Circulation Journal Official Journal of the Japanese Circulation Society http://www. j-circ.or.jp echanical stress affects various aspects of cardiovascular physiology. 1-4 In particular, mechanically induced disturbance of heart rhythm is a phenomenon known as mechanoelectric feedback (MEF). 2,5 For instance, a mechanical blunt impact to the chest can initiate life-threatening arrhythmia, known as commotio cordis. 2 A precordial thump can also effectively terminate ventricular tachycardia and fibrillation. 4 These mechanosensitive responses in heart rhythm are believed to be caused by activation of cation-selective stretchactivated channels (SACs). In a cross-circulated isolated canine heart, acute diastolic left ventricular (LV) wall stretch induced an extrasystolic beat that could be suppressed by Gd 3+ , a potent (but non-specific) SAC blocker. 6 Furthermore, in a Langendorff-perfused rabbit heart, stretch-induced atrial fibrillation could be suppressed by Grammostola spatulata mechanotoxin 4 (GsMTx4), an SAC blocker. 7 Although these findings strongly suggest the involvement of SAC in stretchinduced arrhythmia, it has also been reported that many stretch-sensitive channels are K + or anion selective, 8-10 and their activation may stabilize membrane potential. Therefore, interactions between stretch-induced "destabilizer" and "stabilizer" channels need to be studied carefully to clarify the underlying mechanism of mechanically induced disturbance of heart rhythm.We have previously reported the electrophysiological properties of stretch-activated BKCa (SAKCa) channels cloned from cultured chick embryo ventricular myocytes. This type of channel is a voltage-sensitive K + channel, which is activated by intracellular Ca 2+ ([Ca 2+ ]i) and membrane stretch. 9 We found that an SAKCa channel is a splicing variant of a BKCa channel, and includes a stress axis-regulated exon (STREX) sequence, which is responsible for its stretch sensitivity. 11 Furthermore, we found that STREX variants of BKCa channels in chicks and humans share a short amino acid residue sequence (ERA) and show stretch sensitivity. STREX variants of these channels, however, in mice and rabbits that do not have the ERA sequence do not show stretch sensitivity. 11 Although it is widely believed that sarcolemmal BKCa channels do not exist in mature ventricular myocytes, 12 we reported the existence of sarcolemmal BKCa channels using direct micrographic evidence in post-hatch chick ventricular myocytes.
Role of Sarcolemmal BKCa Channels in Stretch-Induced Extrasystoles in Isolated Chick HeartsGentaro Iribe, MD, PhD; Honghua Jin, PhD; Keiji Naruse, MD, PhDBackground: It remains unclear whether sarcolemmal BKCa channels in post-hatch chick ventricular myocytes contribute to stretch-induced extrasystoles (SIE), and whether they are stretch-activated BKCa (SAKCa) channels or a non-stretch-sensitive BKCa variant.