Abstract
Regulation of ion channel activity plays a central role in controlling heart rate, rhythm, and contractility responses to cardiovascular demands. Dynamic beat-to-beat regulation of ion channels is precisely adjusted by autonomic stimulation of cardiac G protein-coupled receptors. The rapidly activating delayed rectifier K+ current (I Kr) is produced by the channel that is encoded by human ether-a-gogo-related gene (HERG) and is essential for the proper repolarization of the cardiac myocyte at the end of each action potential. Reduction of I Kr via HERG mutations or drug block can lead to lethal cardiac tachyarrhythmias. Autonomic regulation of HERG channels is an area of active investigation with the emerging picture of a complex interplay of signal transduction events, including kinases, second messengers, and protein–protein interactions. A recently described pathway for regulation of HERG is through channel interaction with the phospholipid phosphatidylinositol 4,5-bisphosphate (PIP2). Changes in cellular PIP2 concentrations may occur with Gq-coupled receptor activation. Here, we review the evidence for PIP2–HERG interactions, its potential biological significance, and unfilled gaps in our understanding of this regulatory mechanism.
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Acknowledgements
This work was supported by grants from the NHLBI and AHA to TVM and from the Singapore Biomedical Research Council to J-SB.
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Bian, JS., McDonald, T.V. Phosphatidylinositol 4,5-bisphosphate interactions with the HERG K+ channel. Pflugers Arch - Eur J Physiol 455, 105–113 (2007). https://doi.org/10.1007/s00424-007-0292-5
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DOI: https://doi.org/10.1007/s00424-007-0292-5