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Phase 3 - rapid repolarisation
Stable Identifier
R-HSA-5576890
Type
Pathway
Species
Homo sapiens
ReviewStatus
5/5
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Muscle contraction (Homo sapiens)
Cardiac conduction (Homo sapiens)
Phase 3 - rapid repolarisation (Homo sapiens)
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In phase 3 (the "rapid repolarisation" phase), the L-type Ca2+ channels close, while the slow delayed rectifier (I
Ks
) K+ channels remain open as more K+ leak channels open. This ensures a net outward positive current, corresponding to negative change in membrane potential, thus allowing more types of K+ channels to open. These are primarily the rapid delayed rectifier K+ channels (I
Kr
) and the inwardly rectifying K+ current, I
K1
(Kir). This net outward, positive current (equal to loss of positive charge from the cell) causes the cell to repolarize. The primary delayed rectifier K+ currents (I
Ks
and I
Kr
) are generated by K+ efflux mediated by potassium voltage-gated channel subfamily KQT member 1 (KCNQ1 aka Kv7.1) and potassium voltage-gated channel subfamily H member 2 (KCNH2 aka HERG) channels respectively (Park & Fishman 2011, Grant 2009). Specific to the atria, an ultra-rapidly activating delayed rectifier outward K+ current (I
Kur
) generated primarily by potassium voltage-gated channel subfamily A member 5 (KCNA5) helps to repolarize atrial cells (Wang et al. 1993, Feng et al. 1997).
Literature References
PubMed ID
Title
Journal
Year
21357845
The cardiac conduction system
Park, DS
,
Fishman, GI
Circulation
2011
19808464
Cardiac ion channels
Grant, AO
Circ Arrhythm Electrophysiol
2009
Participants
Events
AKAP9:KCNQ1 tetramer:KCNE dimer transports K+ from cytosol to extracellular region
(Homo sapiens)
KCNH2:KCNE transport K+ from cytosol to extracellular region
(Homo sapiens)
Class III antiarrhythmics bind KCNH2 in KCNH2:KCNE
(Homo sapiens)
Class III (KCNA5) antiarrhythmics bind KCNA5 tetramers
(Homo sapiens)
Participates
as an event of
Cardiac conduction (Homo sapiens)
Event Information
Go Biological Process
cardiac conduction (0061337)
Orthologous Events
Phase 3 - rapid repolarisation (Bos taurus)
Phase 3 - rapid repolarisation (Caenorhabditis elegans)
Phase 3 - rapid repolarisation (Canis familiaris)
Phase 3 - rapid repolarisation (Drosophila melanogaster)
Phase 3 - rapid repolarisation (Gallus gallus)
Phase 3 - rapid repolarisation (Mus musculus)
Phase 3 - rapid repolarisation (Plasmodium falciparum)
Phase 3 - rapid repolarisation (Rattus norvegicus)
Phase 3 - rapid repolarisation (Sus scrofa)
Phase 3 - rapid repolarisation (Xenopus tropicalis)
Authored
Jassal, B (2014-05-27)
Reviewed
Colotti, G (2015-11-09)
Created
Jassal, B (2014-05-27)
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