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Cardiogenetics, Volume 13, Issue 3

September 2023 - 3 articles

Cover Story: The hyperpolarization-activated ‘funny current’ (If) is a key player in the pacemaker activity of the sinus node. It flows through ion channels encoded by the HCN4 gene and contributes to the spontaneous diastolic depolarization of the sinus node cells. Patients carrying the heterozygous A414G mutation in HCN4 typically present with moderate-to-severe sinus bradycardia. Our in vitro patch clamp experiments demonstrate that the A414G mutation affects the voltage dependence of the If channels in such a way that less channels are active in the voltage range of diastolic depolarization. Our subsequent in silico experiments, based on our data acquired in vitro, show that diastolic depolarization is significantly slowed down by the A414G mutation, in particular under vagal tone and in the presence of atrial load, explaining the clinically observed sinus bradycardia. View this paper
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Articles (3)

  • Article
  • Open Access
1 Citations
3,882 Views
18 Pages

Patients carrying the heterozygous A414G mutation in the HCN4 gene, which encodes the HCN4 protein, demonstrate moderate to severe bradycardia of the heart. Tetramers of HCN4 subunits compose the ion channels in the sinus node that carry the hyperpol...

  • Editorial
  • Open Access
2,614 Views
4 Pages

The field of genetics in cardiovascular disease has introduced new possibilities for understanding the fundamental causes of aortic diseases [...]

  • Case Report
  • Open Access
3 Citations
3,446 Views
7 Pages

GMDS Intragenic Deletions Associate with Congenital Heart Disease including Ebstein Anomaly

  • Shirley M. Lo-A-Njoe,
  • Eline A. Verberne,
  • Lars T. van der Veken,
  • Eric Arends,
  • J. Peter van Tintelen,
  • Alex V. Postma and
  • Mieke M. van Haelst

Ebstein anomaly is a rare heterogeneous congenital heart defect (CHD) with a largely unknown etiology. We present a 6-year-old girl with Ebstein anomaly, atrial septum defect, hypoplastic right ventricle, and persistent left superior vena cava who ha...

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Cardiogenetics - ISSN 2035-8148