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Am J Physiol Heart Circ Physiol 281: H1711–H1719, 2001. The slow mo mutation reduces pacemaker current and heart rate in adult zebrafish KERRI S. WARREN,1* KEITH BAKER,2* AND MARK C. FISHMAN1 1 Cardiovascular Research Center and 2Department of Anesthesia and Critical Care, Massachusetts General Hospital and Harvard Medical School, Charlestown, Massachusetts 02129 Received 9 February 2001; accepted in final form 3 July 2001 bradycardia; genetic screen; Ih provide a means to scan the genome for genes important to embryonic physiological function (35, 36). However, many important homeostatic mechanisms are not fully developed until well after embryogenesis, and it is not known if the functions of a gene in the embryo predict those in the adult. The regulation of heart rate, for example, differs dramatically from embryonic to adult animals (4, 5, 18, 30). Neuronal and humoral control and developmentally regulated and chamber-specific participation of voltage-gated currents are all core determinants of adult cardiac pacing. Additional factors that change with growth and that may affect heart rate include oxygen delivery to the thickening myocardium, calcium storage and release mechanisms, sarcomeric kinetics, the rate of force development in cardiomyocytes, and properties of the pacemaker potential (19). How these many heart rate regulators are orchestrated to provide carefully controlled sequential beatGENETIC SCREENS IN ZEBRAFISH * Authors contributed equally to this study. Address for reprint requests and other correspondence: M. C. Fishman, Cardiovascular Research Center, Massachusetts General Hospital, 149 13th St., Charlestown, MA 02129 (E-mail: fishman @cvrc.mgh.harvard.edu). http://www.ajpheart.org ing of the chambers is not clear. Many heart cells appear to have pacemaking properties when isolated in culture. The “pacemaker current” (Ih) is one current shared among cardiac myocytes, both in the sinus node and throughout atria and ventricles. There are several lines of evidence that Ih is among the most important currents for pacemaking in the heart (for a review, see Ref. 11). It is an unusual current in that it provides inward current upon hyperpolarization of the cell membrane. The inward current helps lead to sufficient depolarization to initiate an action potential. Ih is a presumptive target for autonomic nervous system regulation of heart rate. Adrenergic stimulation increases Ih activity and thereby speeds heart rate. Cholinergic stimulation decreases Ih activity and thereby slows heart rate (9). Ih properties differ between the embryonic and adult heart and between the atrium and ventricle. As the heart matures, Ih conductance in the atrium and the developing conduction system increases, whereas the current density of Ih in the ventricle drops dramatically (6). In addition, the threshold for activation of ventricular Ih is shifted to an even more hyperpolarized voltage (27, 29), thus reducing its effect on pacemaking. The genetic evidence that Ih does regulate cardiac pacemaking in the intact animal comes from the mutation slow mo. We discovered this mutation as part of a large-scale zebrafish genetic screen. The homozygous slow mo fish has a slow heart rate (sinus bradycardia) evident from the first heartbeats (3). This is the only noticeable effect of the mutation. At present, the mutation resides in an unknown gene. In a prior study, we developed the means to culture and voltage-clamp cells from embryonic zebrafish hearts and found these cells manifested a variety of currents, including Ih. In the embryonic zebrafish heart, Ih appears to have two kinetically distinct components, as has also been described in cardiomyocytes from the rabbit heart (10, 20, 24) and in neurons from the rat (31). Myocardial cells of slow mo mutant embryos have a markedly reduced Ih, with a near ablation of the fast component (3). Most of the 150 cardiac mutations discovered in zebrafish genetic screens are lethal (2, 7, 32, 36). AlThe costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked ‘‘advertisement’’ in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. 