Adenylate-cyclase VI transforms ventricular cardiomyocytes into biological pacemaker cells

Introduction: When sinus node or atrioventricular (AV) node cells are damaged by disease, the implantation of an artificial cardiac pacemaker becomes necessary. In search for a biological alternative, the objective of this study was to demonstrate whether in vivo adenoviral gene transfer of Adenylat...

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Hauptverfasser: Ruhparwar, Arjang (VerfasserIn) , Kallenbach, Klaus (VerfasserIn) , Klein, Gunnar (VerfasserIn) , Bara, Christoph (VerfasserIn) , Ghodsizad, Ali (VerfasserIn) , Sigg, Daniel C. (VerfasserIn) , Karck, Matthias (VerfasserIn) , Haverich, Axel (VerfasserIn) , Niehaus, Michael (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 19 Apr 2010
In: Tissue engineering
Year: 2010, Jahrgang: 16, Heft: 6, Pages: 1867-1872
ISSN:1937-335X
DOI:10.1089/ten.tea.2009.0537
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1089/ten.tea.2009.0537
Verlag, lizenzpflichtig, Volltext: https://www.liebertpub.com/doi/10.1089/ten.tea.2009.0537
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Verfasserangaben:Arjang Ruhparwar, Klaus Kallenbach, Gunnar Klein, Christoph Bara, Ali Ghodsizad, Daniel C. Sigg, Matthias Karck, Axel Haverich, and Michael Niehaus

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520 |a Introduction: When sinus node or atrioventricular (AV) node cells are damaged by disease, the implantation of an artificial cardiac pacemaker becomes necessary. In search for a biological alternative, the objective of this study was to demonstrate whether in vivo adenoviral gene transfer of Adenylate-Cyclase type VI (AC-VI) can create biological pacemaker activity in a porcine AV node block model. Genetic therapy of arrhythmic disorders of the heart has been subject of extensive studies. Cyclic AMP is generated in response to Beta-adrenergic receptor stimulation and also binds to HCN channels, where it regulates spontaneous rhythmic activity in the sinus node. - - Materials and Methods: Adenoviruses encoding either AC-VI or Beta-Galactosidase (lacZ) gene were injected into the lateral wall of the left ventricle of adult pigs via anterolateral thoracotomy at a dose of 1010 virus particles each. After 12 days, the AV node was ablated and three-dimensional electrophysiological cardiac mapping was performed using the Ensite™ electro-anatomical system. - - Results: After rapid ventricular pacing and administration of Isoprenalin, all animals of the AC-VI group exhibited an escape rhythm originating from the area of the left ventricular injection site at a rate of 100 + 7 beats/min (n = 5), whereas the escape rhythms in the control group (n = 4) originated from the right ventricle. Western blot analysis of the injection sites revealed significantly higher expression of AC-VI in the respective group as compared with the control group. - - Conclusions: Our study demonstrates that AC-VI gene transfer has the potential to create a biological pacemaker system. 
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