Developmental transitions in cardiac conduction

Novartis Found Symp. 2003:250:68-75; discussion 76-9, 276-9.

Abstract

The proper sequence of electrical activation of the mature four-chambered heart requires specialized conduction pathways including the His-Purkinje system and a nearly complete separation of the atrial and ventricular myocardium. We tracked the emergence of the structure of the mature His-Purkinje system in the developing chicken embryo with anti-polysialylated neural cell adhesion molecule (PSA-NCAM) and the HNK1 antibody against a sulfated carbohydrate epitope. The function of the His-Purkinje system was assayed using extracellular electrodes and high-resolution voltage-sensitive two-dimensional optical mapping. The appearance of the mature form of the His-Purkinje system delineated by the markers coincided with the onset of the mature electrophysiological pattern of ventricular activation. These data suggest that, at the completion of ventricular septation, the His-Purkinje system undergoes critical structural and functional transitions that impact on the global pattern of conduction and contraction of the developing four-chambered heart.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Action Potentials
  • Animals
  • Apoptosis
  • Chick Embryo / anatomy & histology
  • Chick Embryo / physiology
  • Electrocardiography
  • Heart / anatomy & histology
  • Heart / growth & development*
  • Heart Conduction System / growth & development*
  • Heart Conduction System / physiology
  • Myocardium / cytology
  • Myocardium / metabolism