Cardiac dopamine D1 receptor triggers ventricular arrhythmia in chronic heart failure.

Yamaguchi, Toshihiro; Sumida, Tomokazu S; Nomura, Seitaro; Satoh, Masahiro; Higo, Tomoaki; Ito, Masamichi; Ko, Toshiyuki; Fujita, Kanna et al. · Nat Commun · 2020

basic_science · Level V

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Abstract

Pathophysiological roles of cardiac dopamine system remain unknown. Here, we show the role of dopamine D1 receptor (D1R)-expressing cardiomyocytes (CMs) in triggering heart failure-associated ventricular arrhythmia. Comprehensive single-cell resolution analysis identifies the presence of D1R-expressing CMs in both heart failure model mice and in heart failure patients with sustained ventricular tachycardia. Overexpression of D1R in CMs disturbs normal calcium handling while CM-specific deletion of D1R ameliorates heart failure-associated ventricular arrhythmia. Thus, cardiac D1R has the potential to become a therapeutic target for preventing heart failure-associated ventricular arrhythmia.

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