Diabetes-induced changes in cardiac voltage-gated ion channels
Diabetes mellitus affects the heart through various mechanisms such as microvascular defects, metabolic abnormalities, autonomic dysfunction and incompatible immune response. Furthermore, it can also cause functional and structural changes in the myocardium by a disease known as diabetic cardiomyopa...
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| Published in: | World journal of diabetes Vol. 12; no. 1; pp. 1 - 18 |
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| Main Authors: | , , |
| Format: | Journal Article |
| Language: | English |
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15-01-2021
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| Abstract | Diabetes mellitus affects the heart through various mechanisms such as microvascular defects, metabolic abnormalities, autonomic dysfunction and incompatible immune response. Furthermore, it can also cause functional and structural changes in the myocardium by a disease known as diabetic cardiomyopathy (DCM) in the absence of coronary artery disease. As DCM progresses it causes electrical remodeling of the heart, left ventricular dysfunction and heart failure. Electrophysiological changes in the diabetic heart contribute significantly to the incidence of arrhythmias and sudden cardiac death in diabetes mellitus patients. In recent studies, significant changes in repolarizing K
currents, Na
currents and L-type Ca
currents along with impaired Ca
homeostasis and defective contractile function have been identified in the diabetic heart. In addition, insulin levels and other trophic factors change significantly to maintain the ionic channel expression in diabetic patients. There are many diagnostic tools and management options for DCM, but it is difficult to detect its development and to effectively prevent its progress. In this review, diabetes-associated alterations in voltage-sensitive cardiac ion channels are comprehensively assessed to understand their potential role in the pathophysiology and pathogenesis of DCM. |
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| AbstractList | Diabetes mellitus affects the heart through various mechanisms such as microvascular defects, metabolic abnormalities, autonomic dysfunction and incompatible immune response. Furthermore, it can also cause functional and structural changes in the myocardium by a disease known as diabetic cardiomyopathy (DCM) in the absence of coronary artery disease. As DCM progresses it causes electrical remodeling of the heart, left ventricular dysfunction and heart failure. Electrophysiological changes in the diabetic heart contribute significantly to the incidence of arrhythmias and sudden cardiac death in diabetes mellitus patients. In recent studies, significant changes in repolarizing K
+
currents, Na
+
currents and L-type Ca
2+
currents along with impaired Ca
2+
homeostasis and defective contractile function have been identified in the diabetic heart. In addition, insulin levels and other trophic factors change significantly to maintain the ionic channel expression in diabetic patients. There are many diagnostic tools and management options for DCM, but it is difficult to detect its development and to effectively prevent its progress. In this review, diabetes-associated alterations in voltage-sensitive cardiac ion channels are comprehensively assessed to understand their potential role in the pathophysiology and pathogenesis of DCM. Diabetes mellitus affects the heart through various mechanisms such as microvascular defects, metabolic abnormalities, autonomic dysfunction and incompatible immune response. Furthermore, it can also cause functional and structural changes in the myocardium by a disease known as diabetic cardiomyopathy (DCM) in the absence of coronary artery disease. As DCM progresses it causes electrical remodeling of the heart, left ventricular dysfunction and heart failure. Electrophysiological changes in the diabetic heart contribute significantly to the incidence of arrhythmias and sudden cardiac death in diabetes mellitus patients. In recent studies, significant changes in repolarizing K currents, Na currents and L-type Ca currents along with impaired Ca homeostasis and defective contractile function have been identified in the diabetic heart. In addition, insulin levels and other trophic factors change significantly to maintain the ionic channel expression in diabetic patients. There are many diagnostic tools and management options for DCM, but it is difficult to detect its development and to effectively prevent its progress. In this review, diabetes-associated alterations in voltage-sensitive cardiac ion channels are comprehensively assessed to understand their potential role in the pathophysiology and pathogenesis of DCM. |
| Author | Ozturk, Nihal Ozdemir, Semir Uslu, Serkan |
| Author_xml | – sequence: 1 givenname: Nihal surname: Ozturk fullname: Ozturk, Nihal organization: Department of Biophysics, Akdeniz University Faculty of Medicine, Antalya 07058, Turkey – sequence: 2 givenname: Serkan surname: Uslu fullname: Uslu, Serkan organization: Department of Biophysics, Akdeniz University Faculty of Medicine, Antalya 07058, Turkey – sequence: 3 givenname: Semir surname: Ozdemir fullname: Ozdemir, Semir email: osemir@akdeniz.edu.tr organization: Department of Biophysics, Akdeniz University Faculty of Medicine, Antalya 07058, Turkey. osemir@akdeniz.edu.tr |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33520105$$D View this record in MEDLINE/PubMed |
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| Copyright | The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. 2021 |
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| Keywords | Sodium channels Action potential Cardiac ion channels Diabetes Potassium channels L-type Ca2+ channels |
| Language | English |
| License | The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0 |
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| Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1 Author contributions: Ozdemir S designed the study and wrote the manuscript; Uslu S and Ozturk N collected the data and drafted the review article. Corresponding author: Semir Ozdemir, PhD, Professor, Department of Biophysics, Akdeniz University Faculty of Medicine, Dumlupınar Boulevard, Antalya 07058, Turkey. osemir@akdeniz.edu.tr |
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| Title | Diabetes-induced changes in cardiac voltage-gated ion channels |
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