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心肌钠通道Nav1.5在心律失常中的作用

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心律失常(cardiac arrhythmias)是世界范围内发病率和死亡率较高的心血管疾病之一,与心脏中离子通道功能破坏以及电信号在心肌细胞的传导异常有关.心肌钠通道Nav1.5(cardiac so-dium channel Nav1.5)参与心肌细胞动作电位的启动和兴奋的传导,基因突变所致的Nav 1.5通道表达和调控异常是心律失常发生的重要生物学基础.本文综合国内外关于Nav1.5通道结构和功能的介绍及通道异常表达时心律失常的研究现状,为心血管药物的研发和临床应用以及药物心脏毒性等的研究提供重要的理论依据.
The Role of Cardiac Sodium Channel Nav1.5 in Cardiac Arrhythmias
Cardiac arrhythmias are among cardiovascular diseases with high morbidity and mortal-ity rates worldwide,associated with impaired cardiac ion channel function and abnormal conduc-tion of electrophysiological signals in cardiomyocytes.The cardiac sodium channel Nav1.5 plays a crucial role in the initiation and propagation of action potentials in cardiomyocytes.Abnormal ex-pression and regulation of Nav1.5 due to gene mutations constitute a significant biological basis for the occurrence of arrhythmias.This article summarizes the structure and function of Nav1.5,as well as its relationship with cardiac arrhythmias,with the aim of providing a theoretical basis for future research and development of cardiovascular drugs,their clinical applications,and drug-induced cardiotoxicity.

cardiac sodium channel Nav1.5cardiac arrhythmiasgene mutationregulation

王佳琪、张峰慧、李玥霖、胡慧媛

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中国医科大学中英联合学院

中国医科大学药学院药物毒理学教研室,沈阳 110122

Nav1.5通道 心律失常 基因突变 调控

国家自然科学基金辽宁省教育厅基本科研项目

81100108JYTMS20230130

2024

生理科学进展
中国生理学会,北京大学

生理科学进展

CSTPCD北大核心
影响因子:0.635
ISSN:0559-7765
年,卷(期):2024.55(5)