0363-6135/01 $5.00 Copyright © 2001 the American Physiological Society H1711 Downloaded from http://ajpheart.physiology.org/ by 10.220.33.6 on June 17, 2017 Warren, Kerri S., Keith Baker, and Mark C. Fishman. The slow mo mutation reduces pacemaker current and heart rate in adult zebrafish. Am J Physiol Heart Circ Physiol 281: H1711–H1719, 2001.—Genetic studies in zebrafish have focused on embryonic mutations, but many physiological mechanisms continue to mature after embryogenesis. We report here that zebrafish homozygous for the mutation slow mo can be raised to adulthood. In the embryo, the slow mo gene is needed to regulate heart rate, and its mutation causes a reduction in pacemaker current (Ih) and slowing of heart rate (bradycardia). The homozygous adult slow mo fish continues to manifest bradycardia, without other evident ill effects. Patch-clamp analysis of isolated adult cardiomyocytes reveals that Ih has chamber-specific properties such that the atrial current density of Ih is far greater than the ventricular current density of Ih. Ih is markedly diminished in cardiomyocytes from both chambers of slow mo mutant fish. Thus Ih continues to be a critical determinant of pacemaker rate even after adult neural and humoral influences have developed. It is clear that zebrafish may be used for genetic dissection of selected physiological mechanisms in the adult. H1712 SLOW MO REDUCES PACEMAKER CURRENT AND HEART RATE though slow mo mutant embryos do have reduced viability, we have been able to carry several through to adulthood. In the adult fish, we found that the slow mo mutation causes a chronic bradycardia even though the heart is fully innervated. Here, we report maturational changes in the properties of Ih that have a chamber-specific profile. The adult slow mo mutant fish continues to manifest bradycardia. This bradycardia is present in the setting of a dramatic reduction in Ih, especially in atrial cells. This demonstrates that Ih continues to play a central role in pacemaking in the adult heart. MATERIALS AND METHODS AJP-Heart Circ Physiol • VOL RESULTS Adult slow mo zebrafish have a reduced heart rate. Of the nearly 150 published mutations affecting the heart in zebrafish, only slow mo homozygotes are viable past embryonic development. Slow mo fish grow at the same rate as wild-type siblings but do appear to have a 281 • OCTOBER 2001 • www.ajpheart.org Downloaded from http://ajpheart.physiology.org/ by 10.220.33.6 on June 17, 2017 Fish care. Zebrafish were raised and maintained as described in (37). Fish were classified as adults after achievement of sexual maturity at ⬃3 mo of age. Homozygote genotypes for slow mo mutant adults were confirmed before analysis. Heart rate counts. Adult fish (4–18 mo old) were transferred to an aqueous solution of propofol at a final concentration of 5 g/ml. Fish were anesthetized for 5 min and then transferred to the counting chamber. The chamber consisted of a cuvette immersed in propofol at the same concentration used in the anesthetizing container. The chamber made it possible to turn the fish ventral side up to directly observe the heart beat. The heart rate was counted for a full 60 s under direct vision using a dissecting microscope. Once the counting was finished, the fish was transferred to normal fish water without propofol. All fish survived the counting experiments. Temperature of all solutions used for the propofol counting experiments fell within the range of 20.0–23.0°C. A second set of counting experiments was conducted with the fish anesthetic tricaine (MS-222, Sigma) at a final concentration of 0.16 mg/ml (37), and the temperature was maintained at 26°C throughout. Heart rates were always determined blind to the genotype of the fish. Cardiomyocyte culture. Cells were prepared from adult zebrafish (4–18 mo old). Fish were anesthetized by allowing the fish to swim in an aqueous solution of tricaine for 3–5 min. Each fish was in turn placed in L15 media (GIBCOBRL) and pinned ventral side up, and the entire heart was dissected out and placed in a solution of L15 supplemented with penicillin G (200 IU/ml) and streptomycin (200 g/ml). The heart could reliably be removed within 30 s. Once three hearts had been placed in the antibiotic supplemented L15, the atrium and ventricle were separated under direct vision. The chambers of interest (either atria or ventricles) were then opened widely and