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Targeted Sarcoplasmic Reticulum Ca2+ ATPase 2a Gene Delivery to Restore Electrical Stability in the Failing Heart

Recently, we reported that sarcoplasmic reticulum Ca(2+) ATPase 2a (SERCA2a), the pump responsible for reuptake of cytosolic calcium during diastole, plays a central role in the molecular mechanism of cardiac alternans. Heart failure (HF) is associated with impaired myocardial calcium handling, defi...

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Bibliographic Details
Published in:Circulation (New York, N.Y.) N.Y.), 2012-10, Vol.126 (17), p.2095-2104
Main Authors: CUTLER, Michael J, XIAOPING WAN, PLUMMER, Bradley N, HAIYAN LIU, DESCHENES, Isabelle, LAURITA, Kenneth R, HAJJAR, Roger J, ROSENBAUM, David S
Format: Article
Language:English
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Summary:Recently, we reported that sarcoplasmic reticulum Ca(2+) ATPase 2a (SERCA2a), the pump responsible for reuptake of cytosolic calcium during diastole, plays a central role in the molecular mechanism of cardiac alternans. Heart failure (HF) is associated with impaired myocardial calcium handling, deficient SERCA2a, and increased susceptibility to cardiac alternans. Therefore, we hypothesized that restoring deficient SERCA2a by gene transfer will significantly reduce arrhythmogenic cardiac alternans in the failing heart. Adult guinea pigs were divided into 3 groups: control, HF, and HF+AAV9.SERCA2a gene transfer. HF resulted in a decrease in left ventricular fractional shortening compared with controls (P
ISSN:0009-7322
1524-4539
DOI:10.1161/circulationaha.111.071480