Aims Caveolinopathies are a family of genetic disorders arising from alterations of the caveolin-3 (cav-3) gene. The T78M cav-3 variant has been associated with both skeletal and cardiac muscle pathologies but its functional contribution, especially to cardiac diseases, is still controversial. Here, we evaluated the effect of the T78M cav-3 variant on cardiac ion channel function and membrane excitability. Methods and results We transfected either the wild type (WT) or T78M cav-3 in caveolin-1 knock-out mouse embryonic fibroblasts and found by immunofluorescence and electron microscopy that both are expressed at the plasma membrane and form caveolae. Two ion channels known to interact and co-immunoprecipitate with the cav-3, hKv1.5 and hHCN4, interact also with T78M cav-3 and reside in lipid rafts. Electrophysiological analysis showed that the T78M cav-3 causes hKv1.5 channels to activate and inactivate at more hyperpolarized potentials and the hHCN4 channels to activate at more depolarized potentials, in a dominant way. In spontaneously beating neonatal cardiomyocytes, the expression of the T78M cav-3 significantly increased action potential peak-to-peak variability without altering neither the mean rate nor the maximum diastolic potential. We also found that in a small cohort of patients with supraventricular arrhythmias, the T78M cav-3 variant is more frequent than in the general population. Finally, in silico analysis of both sinoatrial and atrial cell models confirmed that the T78M-dependent changes are compatible with a pro-arrhythmic effect. Conclusion This study demonstrates that the T78M cav-3 induces complex modifications in ion channel function that ultimately alter membrane excitability. The presence of the T78M cav-3 can thus generate a susceptible substrate that, in concert with other structural alterations and/or genetic mutations, may become arrhythmogenic.

The expression of the rare caveolin-3 variant T78M alters cardiac ion channels function and membrane excitability / G. Campostrini, M. Bonzanni, A. Lissoni, C. Bazzini, R. Milanesi, E. Vezzoli, M. Francolini, M. Baruscotti, A. Bucchi, I. Rivolta, M. Fantini, S. Severi, R. Cappato, L. Crotti, P.J. Schwartz, D. Di Francesco, A. Barbuti. - In: CARDIOVASCULAR RESEARCH. - ISSN 0008-6363. - 113:10(2017 Aug), pp. 1256-1265.

The expression of the rare caveolin-3 variant T78M alters cardiac ion channels function and membrane excitability

Campostrini;Giulia; Bonzanni;Alessio; Bazzini;Claudia; Milanesi;Raffaella; Vezzoli;Elena; Francolini;Maura; Baruscotti;Mirko; Bucchi;Peter J.; Di Francesco;Dario; Barbuti
2017-08

Abstract

Aims Caveolinopathies are a family of genetic disorders arising from alterations of the caveolin-3 (cav-3) gene. The T78M cav-3 variant has been associated with both skeletal and cardiac muscle pathologies but its functional contribution, especially to cardiac diseases, is still controversial. Here, we evaluated the effect of the T78M cav-3 variant on cardiac ion channel function and membrane excitability. Methods and results We transfected either the wild type (WT) or T78M cav-3 in caveolin-1 knock-out mouse embryonic fibroblasts and found by immunofluorescence and electron microscopy that both are expressed at the plasma membrane and form caveolae. Two ion channels known to interact and co-immunoprecipitate with the cav-3, hKv1.5 and hHCN4, interact also with T78M cav-3 and reside in lipid rafts. Electrophysiological analysis showed that the T78M cav-3 causes hKv1.5 channels to activate and inactivate at more hyperpolarized potentials and the hHCN4 channels to activate at more depolarized potentials, in a dominant way. In spontaneously beating neonatal cardiomyocytes, the expression of the T78M cav-3 significantly increased action potential peak-to-peak variability without altering neither the mean rate nor the maximum diastolic potential. We also found that in a small cohort of patients with supraventricular arrhythmias, the T78M cav-3 variant is more frequent than in the general population. Finally, in silico analysis of both sinoatrial and atrial cell models confirmed that the T78M-dependent changes are compatible with a pro-arrhythmic effect. Conclusion This study demonstrates that the T78M cav-3 induces complex modifications in ion channel function that ultimately alter membrane excitability. The presence of the T78M cav-3 can thus generate a susceptible substrate that, in concert with other structural alterations and/or genetic mutations, may become arrhythmogenic.
arrhythmia; caveolin; electrophysiology; genetic diseases; ion channels; physiology; cardiology and cardiovascular medicine; physiology (medical)
Settore BIO/09 - Fisiologia
Cardiac and skeletal caveolinopatHies: a molecular and functional ANalysys of alteratioNs in membrane ExcitabiLity/CHANNEL
CArdiac paCemakeR ageing: cellular and mOlecular baSisS
Ips-derived human Cardiomyocytes: a powerful tool to investigate the cellular mechanism of genetically determined Lone AtRIal Fibrillation
CARDIOVASCULAR RESEARCH
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/533849
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