Trpm4 gene invalidation leads to cardiac hypertrophy and electrophysiological alterations.

<h4>Rationale</h4>TRPM4 is a non-selective Ca2+-activated cation channel expressed in the heart, particularly in the atria or conduction tissue. Mutations in the Trpm4 gene were recently associated with several human conduction disorders such as Brugada syndrome. TRPM4 channel has also b...

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Main Authors: Marie Demion, Jérôme Thireau, Mélanie Gueffier, Amanda Finan, Ziad Khoueiry, Cécile Cassan, Nicolas Serafini, Franck Aimond, Mathieu Granier, Jean-Luc Pasquié, Pierre Launay, Sylvain Richard
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2014-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0115256&type=printable
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author Marie Demion
Jérôme Thireau
Mélanie Gueffier
Amanda Finan
Ziad Khoueiry
Cécile Cassan
Nicolas Serafini
Franck Aimond
Mathieu Granier
Jean-Luc Pasquié
Pierre Launay
Sylvain Richard
author_facet Marie Demion
Jérôme Thireau
Mélanie Gueffier
Amanda Finan
Ziad Khoueiry
Cécile Cassan
Nicolas Serafini
Franck Aimond
Mathieu Granier
Jean-Luc Pasquié
Pierre Launay
Sylvain Richard
author_sort Marie Demion
collection DOAJ
description <h4>Rationale</h4>TRPM4 is a non-selective Ca2+-activated cation channel expressed in the heart, particularly in the atria or conduction tissue. Mutations in the Trpm4 gene were recently associated with several human conduction disorders such as Brugada syndrome. TRPM4 channel has also been implicated at the ventricular level, in inotropism or in arrhythmia genesis due to stresses such as ß-adrenergic stimulation, ischemia-reperfusion, and hypoxia re-oxygenation. However, the physiological role of the TRPM4 channel in the healthy heart remains unclear.<h4>Objectives</h4>We aimed to investigate the role of the TRPM4 channel on whole cardiac function with a Trpm4 gene knock-out mouse (Trpm4-/-) model.<h4>Methods and results</h4>Morpho-functional analysis revealed left ventricular (LV) eccentric hypertrophy in Trpm4-/- mice, with an increase in both wall thickness and chamber size in the adult mouse (aged 32 weeks) when compared to Trpm4+/+ littermate controls. Immunofluorescence on frozen heart cryosections and qPCR analysis showed no fibrosis or cellular hypertrophy. Instead, cardiomyocytes in Trpm4-/- mice were smaller than Trpm4+/+with a higher density. Immunofluorescent labeling for phospho-histone H3, a mitosis marker, showed that the number of mitotic myocytes was increased 3-fold in the Trpm4-/-neonatal stage, suggesting hyperplasia. Adult Trpm4-/- mice presented multilevel conduction blocks, as attested by PR and QRS lengthening in surface ECGs and confirmed by intracardiac exploration. Trpm4-/-mice also exhibited Luciani-Wenckebach atrioventricular blocks, which were reduced following atropine infusion, suggesting paroxysmal parasympathetic overdrive. In addition, Trpm4-/- mice exhibited shorter action potentials in atrial cells. This shortening was unrelated to modifications of the voltage-gated Ca2+ or K+ currents involved in the repolarizing phase.<h4>Conclusions</h4>TRPM4 has pleiotropic roles in the heart, including the regulation of conduction and cellular electrical activity which impact heart development.
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spelling doaj-art-ef1b6feb451640c3bbc80010e7f4f47d2025-08-20T02:15:14ZengPublic Library of Science (PLoS)PLoS ONE1932-62032014-01-01912e11525610.1371/journal.pone.0115256Trpm4 gene invalidation leads to cardiac hypertrophy and electrophysiological alterations.Marie DemionJérôme ThireauMélanie GueffierAmanda FinanZiad KhoueiryCécile CassanNicolas SerafiniFranck AimondMathieu GranierJean-Luc PasquiéPierre LaunaySylvain Richard<h4>Rationale</h4>TRPM4 is a non-selective Ca2+-activated cation channel expressed in the heart, particularly in the atria or conduction tissue. Mutations in the Trpm4 gene were recently associated with several human conduction disorders such as Brugada syndrome. TRPM4 channel has also been implicated at the ventricular level, in inotropism or in arrhythmia genesis due to stresses such as ß-adrenergic stimulation, ischemia-reperfusion, and hypoxia re-oxygenation. However, the physiological role of the TRPM4 channel in the healthy heart remains unclear.<h4>Objectives</h4>We aimed to investigate the role of the TRPM4 channel on whole cardiac function with a Trpm4 gene knock-out mouse (Trpm4-/-) model.<h4>Methods and results</h4>Morpho-functional analysis revealed left ventricular (LV) eccentric hypertrophy in Trpm4-/- mice, with an increase in both wall thickness and chamber size in the adult mouse (aged 32 weeks) when compared to Trpm4+/+ littermate controls. Immunofluorescence on frozen heart cryosections and qPCR analysis showed no fibrosis or cellular hypertrophy. Instead, cardiomyocytes in Trpm4-/- mice were smaller than Trpm4+/+with a higher density. Immunofluorescent labeling for phospho-histone H3, a mitosis marker, showed that the number of mitotic myocytes was increased 3-fold in the Trpm4-/-neonatal stage, suggesting hyperplasia. Adult Trpm4-/- mice presented multilevel conduction blocks, as attested by PR and QRS lengthening in surface ECGs and confirmed by intracardiac exploration. Trpm4-/-mice also exhibited Luciani-Wenckebach atrioventricular blocks, which were reduced following atropine infusion, suggesting paroxysmal parasympathetic overdrive. In addition, Trpm4-/- mice exhibited shorter action potentials in atrial cells. This shortening was unrelated to modifications of the voltage-gated Ca2+ or K+ currents involved in the repolarizing phase.<h4>Conclusions</h4>TRPM4 has pleiotropic roles in the heart, including the regulation of conduction and cellular electrical activity which impact heart development.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0115256&type=printable
spellingShingle Marie Demion
Jérôme Thireau
Mélanie Gueffier
Amanda Finan
Ziad Khoueiry
Cécile Cassan
Nicolas Serafini
Franck Aimond
Mathieu Granier
Jean-Luc Pasquié
Pierre Launay
Sylvain Richard
Trpm4 gene invalidation leads to cardiac hypertrophy and electrophysiological alterations.
PLoS ONE
title Trpm4 gene invalidation leads to cardiac hypertrophy and electrophysiological alterations.
title_full Trpm4 gene invalidation leads to cardiac hypertrophy and electrophysiological alterations.
title_fullStr Trpm4 gene invalidation leads to cardiac hypertrophy and electrophysiological alterations.
title_full_unstemmed Trpm4 gene invalidation leads to cardiac hypertrophy and electrophysiological alterations.
title_short Trpm4 gene invalidation leads to cardiac hypertrophy and electrophysiological alterations.
title_sort trpm4 gene invalidation leads to cardiac hypertrophy and electrophysiological alterations
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0115256&type=printable
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