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      Canine and human sinoatrial node: differences and similarities in the structure, function, molecular profiles, and arrhythmia

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      Journal of Veterinary Cardiology
      Elsevier BV

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          Abstract

          The sinoatrial node (SAN) is the primary pacemaker in canine and human hearts. The SAN in both species has a unique 3-dimensional heterogeneous structure characterized by small pacemaker myocytes enmeshed within fibrotic strands, which partially insulate the cells from aberrant atrial activation. The SAN pacemaker tissue expresses a unique signature of proteins and receptors that mediate SAN automaticity, ion channel currents and cell-to-cell communication, which are predominantly similar in both species. Recent intramural optical mapping, integrated with structural and molecular studies, has revealed the existence of up to five specialized SAN conduction pathways that preferentially conduct electrical activation to atrial tissues. Intrinsic heart rate, intranodal leading pacemaker shifts and changes in conduction in response to physiological and pathophysiological stimuli are similar. Structural and/or functional impairments due to cardiac diseases including heart failure (HF) cause SAN dysfunctions (SND) in both species. These dysfunctions are usually manifested as severe bradycardia, tachy-brady arrhythmias, and conduction abnormalities including exit block and SAN reentry, which could lead to atrial tachycardia and fibrillation, cardiac arrest and HF. Pharmaceutical drugs and implantable pacemakers are only partially successful in managing SND, emphasizing a critical need to develop targeted mechanism-based therapies to treat SND. Since several structural and functional characteristics are similar between the canine and human SAN, research in these species maybe mutually beneficial for developing novel treatment approaches. This review describes structural, functional and molecular similarities and differences between the canine and human SAN, with special emphasis on arrhythmias and unique causal mechanisms of SND in diseased hearts.

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          Author and article information

          Journal
          Journal of Veterinary Cardiology
          Journal of Veterinary Cardiology
          Elsevier BV
          17602734
          December 2018
          December 2018
          Article
          10.1016/j.jvc.2018.10.004
          6436970
          30559056
          cfeedf0b-9a4c-4bc1-abea-f122dce0b8d3
          © 2018

          https://www.elsevier.com/tdm/userlicense/1.0/

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