Molecular architecture of the human specialised atrioventricular conduction axis

ID Greener, O Monfredi, S Inada, NJ Chandler… - Journal of molecular and …, 2011 - Elsevier
ID Greener, O Monfredi, S Inada, NJ Chandler, JO Tellez, A Atkinson, MA Taube, R Billeter…
Journal of molecular and cellular cardiology, 2011Elsevier
The atrioventricular conduction axis, located in the septal component of the atrioventricular
junctions, is arguably the most complex structure in the heart. It fulfils a multitude of
functions, including the introduction of a delay between atrial and ventricular systole and
backup pacemaking. Like any other multifunctional tissue, complexity is a key feature of this
specialised tissue in the heart, and this complexity is both anatomical and
electrophysiological, with the two being inextricably linked. We used quantitative PCR …
The atrioventricular conduction axis, located in the septal component of the atrioventricular junctions, is arguably the most complex structure in the heart. It fulfils a multitude of functions, including the introduction of a delay between atrial and ventricular systole and backup pacemaking. Like any other multifunctional tissue, complexity is a key feature of this specialised tissue in the heart, and this complexity is both anatomical and electrophysiological, with the two being inextricably linked. We used quantitative PCR, histology and immunohistochemistry to analyse the axis from six human subjects. mRNAs for ~50 ion and gap junction channels, Ca2+-handling proteins and markers were measured in the atrial muscle (AM), a transitional area (TA), inferior nodal extension (INE), compact node (CN), penetrating bundle (PB) and ventricular muscle (VM). When compared to the AM, we found a lower expression of Nav1.5, Kir2.1, Cx43 and ANP mRNAs in the CN for example, but a higher expression of HCN1, HCN4, Cav1.3, Cav3.1, Kir3.4, Cx40 and Tbx3 mRNAs. Expression of some related proteins was in agreement with the expression of the corresponding mRNAs. There is a complex and heterogeneous pattern of expression of ion and gap junction channels and Ca2+-handling proteins in the human atrioventricular conduction axis that explains the function of this crucial pathway.
Elsevier