Abstract

SummaryIncreasing evidence implicates chronic energetic dysfunction in human cardiac arrhythmias. Mitochondrial impairment through Pgc‐1β knockout is known to produce a murine arrhythmic phenotype. However, the cumulative effect of this with advancing age and its electrocardiographic basis have not been previously studied. Young (12‐16 weeks) and aged (>52 weeks), wild type (WT) (n = 5 and 8) and Pgc‐1β−/− (n = 9 and 6), mice were anaesthetised and used for electrocardiographic (ECG) recordings. Time intervals separating successive ECG deflections were analysed for differences between groups before and after β1‐adrenergic (intraperitoneal dobutamine 3 mg/kg) challenge. Heart rates before dobutamine challenge were indistinguishable between groups. The Pgc‐1β−/− genotype however displayed compromised nodal function in response to adrenergic challenge. This manifested as an impaired heart rate response suggesting a functional defect at the level of the sino‐atrial node, and a negative dromotropic response suggesting an atrioventricular conduction defect. Incidences of the latter were most pronounced in the aged Pgc‐1β−/− mice. Moreover, Pgc‐1β−/− mice displayed electrocardiographic features consistent with the existence of a pro‐arrhythmic substrate. Firstly, ventricular activation was prolonged in these mice consistent with slowed action potential conduction and is reported here for the first time. Additionally, Pgc‐1β−/− mice had shorter repolarisation intervals. These were likely attributable to altered K+ conductance properties, ultimately resulting in a shortened QTc interval, which is also known to be associated with increased arrhythmic risk. ECG analysis thus yielded electrophysiological findings bearing on potential arrhythmogenicity in intact Pgc‐1β−/− systems in widespread cardiac regions.

Highlights

  • QTc interval, which is known to be associated with increased arrhythmic risk

  • The present study investigates ECG changes associated with the energetic dysfunction occurring with Pgc-1β ablation

  • As the underlying chronic mitochondrial lesions likely exert cumulative phenotypic effects with advancing age, we studied both young and aged, wild type (WT) and genetically modified animals both at baseline and following adrenergic stress

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Summary

| INTRODUCTION

The presence of AVN dysfunction in mutant mice which demonstrated impaired heart rate responses led us to examine whether paradoxical AV node dysfunction underlies or is associated with the blunted chronotropic responses Such a comparison demonstrated that Pgc-1β−/− animals with a normal AVN response showed a mean heart rate of 9.10 ± 0.22 Hz (n = 6) following dobutamine challenge. A two-­tailed student t test confirmed that the difference was significant (P = .0061) These findings suggest that the Pgc-1β−/− mutation is associated only with significantly altered AV nodal function in a subset of mutant mice, and that the presence of AV nodal dysfunction itself may be a marker for impaired heart rate responses. Pgc-1β−/− mice had shorter QTc intervals than their WT counterparts with most of the effect arising from shortening of the QTc intervals in young Pgc-1β−/− mice

Findings
| DISCUSSION
| METHODS
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