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Electronic pacemakers have been used in patients with heart rhythm disorders for device-supported pacing. While effective, there are such shortcomings as limited battery life, permanent implantation of catheters, the lack of autonomic neurohumoral responses, and risks of lead dislodging. Here we describe protocols for establishing porcine models of sick sinus syndrome and complete heart block, and the generation of bioartificial pacemaker by delivering a strategically engineered form of hyperpolarization-activated cyclic nucleotide-gated pacemaker channel protein via somatic gene transfer to convert atrial or ventricular muscle cardiomyocytes into nodal-like cells that rhythmically fire action potentials.

作者:Patrick K W, Chan;Ronald A, Li

来源:Methods in molecular biology (Clifton, N.J.) 2017 年 1521卷

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作者:
Patrick K W, Chan;Ronald A, Li
来源:
Methods in molecular biology (Clifton, N.J.) 2017 年 1521卷
标签:
Adeno-associated virus Adenovirus Bioartificial pacemaker Complete heart block Gene transfer Heart rhythms Hyperpolarization-activated cyclic nucleotide-gated (HCN) channel Sick sinus syndrome
Electronic pacemakers have been used in patients with heart rhythm disorders for device-supported pacing. While effective, there are such shortcomings as limited battery life, permanent implantation of catheters, the lack of autonomic neurohumoral responses, and risks of lead dislodging. Here we describe protocols for establishing porcine models of sick sinus syndrome and complete heart block, and the generation of bioartificial pacemaker by delivering a strategically engineered form of hyperpolarization-activated cyclic nucleotide-gated pacemaker channel protein via somatic gene transfer to convert atrial or ventricular muscle cardiomyocytes into nodal-like cells that rhythmically fire action potentials.