Kobra Haghighi, George Gardner, Elizabeth Vafiadaki, Mohit Kumar, Lisa C Green, Jianyong Ma, Jeffrey S Crocker, Sheryl Koch, Demetrios A Arvanitis, Phillip Bidwell, Jack Rubinstein, Rutger van de Leur, Pieter A Doevendans, Fadi G Akar, Michael Tranter, Hong-Sheng Wang, Sakthivel Sadayappan, Deeptankar DeMazumder, Despina Sanoudou, Roger J Hajjar, Francesca Stillitano, Evangelia G Kranias
The inherited mutation (R14del) in the calcium regulatory protein phospholamban (PLN) is linked to malignant ventricular arrhythmia with poor prognosis starting at adolescence. However, the underlying early mechanisms that may serve as prognostic factors remain elusive. This study generated humanized mice in which the endogenous gene was replaced with either human wild type or R14del-PLN and addressed the early molecular and cellular pathogenic mechanisms. R14del-PLN mice exhibited stress-induced impairment of atrioventricular conduction, and prolongation of both ventricular activation and repolarization times in association with ventricular tachyarrhythmia, originating from the right ventricle (RV)...
June 3, 2021: Journal of Personalized Medicine