PMID- 26786162 OWN - NLM STAT- MEDLINE DCOM- 20170123 LR - 20181113 IS - 1755-3245 (Electronic) IS - 0008-6363 (Print) IS - 0008-6363 (Linking) VI - 110 IP - 2 DP - 2016 May 15 TI - Nav1.5 N-terminal domain binding to alpha1-syntrophin increases membrane density of human Kir2.1, Kir2.2 and Nav1.5 channels. PG - 279-90 LID - 10.1093/cvr/cvw009 [doi] AB - AIMS: Cardiac excitability and refractoriness are largely determined by the function and number of inward rectifier K(+) channels (Kir2.1-2.3), which are differentially expressed in the atria and ventricles, and Nav1.5 channels. We have focused on how Nav1.5 and Kir2.x function within a macromolecular complex by elucidating the molecular determinants that govern Nav1.5/Kir2.x reciprocal modulation. METHODS AND RESULTS: The results demonstrate that there is an unexpected 'internal' PDZ-like binding domain located at the N-terminus of the Nav1.5 channel that mediates its binding to alpha1-syntrophin. Nav1.5 N-terminal domain, by itself (the 132 aa peptide) (Nter), exerts a 'chaperone-like' effect that increases sodium (I(Na)) and inward rectifier potassium (I(K1)) currents by enhancing the expression of Nav1.5, Kir2.1, and Kir2.2 channels as demonstrated in Chinese hamster ovary (CHO) cells and in rat cardiomyocytes. Site-directed mutagenesis analysis demonstrates that the Nter chaperone-like effect is determined by Serine 20. Nav1.5-Kir2.x reciprocal positive interactions depend on a specific C-terminal PDZ-binding domain sequence (SEI), which is present in Kir2.1 and Kir2.2 channels but not in Kir2.3. Therefore, in human atrial myocytes, the presence of Kir2.3 isoforms precludes reciprocal I(K1)-INa density modulation. Moreover, results in rat and human atrial myocytes demonstrate that binding to alpha1-syntrophin is necessary for the Nav1.5-Kir2.x-positive reciprocal modulation. CONCLUSIONS: The results demonstrate the critical role of the N-terminal domain of Nav1.5 channels in Nav1.5-Kir2.x-reciprocal interactions and suggest that the molecular mechanisms controlling atrial and ventricular cellular excitability may be different. CI - Published on behalf of the European Society of Cardiology. All rights reserved. (c) The Author 2016. For permissions please email: journals.permissions@oup.com. FAU - Matamoros, Marcos AU - Matamoros M AD - Department of Pharmacology, School of Medicine, Universidad Complutense, Madrid 28040, Spain Instituto de Investigacion Sanitaria Gregorio Maranon, School of Medicine, Universidad Complutense, Madrid 28040, Spain. FAU - Perez-Hernandez, Marta AU - Perez-Hernandez M AD - Department of Pharmacology, School of Medicine, Universidad Complutense, Madrid 28040, Spain Instituto de Investigacion Sanitaria Gregorio Maranon, School of Medicine, Universidad Complutense, Madrid 28040, Spain. FAU - Guerrero-Serna, Guadalupe AU - Guerrero-Serna G AD - Department of Internal Medicine, Center for Arrhythmia Research, University of Michigan, Ann Arbor, MI 48109, USA Department of Molecular and Integrative Physiology, Center for Arrhythmia Research, University of Michigan, Ann Arbor, MI 48109, USA. FAU - Amoros, Irene AU - Amoros I AD - Department of Pharmacology, School of Medicine, Universidad Complutense, Madrid 28040, Spain Instituto de Investigacion Sanitaria Gregorio Maranon, School of Medicine, Universidad Complutense, Madrid 28040, Spain. FAU - Barana, Adriana AU - Barana A AD - Department of Pharmacology, School of Medicine, Universidad Complutense, Madrid 28040, Spain Instituto de Investigacion Sanitaria Gregorio Maranon, School of Medicine, Universidad Complutense, Madrid 28040, Spain. FAU - Nunez, Mercedes