Evidence map›Paper›PMID 27149380›Full record

ArticlePloS one2016

A Regional Reduction in Ito and IKACh in the Murine Posterior Left Atrial Myocardium Is Associated with Action Potential Prolongation and Increased Ectopic Activity.

Andrew P Holmes, Ting Y Yu, Samantha Tull, Fahima Syeda, Stefan M Kuhlmann, Sian-Marie O'Brien, Pushpa Patel, Keith L Brain, Davor Pavlovic, Nigel A Brown and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Familial atrial fibrillation mutation M1875T-SCN5A increases early sodium current and dampens the effect of flecainide.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2023
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  8. Effects of genetic background, sex, and age on murine atrial electrophysiology.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2021
    Article
  9. Inward Rectifier KJournal of the American Heart Association · 2020
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  15. Transient outward KAmerican journal of physiology. Heart and circulatory physiology · 2019
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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

12 authors at 4 institutions in 2 countries.

Andrew P HolmesInstitute of Cardiovascular Science, University of Birmingham, Birmingham, United Kingdom.
Ting Y YuInstitute of Cardiovascular Science, University of Birmingham, Birmingham, United Kingdom.
Samantha TullInstitute of Cardiovascular Science, University of Birmingham, Birmingham, United Kingdom.
Fahima SyedaInstitute of Cardiovascular Science, University of Birmingham, Birmingham, United Kingdom.
Stefan M KuhlmannInstitute of Cardiovascular Science, University of Birmingham, Birmingham, United Kingdom.
Sian-Marie O'BrienInstitute of Cardiovascular Science, University of Birmingham, Birmingham, United Kingdom.
Pushpa PatelInstitute of Cardiovascular Science, University of Birmingham, Birmingham, United Kingdom.
Keith L BrainInstitute of Cardiovascular Science, University of Birmingham, Birmingham, United Kingdom.
Davor PavlovicInstitute of Cardiovascular Science, University of Birmingham, Birmingham, United Kingdom.
Nigel A BrownSt George's, University of London, London, United Kingdom.
Larissa FabritzInstitute of Cardiovascular Science, University of Birmingham, Birmingham, United Kingdom.
Paulus KirchhofInstitute of Cardiovascular Science, University of Birmingham, Birmingham, United Kingdom.
University of Birmingham · GBSt George's, University of London · GBUniversity Hospital Münster · DEUniversity of Münster · DE

Funding

British Heart Foundation FS/13/43/30324Medical Research Council MC_PC_14107
6 · The paper itself

Abstract

backgroundThe left atrial posterior wall (LAPW) is potentially an important area for the development and maintenance of atrial fibrillation. We assessed whether there are regional electrical differences throughout the murine left atrial myocardium that could underlie regional differences in arrhythmia susceptibility.

methodsWe used high-resolution optical mapping and sharp microelectrode recordings to quantify regional differences in electrical activation and repolarisation within the intact, superfused murine left atrium and quantified regional ion channel mRNA expression by Taqman Low Density Array. We also performed selected cellular electrophysiology experiments to validate regional differences in ion channel function.

resultsSpontaneous ectopic activity was observed during sustained 1Hz pacing in 10/19 intact LA and this was abolished following resection of LAPW (0/19 resected LA, P<0.001). The source of the ectopic activity was the LAPW myocardium, distinct from the pulmonary vein sleeve and LAA, determined by optical mapping. Overall, LAPW action potentials (APs) were ca. 40% longer than the LAA and this region displayed more APD heterogeneity. mRNA expression of Kcna4, Kcnj3 and Kcnj5 was lower in the LAPW myocardium than in the LAA. Cardiomyocytes isolated from the LAPW had decreased Ito and a reduced IKACh current density at both positive and negative test potentials.

conclusionsThe murine LAPW myocardium has a different electrical phenotype and ion channel mRNA expression profile compared with other regions of the LA, and this is associated with increased ectopic activity. If similar regional electrical differences are present in the human LA, then the LAPW may be a potential future target for treatment of atrial fibrillation.

Indexed as

Action PotentialsAnimalsAtrial FunctionAtrial Premature ComplexesFemaleG Protein-Coupled Inwardly-Rectifying Potassium ChannelsHeart AtriaIon ChannelsKv1.4 Potassium ChannelMaleMiceMyocytes, CardiacPatch-Clamp TechniquesG Protein-Coupled Inwardly-Rectifying Potassium ChannelsIon ChannelsKcna4 protein, mouseKcnj3 protein, mouseKcnj5 protein, mouseKv1.4 Potassium Channel

Identifiers

PMID27149380
PMCPMC4858288
OpenAlexW2346165851

What OpenQuestion holds

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LicenceCC BY
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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.