Abstract 507: Activation of Transient Receptor Potential Canonical Channel Currents in Iron-Overloaded Cardiac Myocytes

Abstract

Background: Iron (Fe) overload cardiomyopathy is the leading cause of death in hemochromatotic patients, yet the mechanistic insight is still incomplete and controversial. We investigated alterations of action potentials (APs), ionic currents, and intracellular Ca 2+ (Ca 2+ i ) in Fe-loaded mouse cardiomyocytes, as well as functional impacts of Fe overload on single-cell contraction and whole-heart arrhythmias. Methods: Cardiomyocytes were isolated from left ventricles of mouse hearts and were superfused with Fe 3+ /8-hydroxyquinoline complex (5-100 μM). APs, L-type Ca 2+ currents (I Ca,L ), total outward K + currents (I K ), and transient receptor potential canonical (TRPC) channel currents were recorded by the patch-clamp technique. Ca 2+ i was evaluated by using Fluo-4. Cell contraction was measured by a video-based edge detection system. Arrhythmias were evaluated in Langendorff-perfused hearts under S 1 -S 2 stimulation protocol. Results: Persistent Fe (15 μM) treatment prolonged AP duration at 90% repolarization (APD 90 : 46.8 ± 2.8 vs. 203.6 ± 63.4 ms, p<0.05), induced early and delayed afterdepolarizations (EADs: 0 % vs. 45.0 ± 15.0 %; DADs: 4.3 ± 1.4 vs. 27.0 ± 7.0 %, p<0.05, respectively) in mouse cardiomyocytes. Consistently, arrhythmia incidence was increased in Fe 3+ /8-HQ-perfused hearts. Fe treatment decreased peak I Ca,L (16.5 ± 1.7 vs.11.4 ± 1.3 pA/pF, p<0.01) and I K (59.2 ± 3.3 vs. 50.4 ± 3.0 pA/pF, p<0.01), altered Ca 2+ i transient patterns and decreased contractility (4.8 ± 0.5 vs. 3.5 ± 0.4%, p<0.01). During the late phase of Fe treatment, fast Ca 2+ waves and sustained depolarization were induced to generate a secondary (shallow) resting membrane potential (RMP: from -68.8 ± 0.6 to -25.0 ± 3.7 mV) where the myocytes became unexcitable. Gadolinium, a TRPC channel blocker, abolished fast Ca 2+ waves and reversed RMP to the deep level (-62.9 ± 3.5 mV). The involvement of TRPC activation was determined for the first time by recording TRPC current and assessing the effect of functional TRPC channel antibodies. Conclusions: In mouse cardiomyocytes, Fe overload induced arrhythmogenic APD prolongation and EADs/DADs, aberrant Ca 2+ i dynamics, and impaired contractility. The activation of TRPC channels accounts for an important underlying mechanism.