transferred to 750 l of solution A [containing (in mM) 135 NaCl, 5.4 KCl, 1 MgCl2, and 10 HEPES (pH 7.20 with NaOH)]. The solution was supplemented with penicillin G-streptomycin (26). The chambers were allowed to stir for 10 min at room temperature in a small cuvette. While the hearts continued to stir, 750 l of solution B (solution A supplemented with 2 mg/ml collagenase I, 0.28 mg/ml protease XIV, 200 IU/ml penicillin G, and 200 g/ml streptomycin) was added. The hearts were then allowed to stir for 60 min at room temperature to digest the tissue. The digestion solution was then transferred to an Eppendorf tube, and the cells were pelleted by spinning at 2,000 rpm for 2 min. The supernatant was removed, and 1 ml of L15 supplemented with penicillin G-streptomycin was added. The cells were spun as before, and the supernatent was again removed. The cells were then resuspended in 400 l of L15 supplemented with penicillin G-streptomycin. The cells were rested for 10 min at room temperature, and single cells were then obtained by gentle trituration. Cells were placed on plain glass coverslips. The cells were used for recording on the following day. The cells were prepared blind to the genotype of the fish. Electrophysiology. Standard whole cell recording techniques were applied to single cells. All data were acquired and analyzed blind to genotype. For recording Ih from both atria and ventricles, the bath solution contained (in mM) 40 NaCl, 40 KCl, 2 CaCl2, 1 MgCl2, 40 N-methyl-D-glucamine, 10 tetraethylammonium chloride, 10 HEPES, and 10 glucose (pH 7.4 with NaOH). The corresponding pipette solution contained (in mM) 70 KF, 70 KCl, 1 MgCl2, 10 EGTA, and 10 HEPES (pH 7.4 with NaOH). For recording sodium current (INa) from both atria and ventricles, the bath solution contained (in mM) 30 NaCl, 110 choline chloride, 2 KCl, 1 MgCl2, 2 CaCl2, 2 BaCl2, 10 HEPES, and 10 glucose (pH 7.4 with NaOH). The corresponding pipette solution contained (in mM) 70 CsCl, 70 CsF, 0.5 MgCl2, 10 EGTA, and 10 HEPES (pH 7.4 with CsOH). Pipettes were pulled using borosilicate glass and polished to resistances of 1.6–3.2 M⍀. All INa recordings had series resistance compensation employed at 90%. Ih were acquired without such compensation. Data acquisition and analysis were carried out using pCLAMP 6 software (Axon Instruments; Foster City, CA). All recordings were at room temperature (20.5–23.0°C). The amplitude of Ih was determined from the amplitude of the Boltzmann fit to the steady-state activation curve determined at a test voltage of ⫺130 mV. The amplitude of INa was determined from the amplitude of the Boltzmann fit to the steady-state inactivation curve determined at a test voltage of ⫺30 mV. The leak current and nonlinear open channel properties were minimized by taking all of the current amplitudes at a constant test voltage. The kinetics of activation for Ih were determined at ⫺130 mV. Data traces were filtered at 1 kHz and fitted with either a single- or double-exponential curve. All traces were initially fit with a single exponential. The need for a second component was determined by a trial fit with two components. If the fitting algorithm converged and gave a nontrivial second component (i.e., time constant and amplitude ⬎ 0), then two components were assumed. The fitting and number of components was determined blind to the genotype. In the majority of cases, the number of components was easily confirmed by visual inspection. Cell capacitance was determined for all cells, and all currents are reported as current densities. Cell capacitance was determined by nulling all capacitative charge in the on-cell configuration, converting to the whole cell configuration, and then immediately determining the cell capacitance by providing the cell with a voltage ramp and measuring the resulting current. As a check, we integrated the amount of current passed during a small voltage step (10 mV). The cell capacitance determined using these two separate methods gave results within 5% of each other. Statistics. All comparisons were made using robust statistics (15). The robust median and the 99% confidence interval about the robust median were determined for the parameters of interest. The confidence interval is based on the biweight locator and estimate of