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http://purl.uniprot.org/citations/23661717http://www.w3.org/1999/02/22-rdf-syntax-ns#typehttp://purl.uniprot.org/core/Journal_Citation
http://purl.uniprot.org/citations/23661717http://www.w3.org/2000/01/rdf-schema#comment"

Rationale

In patients with Brugada syndrome, arrhythmias typically originate in the right ventricular outflow tract (RVOT). The RVOT develops from the slowly conducting embryonic outflow tract.

Objective

We hypothesize that this embryonic phenotype is maintained in the fetal and adult RVOT and leads to conduction slowing, especially after sodium current reduction.

Methods and results

We determined expression patterns in the embryonic myocardium and performed activation mapping in fetal and adult hearts, including hearts from adult mice heterozygous for a mutation associated with Brugada syndrome (Scn5a1798insD/+). The embryonic RVOT was characterized by expression of Tbx2, a repressor of differentiation, and absence of expression of both Hey2, a ventricular transcription factor, and Gja1, encoding the principal gap-junction subunit for ventricular fast conduction. Also, conduction velocity was lower in the RVOT than in the right ventricular free wall. Later in the development, Gja1 and Scn5a expression remained lower in the subepicardial myocardium of the RVOT than in RV myocardium. Nevertheless, conduction velocity in the adult RVOT was similar to that of the right ventricular free wall. However, in hearts of Scn5a1798insD/+ mice and in normal hearts treated with ajmaline, conduction was slower in the RVOT than in the right ventricular wall.

Conclusions

The slowly conducting embryonic phenotype is maintained in the fetal and adult RVOT and is unmasked when cardiac sodium channel function is reduced."xsd:string
http://purl.uniprot.org/citations/23661717http://purl.org/dc/terms/identifier"doi:10.1161/circresaha.113.301565"xsd:string
http://purl.uniprot.org/citations/23661717http://purl.uniprot.org/core/author"Bezzina C.R."xsd:string
http://purl.uniprot.org/citations/23661717http://purl.uniprot.org/core/author"Christoffels V.M."xsd:string
http://purl.uniprot.org/citations/23661717http://purl.uniprot.org/core/author"Sylva M."xsd:string
http://purl.uniprot.org/citations/23661717http://purl.uniprot.org/core/author"Remme C.A."xsd:string
http://purl.uniprot.org/citations/23661717http://purl.uniprot.org/core/author"de Gier-de Vries C."xsd:string
http://purl.uniprot.org/citations/23661717http://purl.uniprot.org/core/author"Boukens B.J."xsd:string
http://purl.uniprot.org/citations/23661717http://purl.uniprot.org/core/author"Coronel R."xsd:string
http://purl.uniprot.org/citations/23661717http://purl.uniprot.org/core/date"2013"xsd:gYear
http://purl.uniprot.org/citations/23661717http://purl.uniprot.org/core/name"Circ Res"xsd:string
http://purl.uniprot.org/citations/23661717http://purl.uniprot.org/core/pages"137-141"xsd:string
http://purl.uniprot.org/citations/23661717http://purl.uniprot.org/core/title"Reduced sodium channel function unmasks residual embryonic slow conduction in the adult right ventricular outflow tract."xsd:string
http://purl.uniprot.org/citations/23661717http://purl.uniprot.org/core/volume"113"xsd:string
http://purl.uniprot.org/citations/23661717http://www.w3.org/2004/02/skos/core#exactMatchhttp://purl.uniprot.org/pubmed/23661717
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