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Genetic inhibition of nuclear factor of activated T-cell c2 prevents atrial fibrillation in CREM transgenic mice

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单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Div Cardiol,Dept Internal Med, Jiefang Ave 1095, Wuhan, Peoples R China [2]Hubei Key Lab Genet & Mol Mech Cardiol Disorders, Jiefang Ave 1095, Wuhan 430030, Peoples R China [3]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Div Cardiovasc Surg, Jiefang Ave 1095, Wuhan, Peoples R China [4]Baylor Coll Med, Dept Mol Physiol & Biophys, Houston, TX 77030 USA [5]Univ Duisburg Essen, West German Heart & Vasc Ctr, Inst Pharmacol, Essen, Germany [6]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Div Cardiovasc Surg, Wuhan, Peoples R China [7]Univ Essen Gesamthsch, Univ Hosp, West German Heart Ctr, Cardiac Surg Essen Huttrop 2, Essen, Germany [8]Univ Munster, Inst Pharmacol & Toxicol, Munster, Germany [9]Baylor Coll Med, Sect Cardiovasc Res, Dept Med, Houston, TX 77030 USA [10]Baylor Coll Med, Dept Med Cardiol, Houston, TX 77030 USA [11]Baylor Coll Med, Dept Pediat, Houston, TX 77030 USA [12]Baylor Coll Med, Ctr Space Med, Houston, TX 77030 USA
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关键词: Atrial fibrillation Atrial remodelling Calcium handling NFAT RASEF

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Aims Abnormal intracellular calcium (Ca2+) handling contributes to the progressive nature of atrial fibrillation (AF), the most common sustained cardiac arrhythmia. Evidence in mouse models suggests that activation of the nuclear factor of activated T-cell (NFAT) signalling pathway contributes to atrial remodelling. Our aim was to determine the role of NFATc2 in AF in humans and mouse models. Methods and results Expression levels of NFATc1-c4 isoforms were assessed by quantitative reverse transcription-polymerase chain reaction in right atrial appendages from patients with chronic AF (cAF). NFATc1 and NFATc2 mRNA levels were elevated in cAF patients compared with those in normal sinus rhythm (NSR). Western blotting revealed increased cytosolic and nuclear levels of NFATc2 in AF patients. Similar findings were obtained in CREM-Ib Delta C-X transgenic (CREM) mice, a model of progressive AF. Telemetry ECG recordings revealed age-dependent spontaneous AF in CREM mice, which was prevented by NFATc2 knockout in CREM:NFATc2(-/-) mice. Programmed electrical stimulation revealed that CREM:NFATc2(-/-) mice lacked an AF substrate. Morphometric analysis and histology revealed increased atrial weight and atrial fibrosis in CREM mice compared with wild-type controls, which was reversed in CREM:NFATc2(-/-) mice. Confocal microscopy showed an increased Ca2+ spark frequency despite a reduced sarcoplasmic reticulum (SR) Ca2+ load in CREM mice compared with controls, whereas these abnormalities were normalized in CREM:NFATc2(-/-) mice. Western blotting revealed that genetic inhibition of Ca2+/calmodulin-dependent protein kinase II-mediated phosphorylation of S2814 on ryanodine receptor type 2 (RyR2) in CREM:RyR2-S2814A mice suppressed NFATc2 activation observed in CREM mice, suggesting that NFATc2 is activated by excessive SR Ca2+ leak via RyR2. Finally, chromatin immunoprecipitation sequencing from AF patients identified Ras and EF-hand domain-containing protein (Rasef) as a direct target of NFATc2-mediated transcription. Conclusion Our findings reveal activation of the NFAT signalling pathway in patients of Chinese and European descent. NFATc2 knockout prevents the progression of AF in the CREM mouse model.

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出版当年[2021]版:
大类 | 1 区 医学
小类 | 2 区 心脏和心血管系统
最新[2025]版:
大类 | 1 区 医学
小类 | 2 区 心脏和心血管系统
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出版当年[2020]版:
Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
最新[2024]版:
Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Div Cardiol,Dept Internal Med, Jiefang Ave 1095, Wuhan, Peoples R China [2]Hubei Key Lab Genet & Mol Mech Cardiol Disorders, Jiefang Ave 1095, Wuhan 430030, Peoples R China
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通讯机构: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Div Cardiol,Dept Internal Med, Jiefang Ave 1095, Wuhan, Peoples R China [2]Hubei Key Lab Genet & Mol Mech Cardiol Disorders, Jiefang Ave 1095, Wuhan 430030, Peoples R China [3]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Div Cardiovasc Surg, Jiefang Ave 1095, Wuhan, Peoples R China [4]Baylor Coll Med, Dept Mol Physiol & Biophys, Houston, TX 77030 USA [9]Baylor Coll Med, Sect Cardiovasc Res, Dept Med, Houston, TX 77030 USA [10]Baylor Coll Med, Dept Med Cardiol, Houston, TX 77030 USA [11]Baylor Coll Med, Dept Pediat, Houston, TX 77030 USA [12]Baylor Coll Med, Ctr Space Med, Houston, TX 77030 USA
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