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Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: BACKGROUND, RESULTS. Meshes: AMP-Activated Protein Kinases, Action Potentials, Amino Acid Substitution, Animals, Arrhythmias, Cardiac, Cells, Cultured, Enzyme Activation, Heart Ventricles, Humans, Multienzyme Complexes, Myocytes, Cardiac, Patch-Clamp Techniques, Protein Subunits, Protein-Serine-Threonine Kinases, Rats, Recombinant Proteins, Sodium Channels, Transfection.
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Does constitutively active adenosine monophosphate-activated protein kinase regulate voltage-gated sodium channels in ventricular myocytes? Context: Some PRKAG2 mutations in the human gene encoding for the gamma-subunit of the adenosine monophosphate-activated protein kinase (AMPK) recently have been shown to cause rhythm disturbances (often fatal) in affected patients. Rat ventricular myocytes were infected with an adenoviral vector designed to express a truncated constitutively active mutant (T172D) of the AMPK alpha1-subunit (CA-AMPK). The human cardiac sodium channel hH1 and CA-AMPK were also coexpressed in a mammalian cell line. Patch-clamp techniques were used to measure myocyte action potentials and recombinant hH1 sodium channel currents. Our results demonstrate that action potential duration is significantly prolonged in myocytes expressing the CA-AMPK construct, leading to the production of potentially arrhythmogenic early afterdepolarizations. Recombinant sodium channel current analysis revealed that expression of CA-AMPK significantly slowed open-state inactivation and shifted the voltage-activation curve in a hyperpolarizing direction.
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We propose that sodium channels may be substrates for AMPK, possibly contributing to the observed arrhythmogenic activity in patients with some PRKAG2 mutations. Final Decision: yes