Tmem161b heterozygosity disrupts wild-type electrophysiology by increasing Ca2+ and K+ current densities in cardiomyocytes. (A) Cell isolation approach used for patch-clamp experiments depicted in B–I. (B) Representative APs from patch-clamping of adult cardiomyocytes isolated from adult wild-type and tmem161b+/− fish. Inset shows first derivative of the AP upstroke and the arrow indicates maximal upstroke velocity (dV/dtmax). (C) Average APDs showing a decrease in APD at 20% repolarization (APD20), but an increase in APD at 50 and 90% repolarization (APD50 and APD90, respectively) in tmem161b+/− cells (pacing at 1 Hz; mean ± SEM, n = 8, *P < 0.05). (D) Prolonged AP durations are most prominent at low-pacing frequencies. (E) Example of APs paced at 0.2 Hz showing EADs in wild-type versus tmem161b+/− cells. (F) Incidence of EADs is significantly higher in tmem161b+/− cells. (G, Top) Voltage-clamp protocol used to measure the inward rectifier K+ current (IK1), the L-type Ca2+ current, and the rapid component of the delayed rectifier K+ current (IKr). (Bottom) Typical net membrane currents at −100 mV (IK1), 0 mV (ICa,L), and +40 mV (IKr). (H) Average current-voltage (I-V) relationships of IK1 and IKr showing no effect on IK1, but an increase in IKr density in tmem161b+/− cells. (I) Average I-V relationships of ICa,L showing an increase in inwardly directed current in tmem161b+/− cells.
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