scale. SLOW MO REDUCES PACEMAKER CURRENT AND HEART RATE H1713 Fig. 1. Heart size and morphology are not altered in slow mo (smo) mutant adults. Histological cross sections through adult (9 mo old) fish at the level of the heart preserve orientation and shape and demonstrate that slow mo mutant hearts (B) are not grossly different from wild-type (WT) adult fish hearts (A). Bar, 250 m. Fig. 2. Heart rate is reduced in adult slow mo zebrafish. Adult zebrafish were anesthetized with propofol, and the heart rate was counted under direct vision. Heart rate counts were binned at increments of 5 beats/min (bpm), and the resulting histogram for each genotype is shown; n ⫽ 81 WT fish (A) and 75 slow mo fish (B) for the generation of the histograms. The 99% confidence interval is shown by the dark gray bars in each histogram. The solid line at the center of the bar indicates the robust median. The slow mo population had a slower heart rate than the WT population. AJP-Heart Circ Physiol • VOL beats/min, 99% robust confidence interval, 32.1–41.7 beats/min). We also performed heart rate counts at a warmer temperature (26°C) using the fish anesthetic tricaine, which has a different molecular structure and presumed mechanism of action from propofol. Our earlier work (3) has shown that the heart rate is temperature sensitive, and we wanted to explore a temperature that was very close to the physiological temperature at which the fish were reared. We found that the slow mo bradycardia was not due to the effects of a particular anesthetic or the temperature because the bradycardia was still present when heart rates were determined at 26°C in tricaine (wild-type: n ⫽ 28; robust median, 111 beats/min, 99% robust confidence interval, 106–116 beats/min; slow mo: n ⫽ 25; robust median, 80.0 beats/min, 99% robust confidence interval, 72.2–87.9 beats/min). In wild-type adult cardiomyocytes, ventricular Ih is smaller than atrial Ih. In other species, it has been noted that there are chamber-specific properties to Ih, with a difference in current density and voltage dependence between the atrium and ventricle that presumably would make the ventricle less likely to activate Ih, thereby favoring atrial pacemaking. Our prior work using embryonic zebrafish revealed a reduced Ih in embryonic slow mo cardiomyocytes. In our earlier work (3), it was not technically feasible to separately culture atrial and ventricular myocytes from the embryonic heart, so we did not distinguish whether chamber-specific differences were present in the embryo. During those prior studies, we did observe a range of current densities and activation voltages for Ih in the mixed population of cells from the embryonic heart, so it is possible that embryonic cells do have chamber-specific properties. It is important to note that the differences between slow mo and wild-type Ih are dramatic throughout the entire voltage range of activation. 281 • OCTOBER 2001 • www.ajpheart.org Downloaded from http://ajpheart.physiology.org/ by 10.220.33.6 on June 17, 2017 slightly reduced viability. As shown in Fig. 1, slow mo mutant adults hearts are histologically indistinguishable from wild-type hearts. Overall morphology and size are not different between wild-type fish and slow mo mutants (data not shown). We examined adult heart rates directly through the skin in intact fish under anesthesia. Heart rates were counted from a group of adult wild-type zebrafish (n ⫽ 81) and compared with heart rates from an agematched group of slow mo fish (n ⫽ 75). As shown in Fig. 2, slow mo heart rates were significantly lower than those in wild-type hearts (wild-type: robust median, 50.5 beats/min; 99% robust confidence interval, 45.2–55.8 beats/min; slow mo: robust median, 36.9 H1714 SLOW MO REDUCES PACEMAKER CURRENT AND HEART RATE Chamber-specific cell culture is feasible from the adult fish heart (see MATERIALS AND METHODS). To investigate adult Ih, we performed whole cell patch-clamp recordings, separately evaluating cells isolated from the atrium or ventricle of wild-type fish hearts. Ih from adult wild-type atrial cells is evident as a hyperpolarization-activated inward current, as shown in Fig. 3A. A typical recording from an adult wild-type ventricular cardiomyocyte also revealed the presence of a hyperpo- larization-activated