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Molecular Analysis of Patterning of Conduction Tissues in the Developing Human Heart

Lookup NU author(s): Deepthi Devalla, Professor Bob Anderson


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Background-Recent studies in experimental animals have revealed some molecular mechanisms underlying the differentiation of the myocardium making up the conduction system. To date, lack of gene expression data for the developing human conduction system has precluded valid extrapolations from experimental studies to the human situation. Methods and Results-We performed immunohistochemical analyses of the expression of key transcription factors, such as ISL1, TBX3, TBX18, and NKX2-5, ion channel HCN4, and connexins in the human embryonic heart. We supplemented our molecular analyses with 3-dimensional reconstructions of myocardial TBX3 expression. TBX3 is expressed in the developing conduction system and in the right venous valve, atrioventricular ring bundles, and retro-aortic nodal region. TBX3-positive myocardium, with exception of the top of the ventricular septum, is devoid of fast-conducting connexin40 and connexin43 and hence identifies slowly conducting pathways. In the early embryonic heart, we found wide expression of the pacemaker channel HCN4 at the venous pole, including the atrial chambers. HCN4 expression becomes confined during later developmental stages to the components of the conduction system. Patterns of expression of transcription factors, known from experimental studies to regulate the development of the sinus node and atrioventricular conduction system, are similar in the human and mouse developing hearts. Conclusions-Our findings point to the comparability of mechanisms governing the development of the cardiac conduction patterning in human and mouse, which provide a molecular basis for understanding the functioning of the human developing heart before formation of a discrete conduction system. (Circ Arrhythm Electrophysiol. 2011;4:532-542.)

Publication metadata

Author(s): Sizarov A, Devalla HD, Anderson RH, Passier R, Christoffels VM, Moorman AFM

Publication type: Article

Publication status: Published

Journal: Circulation: Arrhythmia and Electrophysiology

Year: 2011

Volume: 4

Issue: 4

Pages: 532-542

Print publication date: 01/08/2011

ISSN (print): 1941-3149

ISSN (electronic): 1941-3084

Publisher: Lippincott Williams & Wilkins


DOI: 10.1161/CIRCEP.111.963421


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Funder referenceFunder name
7301Estonian Science Foundation
Health-F2-2008 to 223040European Community
LSHM-CT-2005 to 018630European Community