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Olejnickova V, Kocka M, Kvasilova A, Kolesova H, Dziacky A, Gidor T, Gidor L, Sankova B, Gregorovicova M, Gourdie RG, Sedmera D. Gap Junctional Communication via Connexin43 between Purkinje Fibers and Working Myocytes Explains the Epicardial Activation Pattern in the Postnatal Mouse Left Ventricle. Int J Mol Sci 2021; 22:2475. [PMID: 33804428 PMCID: PMC7957598 DOI: 10.3390/ijms22052475] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Revised: 02/19/2021] [Accepted: 02/25/2021] [Indexed: 12/31/2022] Open
Abstract
The mammalian ventricular myocardium forms a functional syncytium due to flow of electrical current mediated in part by gap junctions localized within intercalated disks. The connexin (Cx) subunit of gap junctions have direct and indirect roles in conduction of electrical impulse from the cardiac pacemaker via the cardiac conduction system (CCS) to working myocytes. Cx43 is the dominant isoform in these channels. We have studied the distribution of Cx43 junctions between the CCS and working myocytes in a transgenic mouse model, which had the His-Purkinje portion of the CCS labeled with green fluorescence protein. The highest number of such connections was found in a region about one-third of ventricular length above the apex, and it correlated with the peak proportion of Purkinje fibers (PFs) to the ventricular myocardium. At this location, on the septal surface of the left ventricle, the insulated left bundle branch split into the uninsulated network of PFs that continued to the free wall anteriorly and posteriorly. The second peak of PF abundance was present in the ventricular apex. Epicardial activation maps correspondingly placed the site of the first activation in the apical region, while some hearts presented more highly located breakthrough sites. Taken together, these results increase our understanding of the physiological pattern of ventricular activation and its morphological underpinning through detailed CCS anatomy and distribution of its gap junctional coupling to the working myocardium.
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Affiliation(s)
- Veronika Olejnickova
- Institute of Anatomy, First Faculty of Medicine, Charles University, 128 00 Prague, Czech Republic; (V.O.); (M.K.); (A.K.); (H.K.); (A.D.); (T.G.); (L.G.); (B.S.); (M.G.)
- Institute of Physiology, CAS, 142 20 Prague, Czech Republic
| | - Matej Kocka
- Institute of Anatomy, First Faculty of Medicine, Charles University, 128 00 Prague, Czech Republic; (V.O.); (M.K.); (A.K.); (H.K.); (A.D.); (T.G.); (L.G.); (B.S.); (M.G.)
| | - Alena Kvasilova
- Institute of Anatomy, First Faculty of Medicine, Charles University, 128 00 Prague, Czech Republic; (V.O.); (M.K.); (A.K.); (H.K.); (A.D.); (T.G.); (L.G.); (B.S.); (M.G.)
| | - Hana Kolesova
- Institute of Anatomy, First Faculty of Medicine, Charles University, 128 00 Prague, Czech Republic; (V.O.); (M.K.); (A.K.); (H.K.); (A.D.); (T.G.); (L.G.); (B.S.); (M.G.)
- Institute of Physiology, CAS, 142 20 Prague, Czech Republic
| | - Adam Dziacky
- Institute of Anatomy, First Faculty of Medicine, Charles University, 128 00 Prague, Czech Republic; (V.O.); (M.K.); (A.K.); (H.K.); (A.D.); (T.G.); (L.G.); (B.S.); (M.G.)
- Department of Pediatric Cardiology, Motol University Hospital, 150 06 Prague, Czech Republic
| | - Tom Gidor
- Institute of Anatomy, First Faculty of Medicine, Charles University, 128 00 Prague, Czech Republic; (V.O.); (M.K.); (A.K.); (H.K.); (A.D.); (T.G.); (L.G.); (B.S.); (M.G.)
| | - Lihi Gidor
- Institute of Anatomy, First Faculty of Medicine, Charles University, 128 00 Prague, Czech Republic; (V.O.); (M.K.); (A.K.); (H.K.); (A.D.); (T.G.); (L.G.); (B.S.); (M.G.)
| | - Barbora Sankova
- Institute of Anatomy, First Faculty of Medicine, Charles University, 128 00 Prague, Czech Republic; (V.O.); (M.K.); (A.K.); (H.K.); (A.D.); (T.G.); (L.G.); (B.S.); (M.G.)
| | - Martina Gregorovicova
- Institute of Anatomy, First Faculty of Medicine, Charles University, 128 00 Prague, Czech Republic; (V.O.); (M.K.); (A.K.); (H.K.); (A.D.); (T.G.); (L.G.); (B.S.); (M.G.)
- Institute of Physiology, CAS, 142 20 Prague, Czech Republic
| | - Robert G. Gourdie
- Fralin Biomedical Research Institute, Virginia Tech, Roanoke, VA 24016, USA;
| | - David Sedmera
- Institute of Anatomy, First Faculty of Medicine, Charles University, 128 00 Prague, Czech Republic; (V.O.); (M.K.); (A.K.); (H.K.); (A.D.); (T.G.); (L.G.); (B.S.); (M.G.)
- Institute of Physiology, CAS, 142 20 Prague, Czech Republic
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Kazda T, Vrzal M, Prochazka T, Dvoracek P, Burkon P, Pospisil P, Dziacky A, Nikl T, Jancalek R, Slampa P, Lakomy R. Left hippocampus sparing whole brain radiotherapy (WBRT): A planning study. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2017; 161:397-402. [DOI: 10.5507/bp.2017.031] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2017] [Accepted: 06/20/2017] [Indexed: 12/21/2022] Open
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Kazda T, Vrzal M, Prochazka T, Pospisil P, Nikl T, Dvoracek P, Dziacky A, Slampa P, Jancalek R. P05.04 Dosimetrical consequences of unilateral (left) hippocampus sparing WBRT. Neuro Oncol 2017. [DOI: 10.1093/neuonc/nox036.171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Kuklova A, Kazda T, Burkon P, Pospisil P, Hynkova L, Dziacky A, Belanova R, Lakomy R, Slampa P, Jancalek R. P14.09 Incidence of left-right hippocampal metastases:analysis of 473 patients with 4063 brain metastases. Neuro Oncol 2017. [DOI: 10.1093/neuonc/nox036.396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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