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The ubiquitin\u2013proteasome system (<jats:styled-content style=\"fixed-case\">UPS<\/jats:styled-content>) is a major degradative system for intracellular proteins including ion channels. The ubiquitin protein ligase E3 component N\u2010recognin (<jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>) family is a part of the <jats:styled-content style=\"fixed-case\">UPS<\/jats:styled-content>; however, their roles in regulating cardiac Na<jats:sub>v<\/jats:sub>1.5 channels remain elusive. Here, we found that all of the <jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content> members were expressed in cardiomyocytes. Individual knockdown of <jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>3 or <jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>6, but not of other <jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content> members, significantly increased Na<jats:sub>v<\/jats:sub>1.5 protein levels in neonatal rat ventricular myocytes, and this effect was verified in <jats:styled-content style=\"fixed-case\">HEK<\/jats:styled-content>293T cells expressing Na<jats:sub>v<\/jats:sub>1.5 channels. The <jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>3\/6\u2010dependent regulation of Na<jats:sub>v<\/jats:sub>1.5 channels was not transcriptionally mediated, and pharmacological inhibition of protein biosynthesis failed to counteract the increase in Na<jats:sub>v<\/jats:sub>1.5 protein caused by <jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>3\/6 reduction, suggesting a degradative modulation of <jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>3\/6 on Na<jats:sub>v<\/jats:sub>1.5. Furthermore, the effects of <jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>3\/6 knockdown on Na<jats:sub>v<\/jats:sub>1.5 proteins were abolished under the inhibition of proteasome activity, and <jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>3\/6 knockdown reduced Na<jats:sub>v<\/jats:sub>1.5 ubiquitylation. The double <jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>3\u2013<jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>6 knockdown resulted in comparable increases in Na<jats:sub>v<\/jats:sub>1.5 proteins to that observed for single knockdown of either <jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>3 or <jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>6. Electrophysiological recordings showed that <jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>3\/6 reduction\u2010mediated increase in Na<jats:sub>v<\/jats:sub>1.5 protein enhanced the opening of Na<jats:sub>v<\/jats:sub>1.5 channels and thereby the amplitude of the <jats:styled-content style=\"fixed-case\">AP<\/jats:styled-content>. Thus, our findings indicate that <jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>3\/6 regulate cardiomyocyte Na<jats:sub>v<\/jats:sub>1.5 channel protein levels <jats:italic>via<\/jats:italic> the ubiquitin\u2013proteasome pathway. It is likely that <jats:styled-content style=\"fixed-case\">UBR<\/jats:styled-content>3\/6 have the potential to be a therapeutic target for cardiac arrhythmias.<\/jats:p>","DOI":"10.1111\/jcmm.12588","type":"journal-article","created":{"date-parts":[[2015,6,11]],"date-time":"2015-06-11T03:02:16Z","timestamp":1433991736000},"page":"2143-2152","source":"Crossref","is-referenced-by-count":14,"title":["Cardiac Na<sub>v<\/sub>1.5 is modulated by ubiquitin protein ligase E3 component n\u2010recognin <scp>UBR<\/scp>3 and 6"],"prefix":"10.1111","volume":"19","author":[{"given":"Chunxia","family":"Zhao","sequence":"first","affiliation":[{"name":"Key Laboratory of Arrhythmias of the Ministry of Education of China East Hospital Tongji University School of Medicine Shanghai China"},{"name":"Department of Cardiology Shanghai East Hospital Tongji University School of Medicine Shanghai 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