AU - Nunez M AD - Department of Pharmacology, School of Medicine, Universidad Complutense, Madrid 28040, Spain Instituto de Investigacion Sanitaria Gregorio Maranon, School of Medicine, Universidad Complutense, Madrid 28040, Spain. FAU - Ponce-Balbuena, Daniela AU - Ponce-Balbuena D AD - Department of Internal Medicine, Center for Arrhythmia Research, University of Michigan, Ann Arbor, MI 48109, USA Department of Molecular and Integrative Physiology, Center for Arrhythmia Research, University of Michigan, Ann Arbor, MI 48109, USA. FAU - Sacristan, Sandra AU - Sacristan S AD - Department of Pharmacology, School of Medicine, Universidad Complutense, Madrid 28040, Spain Instituto de Investigacion Sanitaria Gregorio Maranon, School of Medicine, Universidad Complutense, Madrid 28040, Spain. FAU - Gomez, Ricardo AU - Gomez R AD - Department of Pharmacology, School of Medicine, Universidad Complutense, Madrid 28040, Spain Instituto de Investigacion Sanitaria Gregorio Maranon, School of Medicine, Universidad Complutense, Madrid 28040, Spain. FAU - Tamargo, Juan AU - Tamargo J AD - Department of Pharmacology, School of Medicine, Universidad Complutense, Madrid 28040, Spain Instituto de Investigacion Sanitaria Gregorio Maranon, School of Medicine, Universidad Complutense, Madrid 28040, Spain. FAU - Caballero, Ricardo AU - Caballero R AD - Department of Pharmacology, School of Medicine, Universidad Complutense, Madrid 28040, Spain Instituto de Investigacion Sanitaria Gregorio Maranon, School of Medicine, Universidad Complutense, Madrid 28040, Spain rcaballero@med.ucm.es. FAU - Jalife, Jose AU - Jalife J AD - Department of Internal Medicine, Center for Arrhythmia Research, University of Michigan, Ann Arbor, MI 48109, USA Department of Molecular and Integrative Physiology, Center for Arrhythmia Research, University of Michigan, Ann Arbor, MI 48109, USA. FAU - Delpon, Eva AU - Delpon E AD - Department of Pharmacology, School of Medicine, Universidad Complutense, Madrid 28040, Spain Instituto de Investigacion Sanitaria Gregorio Maranon, School of Medicine, Universidad Complutense, Madrid 28040, Spain. LA - eng GR - R01-HL122352/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20160119 PL - England TA - Cardiovasc Res JT - Cardiovascular research JID - 0077427 RN - 0 (Calcium-Binding Proteins) RN - 0 (KCNJ2 protein, human) RN - 0 (KCNJ2 protein, rat) RN - 0 (Kir2.2 channel) RN - 0 (Membrane Proteins) RN - 0 (Muscle Proteins) RN - 0 (NAV1.5 Voltage-Gated Sodium Channel) RN - 0 (Potassium Channels, Inwardly Rectifying) RN - 0 (SCN5A protein, human) RN - 0 (Scn5a protein, rat) RN - 0 (syntrophin alpha1) SB - IM CIN - Cardiovasc Res. 2016 May 15;110(2):163-4. PMID: 26984855 MH - Animals MH - Calcium-Binding Proteins/*metabolism MH - Cricetinae MH - Heart Ventricles/metabolism MH - Humans MH - Membrane Proteins/*metabolism MH - Muscle Proteins/*metabolism MH - Mutagenesis, Site-Directed MH - Myocytes, Cardiac/metabolism MH - NAV1.5 Voltage-Gated Sodium Channel/*metabolism MH - Potassium Channels, Inwardly Rectifying/*metabolism MH - Rats PMC - PMC4836625 OTO - NOTNLM OT - Inward rectifier current OT - Kir2.x OT - Sodium current OT - alpha1-syntrophin EDAT- 2016/01/21 06:00 MHDA- 2017/01/24 06:00 PMCR- 2017/05/15 CRDT- 2016/01/21 06:00 PHST- 2015/09/21 00:00 [received] PHST- 2016/01/13 00:00 [accepted] PHST- 2016/01/21 06:00 [entrez] PHST- 2016/01/21 06:00 [pubmed] PHST- 2017/01/24 06:00 [medline] PHST- 2017/05/15 00:00 [pmc-release] AID - cvw009 [pii] AID - 10.1093/cvr/cvw009 [doi] PST - ppublish SO - Cardiovasc Res. 2016 May 15;110(2):279-90. doi: 10.1093/cvr/cvw009. Epub 2016 Jan 19.