as syncope and end-stage organ hypoperfusion. The only currently available therapy for SSS consists of electronic pacemaker implantation. Mice lacking L-type Cav1.3 Ca(2+) channels (Cav1.3(-/-)) recapitulate several symptoms of SSS in humans, including bradycardia and atrioventricular (AV) dysfunction (heart block). Here, we tested whether genetic ablation or pharmacological inhibition of the muscarinic-gated K(+) channel (IKACh) could rescue SSS and heart block in Cav1.3(-/-) mice. We found that genetic inactivation of IKACh abolished SSS symptoms in Cav1.3(-/-) mice without reducing the relative degree of heart rate regulation. Rescuing of SAN and AV dysfunction could be obtained also by pharmacological inhibition of IKACh either in Cav1.3(-/-) mice or following selective inhibition of Cav1.3-mediated L-type Ca(2+) (ICa,L) current in vivo. Ablation of IKACh prevented dysfunction of SAN pacemaker activity by allowing net inward current to flow during the diastolic depolarization phase under cholinergic activation. Our data suggest that patients affected by SSS and heart block may benefit from IKACh suppression achieved by gene therapy or selective pharmacological inhibition.

Indexed as

AnimalsCalcium Channels, L-TypeGTP-Binding ProteinsHeart BlockHumansIon Channel GatingMiceMice, KnockoutSick Sinus SyndromeCacna1d protein, mouseCalcium Channels, L-TypeGTP-Binding ProteinsCav1.3GIRK4heart blockheart rate regulationsick sinus syndrome

Identifiers

PMID26831068
PMCPMC4763776
OpenAlexW2273010779

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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.