inward current, Ih (Fig. 3A). However, Ih in the ventricle was smaller than in the atrium, as shown in Fig. 3A. The current density of Ih was 33.3 pA/pF in atrial cells compared with 7.6 pA/pF in ventricular cells (Table 1). As expected for Ih, bath application of CsCl (2 mM) eliminated nearly all of the inward Ih in six wild-type atrial cells. The residual current density was 0.3 pA/pF and amounted to 1% of the unblocked current density. Downloaded from http://ajpheart.physiology.org/ by 10.220.33.6 on June 17, 2017 Fig. 3. Pacemaker current (Ih) is reduced in both the atrium and ventricle of adult slow mo zebrafish. A: representative Ih recorded from individual atrial and ventricular cells demonstrate two findings. First, slow mo Ih are reduced in size compared with WT Ih in both the atrium and ventricle. Second, ventricular currents are smaller than atrial currents for both WT and slow mo. Currents were elicited by hyperpolarizing the cells from a holding voltage of ⫺40 mV to more negative voltages (⫺130 to ⫺50 mV in 10-mV increments). After the 8-s hyperpolarization, the voltage was stepped to ⫺130 mV for 1 s and then returned to ⫺40 mV. Currents were elicited every 15 s. The data are shown without any leak subtraction, and the calibration bars pertain to each current family. B: histograms and 99% robust confidence intervals for the current density of Ih show that the population of slow mo cells (b) from atria (n ⫽ 39) and ventricles (n ⫽ 36) have less current density than the population of WT cells (a) from atria (n ⫽ 36) and ventricles (n ⫽ 30). Current densities of Ih were determined at ⫺130 mV as previously described (3). For atrial cells, current densities were binned every 5 pA/pF. The 99% robust confidence interval is shown by the dark gray bars in each histogram. The solid line at the center of the bar indicates the robust median. In atrial cells, slow mo current density of Ih was lower than that in WT. Note the excess number of slow mo atrial cells having little or no current density. For ventricular cells, current densities were binned every 1.5 pA/pF. In ventricular cells, the slow mo current density of Ih was lower than that in WT. Note the excess of slow mo ventricular cells having little or no current density. Note the difference in the y-axis between the atrial and ventricular histograms. Atrial current density was larger than ventricular current density for both genotypes. AJP-Heart Circ Physiol • VOL 281 • OCTOBER 2001 • www.ajpheart.org SLOW MO H1715 REDUCES PACEMAKER CURRENT AND HEART RATE Table 1. Summary of measured current characteristics from both WT and slow mo cells for each cardiac chamber Atrium n Cm, pF WT slow mo 79 78 Ventricle Robust median 18.1 16.9 99% Robust CI n 16.56–19.67 15.40–18.40 78 85 Robust median 16.3 16.7 99% Robust CI 14.75–17.86 15.61–17.79 Ih characteristics 36 39 33.3*†‡ 9.7*†‡ 36 28 ⫺106.8 ⫺105.7 36 28 12.4 10.2 35 24 669 778 36 30 5,033 4,971 25.2–41.4 4.8–14.5 30 36 7.6*†‡ 2.0*†‡ ⫺110.2 to ⫺103.4 ⫺110.1 to ⫺101.2 29 26 ⫺105.2 ⫺107 11.34–13.42 8.40–11.94 29 26 10.6 10.4 4.90–10.21 1.14–2.87 ⫺110.8 to ⫺99.6 ⫺112.0 to ⫺101.9 9.57–11.71 8.11–12.77 584–753 631–925 ND ND ND ND 4,024–6,041 3,839–6,104 ND ND ND ND 36 39 12.1* 1.1* 8.66–15.55 0.19–1.99 ND ND ND ND 36 39 12.7* 5.0* 10.52–14.93 2.90–7.05 ND ND ND ND INa characteristics Current density, pA/pF WT slow mo V1/2, mV WT slow mo Vs, mV WT slow mo 43 36 97.9 136.2† 74.5–121.2 95.1–177.3 44 46 99.3 83.5† 43 36 ⫺77.6† ⫺79.8† ⫺79.4 to ⫺75.8 ⫺81.9 to ⫺77.7 41 42 ⫺71.1† ⫺70.3† 5.02–5.58 5.03–5.62 41 42 43 36 5.30† 5.33† 4.69† 4.61† 88.4–110.2 73.0–93.9 ⫺73.0 to ⫺69.2 ⫺71.5 to ⫺69.1 4.54–4.85 4.49–4.74 n ⫽ No. of cells. WT, wild-type; CI, confidence interval; Cm, cell capacitance; Ih, pacemaker current; V1/2, voltage at which current is half-activated; Vs, voltage sensitivity of activation for current; fast and slow, time constants for the fast and slow components of Ih activation at ⫺130 mV, respectively; Ampfast and Ampslow, current densities (amplitudes) for the fast and slow components of Ih activation at ⫺130 mV, respectively; INa, sodium current. Each parameter was measured for both genotypes and both chambers. Ventricular Ih from slow mo cells were so small that accurate kinetics could not be obtained. A meaningful