This Program Project comprises four closely integrated multi-disciplinary projects addressing a common theme of major significance: the molecular and electrophysiologic bases of cell-to-cell communication and impulse propagation and cardiac muscle. In the first project, we propose to study 3-dimensional (3D) cortex-like reentry (scroll waves) as the mechanism of ventricular fibrillation (VF). We use computer modeling and novel optical mapping techniques based on transillumination to determine the mechanisms controlling the dynamics of intramural scroll waves in the ventricles of sheep. We postulate that intramural scroll waves tend to align their rotation axis (filament) with fiber orientation. Since the organization of the fibers across myocardial wall is complex, electrical impulses emanating from such scroll waves result in complex dynamics characteristic of fibrillation. The next project focuses on the role of transmembrane current kinetics in the dynamics of vortices of excitation. The objective is to construct an advanced 3D model of the mouse heart to investigate ionic mechanisms of scroll wave propagation, in the presence of normal and altered ion channel kinetics. Model predictions will be rigorously tested in experiments using transgenic mice lacking (Kv4.2 dominant negative) or over-expressing (Ina-Ca over-expressor) specific integral membrane proteins. Dr. Jalife's project focuses on the consequences of reduced expression of cardiac connexins in impulse propagation and arrhythmias in genetically engineered mice. This project also uses high resolution optical recording techniques.
It aims at elucidating the electrophysiological consequences of lack of connexin43 (Cx43) or Cx40 in the ventricle, His-Purkinje system and atria of the mouse heart. Dr. Delmar's project, we will use molecular and electrophysiological approaches in three different biological systems (Xenopus Laevis oocytes, N2A cells and cardiac neural crest cells) to study gap function regulation and chemical regulation of and its effects on cell behavior. We focus on multimeric channels formed by Cx40 and Cx43 and propose to study chemical regulation on heteromeric connexin interactions, as well as heterodomain interactions. Also, we plan to study whether expressed Cx43 carboxyl terminus (CT) fragments interfere with chemical regulation of connexins. Moreover, a transgenic mouse will be used to determine whether over-expression of the Cx43CT domain leads to functional alterations in cell physiology and organ function. Overall, this highly significant and innovative Program Project addresses fundamental problems in cardiac biology. Achieving our proposed goals should advance the filed, and hopefully lead to diagnostic and therapeutic improvements.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Program Projects (P01)
Project #
5P01HL039707-15
Application #
6757206
Study Section
Heart, Lung, and Blood Initial Review Group (HLBP)
Program Officer
Przywara, Dennis
Project Start
1990-05-01
Project End
2006-04-30
Budget Start
2004-05-01
Budget End
2006-04-30
Support Year
15
Fiscal Year
2004
Total Cost
$1,896,847
Indirect Cost
Name
Upstate Medical University
Department
Pharmacology
Type
Schools of Medicine
DUNS #
058889106
City
Syracuse
State
NY
Country
United States
Zip Code
13210
Ponce-Balbuena, Daniela; Guerrero-Serna, Guadalupe; Valdivia, Carmen R et al. (2018) Cardiac Kir2.1 and NaV1.5 Channels Traffic Together to the Sarcolemma to Control Excitability. Circ Res 122:1501-1516
Rodrigo, M; Climent, A M; Liberos, A et al. (2017) Minimal configuration of body surface potential mapping for discrimination of left versus right dominant frequencies during atrial fibrillation. Pacing Clin Electrophysiol 40:940-946
Rodrigo, Miguel; Climent, Andreu M; Liberos, Alejandro et al. (2017) Highest dominant frequency and rotor positions are robust markers of driver location during noninvasive mapping of atrial fibrillation: A computational study. Heart Rhythm 14:1224-1233
Willis, B Cicero; Pandit, Sandeep V; Ponce-Balbuena, Daniela et al. (2016) Constitutive Intracellular Na+ Excess in Purkinje Cells Promotes Arrhythmogenesis at Lower Levels of Stress Than Ventricular Myocytes From Mice With Catecholaminergic Polymorphic Ventricular Tachycardia. Circulation 133:2348-59
Quintanilla, Jorge G; Pérez-Villacastín, Julián; Pérez-Castellano, Nicasio et al. (2016) Mechanistic Approaches to Detect, Target, and Ablate the Drivers of Atrial Fibrillation. Circ Arrhythm Electrophysiol 9:e002481
Takemoto, Yoshio; Ramirez, Rafael J; Yokokawa, Miki et al. (2016) Galectin-3 Regulates Atrial Fibrillation Remodeling and Predicts Catheter Ablation Outcomes. JACC Basic Transl Sci 1:143-154
Filgueiras-Rama, David; Jalife, José (2016) STRUCTURAL AND FUNCTIONAL BASES OF CARDIAC FIBRILLATION. DIFFERENCES AND SIMILARITIES BETWEEN ATRIA AND VENTRICLES. JACC Clin Electrophysiol 2:1-3
Pedrón-Torrecilla, Jorge; Rodrigo, Miguel; Climent, Andreu M et al. (2016) Noninvasive Estimation of Epicardial Dominant High-Frequency Regions During Atrial Fibrillation. J Cardiovasc Electrophysiol 27:435-42
Herron, Todd J; Rocha, Andre Monteiro Da; Campbell, Katherine F et al. (2016) Extracellular Matrix-Mediated Maturation of Human Pluripotent Stem Cell-Derived Cardiac Monolayer Structure and Electrophysiological Function. Circ Arrhythm Electrophysiol 9:e003638
Guillem, María S; Climent, Andreu M; Rodrigo, Miguel et al. (2016) Presence and stability of rotors in atrial fibrillation: evidence and therapeutic implications. Cardiovasc Res 109:480-92

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