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Inhibition of Rac1 reduces store overload‐induced calcium release and protects against ventricular arrhythmia
Inhibition of Rac1 reduces store overload‐induced calcium release and protects against ventricular arrhythmia
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Inhibition of Rac1 reduces store overload‐induced calcium release and protects against ventricular arrhythmia
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Inhibition of Rac1 reduces store overload‐induced calcium release and protects against ventricular arrhythmia
Inhibition of Rac1 reduces store overload‐induced calcium release and protects against ventricular arrhythmia

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Inhibition of Rac1 reduces store overload‐induced calcium release and protects against ventricular arrhythmia
Inhibition of Rac1 reduces store overload‐induced calcium release and protects against ventricular arrhythmia
Journal Article

Inhibition of Rac1 reduces store overload‐induced calcium release and protects against ventricular arrhythmia

2016
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Overview
Rac1 is a small GTPase and plays key roles in multiple cellular processes including the production of reactive oxygen species (ROS). However, whether Rac1 activation during myocardial ischaemia and reperfusion (I/R) contributes to arrhythmogenesis is not fully understood. We aimed to study the effects of Rac1 inhibition on store overload‐induced Ca2+ release (SOICR) and ventricular arrhythmia during myocardial I/R. Adult Rac1f/f and cardiac‐specific Rac1 knockdown (Rac1ckd) mice were subjected to myocardial I/R and their electrocardiograms (ECGs) were monitored for ventricular arrhythmia. Myocardial Rac1 activity was increased and ventricular arrhythmia was induced during I/R in Rac1f/f mice. Remarkably, I/R‐induced ventricular arrhythmia was significantly decreased in Rac1ckd compared to Rac1f/f mice. Furthermore, treatment with Rac1 inhibitor NSC23766 decreased I/R‐induced ventricular arrhythmia. Ca2+ imaging analysis showed that in response to a 6 mM external Ca2+ concentration challenge, SOICR was induced with characteristic spontaneous intracellular Ca2+ waves in Rac1f/f cardiomyocytes. Notably, SOICR was diminished by pharmacological and genetic inhibition of Rac1 in adult cardiomyocytes. Moreover, I/R‐induced ROS production and ryanodine receptor 2 (RyR2) oxidation were significantly inhibited in the myocardium of Rac1ckd mice. We conclude that Rac1 activation induces ventricular arrhythmia during myocardial I/R. Inhibition of Rac1 suppresses SOICR and protects against ventricular arrhythmia. Blockade of Rac1 activation may represent a new paradigm for the treatment of cardiac arrhythmia in ischaemic heart disease.