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Delayed Afterdepolarization and Triggered Activity, and the Effects of Antiarrhythmic Agents on these Abnormalities in the Atrioventricular Node and Ventricle

Research Project

Project/Area Number 62570406
Research Category

Grant-in-Aid for General Scientific Research (C)

Allocation TypeSingle-year Grants
Research Field Circulatory organs internal medicine
Research InstitutionFujita Gakuen Health University

Principal Investigator

WATANABE Yoshio  Professor, Fujita Gakuen Health University School of Medicine, 医学部, 教授 (70084572)

Co-Investigator(Kenkyū-buntansha) HABUCHI Yoshizumi  Research Assistant, Fujita Gakuen Health University School of Medicine, 医学部, 研究員 (30175541)
林 潤一  藤田学園保健衛生大学, 総合医科学研究所・心血管学部門, 講師 (60124955)
Project Period (FY) 1987 – 1988
Project Status Completed (Fiscal Year 1988)
Budget Amount *help
¥2,000,000 (Direct Cost: ¥2,000,000)
Fiscal Year 1988: ¥400,000 (Direct Cost: ¥400,000)
Fiscal Year 1987: ¥1,600,000 (Direct Cost: ¥1,600,000)
KeywordsAtrioventricular Node / Voltage Clamp / Transient Inward Current / Purkinje fibers / Action Potential / Transient Depolarization / Mexiletine / mexiletine
Research Abstract

In order to elucidate the ionic mechanisms of delayed afterdepolarizations, action potential and voltage clamp studies were conducted in canine Purkinje fibers and rabbit atrioventricular node. A transient inward durrent, which was responisble for delayed afterdepolarizations, was obtained on repolarization from various test potentials to -40 - -60 mV under superfusions with 1 m acetylstrophantidin, 0.2 - 1 mM K^+, or 10 m. Ca^<2+> containing Tyrode's solutions, and inhibited by 0.1 mM Cd^<2+> (a Ca^<2+> channel blocker), 5 g/ml mexiletine (a Na^+ channel blocker), or 10 mM caffeine (a Ca^<2+> uptake blocker to sarcoplasmic reticulum). These results suggest that the transient inward current is mediated by a cyclic increase in intracellular Ca^<2+> concentration, and caused by a Ca^<2+> - induced activation of the nonspecific cation channel or a Ca^<2+> -induced activation of Na^+ -Ca^<2+> exchange system. To assess which mechanism is involved, Na^+ concentration in the Tyrode's solution was decreased to 50% of the control (replaced with either Li^+ or sucrose) since extracellular Na^+ does not affect the conductance of the nonspecific cation channel. A transient inward current induced by 0.5 mM K^+ tyrode's solution was then either decreased or inhibited by low Na^+. Next, the effect of 50 M La^<3+> Na^+ -Ca^<2+> exchange blocker) was studied on the transient inward current induced by 092 mM K^+ Tyrode in the presence of 1 mM Cd^<2+>. The transient inward current was again decreased or inhibited by La^<3+>. In conclusion, the results suggest that the transient inward current is induced by an activation of Na^+ -Ca^<2+> exchange system due to an increase in the intracellular Ca^<2+> concentration, and that a Ca^<2+> or a Na^+ channel blocker inhibits the transient inward current by suppressing the Na^+ -Ca^<2+> exchange system as these blockers reduce the intracellular Ca^<2+> or Na^+ overloading by inhibiting the transmembrane influxes of these ions, respectively.

Report

(3 results)
  • 1988 Annual Research Report   Final Research Report Summary
  • 1987 Annual Research Report
  • Research Products

    (12 results)

All Other

All Publications (12 results)

  • [Publications] 渡部良夫、羽渕義純、: 心臓. 19. 770-776 (1987)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] 渡部良夫、羽渕義純、野田剛毅: 心電図. 8. 295-299 (1988)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Watanabe,Y.;Noda,T.;Habuchi,Y.: "Electrophysiology of the Sinoatrial and Atrioventricular Nodes. Edited by Mazgalev, T., Dreifus, L.S. and Michelson, E.L. Effects of cardiac glycosides an AV nodal impulse formati" Alan R.Liss, Inc.,111-131 (1988)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Watanabe,Y.;Havuch,Y.;Noda,T.;Nishimura,M.: "Cardiac Arrhythmias:Recent Progress in Investigation and Management. Edited by Iwa, T. and Fontaine, G. Abnormal impulse formation in the atrioventricular node. From clinical elec" Elsevier Science Puhblishers B.v., 49-62 (1988)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Watanabe, Y.: "Triggered activities in the rabbit atrioventricular node and canine Purkinje fibers" Heart. 19. 770-776 (1987)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Watanabe, Y.: "Automaticity and its abnormality in the atrioventricular junction" Japanese Journal of Electrocardiology. 8. 295-299 (1988)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Watanabe, Y.: Electrophysiology of the Sinoatrial and Atrioventricular Nodes. Alan R. Liss, Inc., 111-131 (1988)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] Watanabe, Y.: Cardiac Arrhythmias: Recent Progress in Investigation and Management. Elesevier Science Publishers B.V., 49-62 (1988)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1988 Final Research Report Summary
  • [Publications] 渡部良夫、羽渕義純、野田剛毅、: 心電図. 8. 295-299 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] Watanabe.Y,;Habuchi.Y,;Noda.T,;Nishimura.M.: "Cardiac Arrhythmias:Recent Progress in Investigation and Management.Abnormal impulse formation in the atrioventricular node.From clinical electrocardiogram to membrane ionic curre" Elsevier science Publishers B.V., 49-62 (1988)

    • Related Report
      1988 Annual Research Report
  • [Publications] 渡部良夫,羽渕義純: 心臓. 19. 770-776 (1987)

    • Related Report
      1987 Annual Research Report
  • [Publications] Watanabe, Y., Noda, T. and Habuchi, Y.: "Electrophysiology of the Sio-atrial and Atrioventricular Nodes: Integrative Phsiologic,Morphologic, Autonomic, and Pharmacologic Aspects. edited by Dreifus. L.S.,中の1章tj:Effects of cardiac glycosides on AV nodalimpulse formation and conduction." Martinus Nijhof, Nijhof, Tha Hague, (1988)

    • Related Report
      1987 Annual Research Report

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Published: 1987-04-01   Modified: 2016-04-21  

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