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. 2016 Feb 15;2016:9656078. doi: 10.1155/2016/9656078

Table 1.

A summary of mechanisms of oxidative stress induced arrhythmia and potential therapeutic targets.

Affected ion channels Na+ current reduction (via PKC and c-Src, also via abnormal splicing) ⇒ reduction in conduction velocity
KATP inhibition ⇒ repolarization abnormality
NCX activation ⇒ increasing inward current and facilitating afterdepolarization
I to, I Kr, I Ks inhibition ⇒ abnormal repolarization
Increase in inward Ca++ current (direct or via CaMKII activation) ⇒ facilitating afterdepolarization
Increase in late Na+current ⇒ facilitating afterdepolarization

Effect on intracellular Ca++ handling Impairment of SERCA ⇒ increase intracellular Ca++ levels ⇒ facilitating afterdepolarization
Affecting RyR receptor (via CaMKII activation) ⇒ leakiness of SR ⇒  increase intracellular Ca++ levels ⇒ facilitating afterdepolarization

Effect on myocyte-myocyte coupling Affecting assembling of Cx43 at gap junctions ⇒ reduction in conduction velocity

Effect on extracellular matrix Activating fibrotic process (via TGF-β) ⇒ reduction in conduction velocity and impaired myocyte-myocyte coupling due to collagen deposition

CaMKII: Ca2+/calmodulin-dependent protein kinases II; Cx43: connexin 43; NCX: Na+/Ca2+ exchanger; RyR: ryanodine receptor; SERCA: sarco-/endoplasmic reticulum Ca++ - ATPase; TGF-β: Transforming Growth Factor-β.