comparison could, therefore, not be performed between WT and slow mo Ih from the ventricle. ND, not determined. * Significantly different between WT and slow mo; † significantly different between atrium and ventricle; ‡ significantly different between both WT and slow mo and atrium and ventricle. Ih is reduced in adult slow mo atrial cardiomyocytes. As shown in Fig. 3A, Ih in adult slow mo atrial cells is smaller than in wild-type atrial cells. To quantitate the difference in Ih between wild-type and slow mo cells, we compared the current density between a group of wild-type cells (n ⫽ 36) and a group of slow mo cells (n ⫽ 39). The current density was significantly smaller in slow mo atrial cells (wild-type: robust median, 33.3 pA/pF; 99% robust confidence interval, 25.2–41.4 pA/ pF; slow mo: robust median, 9.7 pA/pF; 99% robust confidence interval, 4.8–14.5 pA/pF). A histogram of our data along with the 99% confidence interval on the robust median is presented in Fig. 3B. The histograms demonstrate that the slow mo atrial cells have a lower current density of Ih and that many slow mo cells have no discernable Ih. AJP-Heart Circ Physiol • VOL We previously reported that Ih has two components: a fast large amplitude and a slow smaller amplitude component (3). We therefore quantitatively compared the amplitude (Ampfast) and time constant for the fast component (fast) of Ih and the amplitude (Ampslow) and time constant for the slow component (slow) of Ih. We also compared the voltage at which Ih (or INa) is half activated (V1/2) and the voltage sensitivity of activation (Vs). The results are summarized in Table 1. We found that of all the parameters we examined, only the Ih amplitudes were different between wild-type and slow mo cardiomyocytes. Ampfast and Ampslow were reduced in the slow mo cells compared with wild-type cells (Ampfast of wild-type: robust median, 12.1 pA/pF; 99% robust confidence interval, 8.7–15.6 pA/pF; Ampfast of slow mo: robust median, 1.1 pA/pF; 99% robust confi- 281 • OCTOBER 2001 • www.ajpheart.org Downloaded from http://ajpheart.physiology.org/ by 10.220.33.6 on June 17, 2017 Current density, pA/pF WT slow mo V1/2, mV WT slow mo Vs, mV WT slow mo fast, ms WT slow mo slow, ms WT slow mo Ampfast, pA/pF WT slow mo Ampslow, pA/pF WT slow mo H1716 SLOW MO REDUCES PACEMAKER CURRENT AND HEART RATE AJP-Heart Circ Physiol • VOL DISCUSSION This study provides genetic evidence that Ih is an essential component of cardiac pacemaking in the adult zebrafish. A defect in the slow mo gene causes a reduced heart rate in adult zebrafish and, at the cellular level, a reduction in the activity of Ih in both chambers of the heart. The electrophysiological phenotype of slow mo differs slightly between the adult and embryonic heart. We (3) previously reported that the slow mo mutation affects embryonic heart rate, providing evidence that Ih is essential for pacing in the embryo. Our study of cardiomyocytes derived from embryonic hearts revealed that the slow mo mutation appears to perturb predominantly the fast component of Ih, leaving the slow component unaltered (3). In the adult zebrafish atria, however, where both the fast and slow components could be distinguished, slow mo reduces the amplitude of both components of Ih. The time constants for each component are unchanged, but the amplitude of the currents contributed by the fast as well as the slow components are reduced (Table 1). A comparison of the kinetics of embryonic wild-type Ih with adult atrial Ih shows a slowing of both fast and slow components in the adult compared with the embryo. An alteration in our recording solutions and the inclusion of tetraethylammonium in the bath solution for recording the adult Ih may have played at least some part in slowing adult Ih kinetics. A more likely contributing factor is the fact that the voltage range over which the adult cells activate is nearly 13 mV more negative than that in embryonic cells. This would tend to slow the adult kinetics for any given voltage step. A similar slowing has been noted during development of rat ventricular Ih (27). Despite the reduced amplitude of slow mo Ih, Ih still responds to internal cAMP by shifting the voltage at which it activates into a more depolarized region. In this regard, slow mo