miR-448 regulates potassium voltage-gated channel subfamily A member 4 (KCNA4) in ischemia and heart failure

Published:January 21, 2023DOI:



      MicroRNA ,miR-448, mediates some of the effects of ischemia on arrhythmic risk. Potassium Voltage-gated Channel Subfamily A Member 4 (KCNA4) encodes a Kv1.4 current that opens in response to membrane depolarization and is essential for regulating action potential duration in heart. KCNA4 has a miR-448 binding site.


      Therefore, we investigated whether miR-448 was involved in the regulation of KCNA4 mRNA expression in ischemia.


      Quantitative real-time reverse-transcriptase polymerase chain reaction was used to investigate the expression of KCNA4 and miR-448. Pull-down assays were used to examine the interaction between miR-448 and KCNA4. A miR-448 decoy and binding site mutation were used to examine specificity of the effect for KCNA4.


      The expression of KCNA4 is diminished in ischemia and human HF tissues with ventricular tachycardia. Previously, we have shown miR-448 is upregulated in ischemia, and inhibition can prevent arrhythmic risk after myocardial infarction. The 3'-UTR of KCNA4 has a conserved miR-448 binding site. MiR-448 bound to this site directly and reduced KCNA4 expression and the transient outward potassium current (Ito). Inhibition of miR-448 restored KCNA4.


      These findings showed a link between Kv1.4 downregulation and miR-448-mediated upregulation in ischemia, suggesting a new mechanism for the antiarrhythmic effect of miR-448 inhibition.


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