Table 2
(continued)
Model and
PRKAG2
mutation Main observations
Measured effect on
AMPK activity Reference
cardiac glycogen accumulation (80-fold and
15-fold greater than non-TG and TGWT,
respectively). Overt ventricular pre-excitation.
Marked ventricular dilatation and severely
impaired function (EF¼26% versus 58% in
non-TG). Increased spontaneous mortality,
more prominent in males
TGT400N
(Thr400Asn)
TGWTcontrol not employed
TGT400N—cardiac hypertrophy apparent by
1 week of age (~4-fold increased HW:BWover
non-TG by age 4 weeks). Marked myocyte
vacuolization and glycogen retention (~100-
fold greater than WT at 4 weeks). Later
emergence of ventricular remodelling with
dilatation and dysfunction (8–12 weeks).
Partial phenotypic rescue of TGT400Nby
crossbreeding with TGα2DN
Initial increase in AMPK
activity from 2 days to
2 weeks followed by
decreased below
TGWTlevels
[35]
N485I and
R528G
knock-in
(KI) lines
(Asn488I and
Arg531Gly)
No significant differences in cardiac expression
ofγ2-AMPK orα1-/α2-subunit mRNA
expression between WT and knock-in mice
KI—small but significant increase in absolute
cardiac mass in both lines at age 24 weeks.
Increased cardiac glycogen in R528G KI only
at age 26 weeks. Increased sinus cycle length in
both KI lines. Significant small reduction in
PR interval in R528G KI (13%) with no
discernible differences in QRS duration from
WT controls
Elevated pACC in cardiac
and skeletal muscle in
KI lines
[31]
Fig. 3Ventricular pre-excitation in transgenic mice overexpressing mutantPRKAG2. Surface ECG recordings
of TGWT(left) and TGR302Q(right) mice, illustrating a shortened PR interval and widened QRS complex in
TGR302Qmice consistent with ventricular pre-excitation (Reproduced from ref.33 with permission from
Wolters Kluwer Health, Inc.)
PRKAG2 syndrome 591