Ih behaves like the wild-type Ih in both the atrium and ventricle. Genes encoding Ih channels have recently been cloned. These genes were termed hyperpolarizationactivated cyclic nucleotide-gated (HCN) genes for the properties of the channels they encode (8, 13, 21, 28). HCN channels are members of the voltage-gated K⫹ channel family and possess a COOH-terminal cyclic nucleotide-binding domain. Expression studies of HCN family members have revealed that HCN isoforms have different activation kinetics, suggesting that the different kinetic components of Ih measured in cardiomyocytes reflect individual contributions from separate HCN isoforms (22). Perhaps the slow mo mutation affects gene products in a developmentally differential pattern and the embryonic Ih profile is differentially affected compared with the adult. A change of isoform profiles in development has been documented for Ih in the rat ventricle (29). We found that atrial cardiomyocytes in the zebrafish heart have a greater current density of Ih than ventricular cardiomyocytes, as is true for other vertebrates. This has been teleologically ascribed to the beneficial 281 • OCTOBER 2001 • www.ajpheart.org Downloaded from http://ajpheart.physiology.org/ by 10.220.33.6 on June 17, 2017 dence interval, 0.2–2.0 pA/pF; Ampslow of wild-type: robust median, 12.7 pA/pF; 99% robust confidence interval, 10.5–14.9 pA/pF; Ampslow of slow mo: robust median, 5.0 pA/pF; 99% robust confidence interval, 2.9–7.1 pA/pF). In contrast, we found no significant difference between V1/2, Vs, fast, or slow for Ih (Table 1). We also tested both wild-type and slow mo atrial cardiomyocytes for their responsiveness to internal cAMP. We included 100 M cAMP in the patch pipette and found that V1/2 of Ih markedly shifted in the depolarized direction (wild-type: n ⫽ 48; robust median, ⫺84.0 mV; 99% robust confidence interval, ⫺85.9 to ⫺82.0 mV; slow mo: n ⫽ 39; robust median, ⫺87.7 mV; 99% robust confidence interval, ⫺90.2 to ⫺85.2 mV). Ih is reduced in adult slow mo ventricular cardiomyocytes. Even though wild-type ventricular Ih is small compared with atrial Ih, we could still observe a diminution of ventricular Ih in the slow mo mutant (Fig. 3A). The current density of Ih was smaller in slow mo ventricular cells compared with wild-type cells (wildtype: n ⫽ 30; robust median, 7.6 pA/pF; 99% robust confidence interval, 4.9–10.2 pA/pF; slow mo: n ⫽ 36; robust median, 2.0 pA/pF; 99% robust confidence interval, 1.1–2.9 pA/pF). A histogram of these data along with the 99% confidence interval on the robust median is shown in Fig. 3B. The histograms demonstrate that slow mo ventricular cells have a lower current density of Ih and that many slow mo ventricular cells have no discernable Ih. Because of the small size of ventricular Ih, we were not able to confidently perform a kinetic analysis of Ih activation, but, as shown in Table 1, we found no significant difference between wild-type and slow mo Ih in terms of V1/2 or Vs (Table 1). We also tested both wild-type and slow mo ventricular cardiomyocytes for their responsiveness to internal cAMP. We included 100 M cAMP in the patch pipette and found that V1/2 markedly shifted in the depolarized direction (wild-type: n ⫽ 8; robust median, ⫺75.3 mV; 99% robust confidence interval, ⫺88.1 to ⫺62.5 mV; slow mo: n ⫽ 6; robust median, ⫺80.5 mV; 95% robust confidence interval, ⫺92.7 to ⫺68.2 mV). The slow mo mutation has minimal effects on INa in adult zebrafish. As a control for the specificity of the effects of the slow mo mutation on ion currents other than Ih, we examined the inward INa, found in nearly all of the cells of both slow mo and wild-type hearts. Typical recordings from these cardiomyocytes are shown in Fig. 4A. In our wild-type chamber-specific analysis, we found some distinctions between ventricular and atrial INa in zebrafish hearts. Atrial INa has a steady-state inactivation voltage that is more negative than ventricular INa, and there is a reduced voltage sensitivity to steady-state inactivation with atrial INa compared with ventricular INa (Table 1). However, these features were not different between wild-type and slow mo mutant cells. In addition, we found no significant differences in the current density at ⫺30 mV of atrial INa between wild-type (n ⫽ 43) and slow mo cells (n ⫽ 36) or of ventricular INa between wildtype (n ⫽ 44) and slow mo cells (n ⫽ 46) (Table 1 and Fig. 4B). SLOW MO REDUCES PACEMAKER CURRENT AND HEART RATE H1717 effect of restricting pacemaking to pacemaking tissues, thereby avoiding ectopic pacemaking. The specific strategy for Ih distribution patterning appears to differ from species to species. Human, mouse, rabbit, and rat cardiomyocytes manifest a negative shift of the voltage dependence of activation of Ih in tissues where pacemaking is usually inappropriate (12, 27, 29). This is not true for zebrafish cardiomyocytes, in which the atrial and ventricular cells differ not in the activation voltage for Ih but rather in the current density over the entire activation range. This has also been reported in the rat, in which ventricular current density of Ih is reAJP-Heart Circ Physiol • VOL duced compared with atrial current density, without a shift in activation voltage (6). How the slow mo gene normally affects Ih must await its cloning. Although it is formally possible that slow mo is an Ih gene, our preliminary linkage studies do not suggest this to be the case. Alternatively, it might be a modifier of the function of the channel. Most known modifiers of Ih increase or decrease Ih activity via a shift in the voltage dependence of activation. This is true, for example, of adrenergic and cholinergic agonists (11), calcium (23), substance P via the NK1 receptor (17), and opioids (16, 33). Modifications of native Ih 281 • OCTOBER 2001 • www.ajpheart.org Downloaded from http://ajpheart.physiology.org/ by 10.220.33.6 on June 17, 2017 Fig. 4. Sodium current (INa) is not affected in either the atrium or ventricle by the slow mo mutation. A: representative INa recorded from individual atrial and ventricular cells demonstrate two findings. First, slow mo INa are the same size compared with WT in both the atrium and ventricle. Second, the ventricular currents have slower kinetics than atrial currents for both WT and slow mo. All currents were elicited by stepping the voltage to ⫺30 mV after a 1-s prepulse to voltages ranging from ⫺120 to ⫺10 mV in 10-mV increments. The prepulse results in steady-state inactivation, which is then measured by a test pulse to ⫺30 mV. Currents were elicited every 3 s. The data are shown without any leak subtraction, and the calibration bars pertain to each current family. B: histograms and 99% robust confidence intervals for current density of INa are shown for each chamber and genotype. a: WT cells; b: slow mo cells. INa was determined by plotting the peak inward current at ⫺30 mV as a function of prepulse voltage and fitting the resulting curve with a Boltzmann function. The current density was then obtained by dividing the current amplitude at ⫺30 mV (as determined from the fit) by the cell capacitance. Because the current amplitude was determined at a fixed voltage (⫺30 mV), leak current and nonlinear current-voltage issues were avoided. For all cells, current densities were binned every 25 pA/pF. The 99% robust confidence interval is shown by the dark gray bars in each histogram. The solid line at the center of the bar indicates the robust median. In both atrial and ventricular cells, slow mo current density of INa was not statistically different than that in WT. H1718 SLOW MO REDUCES PACEMAKER CURRENT AND HEART RATE that alter the size of Ih without changing the activation voltage or kinetics, as is true of the slow mo mutation, include inhibition of phosphatase activity (1) and the activation of epidermal growth factor receptor tyrosine kinase (38). Perhaps the slow mo mutation affects the phosphorylation state of an HCN channel isoform or the phosphorylation state of a modifier of the Ih channel. The phosphorylation state of modifier proteins has recently been shown to affect channel activity of the skeletal ryanodine (RYR) channel [calsequestrin (34)] and the cardiac RYR2 receptor [FKBP12.6 (25)]. REFERENCES 1. Accili EA, Redaelli G, and DiFrancesco D. Differential control of the hyperpolarization-activated curent [i(f)] by cAMP gating and phosphatase inhibition in rabbit sino-atrial node myocytes. J Physiol 500: 643–651, 1997. 2. Alexander J, Stainier DY, and Yelon D. 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