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Molecular and Cellular Cardiology Program, New York Harbor HealthCare System and SUNY Health Science Center, Brooklyn, New York 11209, USA
1Correspondence: Research and Development Office (151), New York Harbor Health Care System, 800 Poly Pl., Brooklyn, NY 11209, USA. E-mail: mohamed.boutjdir{at}med.va.gov
Congenital heart block is considered a model of passively acquired
autoimmune disease in which the mother generates anti-SSA/Ro and/or
anti-SSB/La antibodies that cross the placenta and presumably injure
the heart of developing fetus. CHB is accompanied by ECG abnormalities
including AV block, sinus bradycardia, and ventricular dysfunction. Our
previous data indicate that these abnormalities are caused by maternal
autoantibody-mediated disturbance of L-type Ca channels. To investigate
the consequence of chronic exposure of L-type Ca channels in newborn
pups to maternal autoantibodies during pregnancy, we immunized female
rabbits with human 52 kDa-SSA/Ro (Ro52) recombinant protein. ECG
revealed that pups from the immunized group had varying degrees of
conduction defects. In addition, ICaL density and protein
were reduced in hearts of pups from the immunized group. Sera and
purified IgG from immunized rabbits inhibited IBa recorded
from oocytes with expressed
1C and ß2a
subunits of L-type Ca channel. Pups born to Ro52 immunized mothers
exhibited down-regulation of L-type calcium channels in heart. The data
provide new insight into the pathogenesis of congenital heart
block.Xiao, C.-Q., Qu, Y., Hu, K., Boutjdir, M. Down-regulation of
L-type calcium channel in pups born to 52 kDa SSA/Ro immunized rabbits.
Key Words: autoantibody AV block immunization cardiac myocyte
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