Triggered Firing and Atrial Fibrillation in Transgenic Mice With Selective Atrial Fibrosis Induced by Overexpression of TGF-β1

  • Choi Eue-Keun
    Krannert Institute of Cardiology and the Division of Cardiology, Indiana University School of Medicine Krannert Institute of Cardiology and the Division of Cardiology, Department of Medicine, Indiana University School of Medicine
  • Chang Po-Cheng
    Krannert Institute of Cardiology and the Division of Cardiology, Indiana University School of Medicine Krannert Institute of Cardiology and the Division of Cardiology, Department of Medicine, Indiana University School of Medicine
  • Lee Young-Soo
    Krannert Institute of Cardiology and the Division of Cardiology, Indiana University School of Medicine Krannert Institute of Cardiology and the Division of Cardiology, Department of Medicine, Indiana University School of Medicine
  • Lin Shien-Fong
    Krannert Institute of Cardiology and the Division of Cardiology, Indiana University School of Medicine Krannert Institute of Cardiology and the Division of Cardiology, Department of Medicine, Indiana University School of Medicine
  • Zhu Wuqiang
    Department of Medicine, Riley Heart Research Center, Herman B. Wells Center for Pediatric Research, Department of Pediatrics, Indiana University School of Medicine Riley Heart Research Center, Herman B. Wells Center for Pediatric Research, Department of Pediatrics, Indiana University School of Medicine
  • Maruyama Mitsunori
    Krannert Institute of Cardiology and the Division of Cardiology, Indiana University School of Medicine Krannert Institute of Cardiology and the Division of Cardiology, Department of Medicine, Indiana University School of Medicine
  • Fishbein Michael C.
    Division of Anatomical Pathology, Department of Pathology and Laboratory Medicine, David Geffen School of Medicine Division of Anatomical Pathology, Department of Pathology and Laboratory Medicine, David Geffen School of Medicine
  • Chen Zhenhui
    Krannert Institute of Cardiology and the Division of Cardiology, Indiana University School of Medicine Krannert Institute of Cardiology and the Division of Cardiology, Department of Medicine, Indiana University School of Medicine
  • Rubart-von der Lohe Michael
    Department of Medicine, Riley Heart Research Center, Herman B. Wells Center for Pediatric Research, Department of Pediatrics, Indiana University School of Medicine Riley Heart Research Center, Herman B. Wells Center for Pediatric Research, Department of Pediatrics, Indiana University School of Medicine
  • Field Loren J.
    Department of Medicine, Riley Heart Research Center, Herman B. Wells Center for Pediatric Research, Department of Pediatrics, Indiana University School of Medicine Riley Heart Research Center, Herman B. Wells Center for Pediatric Research, Department of Pediatrics, Indiana University School of Medicine
  • Chen Peng-Sheng
    Krannert Institute of Cardiology and the Division of Cardiology, Indiana University School of Medicine Krannert Institute of Cardiology and the Division of Cardiology, Department of Medicine, Indiana University School of Medicine

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Background: Calcium transient triggered firing (CTTF) is induced by large intracellular calcium (Cai) transient and short action potential duration (APD). We hypothesized that CTTF underlies the mechanisms of early afterdepolarization (EAD) and spontaneous recurrent atrial fibrillation (AF) in transgenic (Tx) mice with overexpression of transforming growth factor β1 (TGF-β1). Methods and Results: MHC-TGFcys33ser Tx mice develop atrial fibrosis because of elevated levels of TGF-β1. We studied membrane potential and Cai transients of isolated superfused atria from Tx and wild-type (Wt) littermates. Short APD and persistently elevated Cai transients promoted spontaneous repetitive EADs, triggered activity and spontaneous AF after cessation of burst pacing in Tx but not Wt atria (39% vs. 0%, P=0.008). We were able to map optically 4 episodes of spontaneous AF re-initiation. All first and second beats of spontaneous AF originated from the right atrium (4/4, 100%), which is more severely fibrotic than the left atrium. Ryanodine and thapsigargin inhibited spontaneous re-initiation of AF in all 7 Tx atria tested. Western blotting showed no significant changes of calsequestrin or sarco/endoplasmic reticulum Ca2+-ATPase 2a. Conclusions: Spontaneous AF may occur in the Tx atrium because of CTTF, characterized by APD shortening, prolonged Cai transient, EAD and triggered activity. Inhibition of Ca2+ release from the sarcoplasmic reticulum suppressed spontaneous AF. Our results indicate that CTTF is an important arrhythmogenic mechanism in TGF-β1 Tx atria. (Circ J 2012; 76: 1354-1362)<br>

収録刊行物

  • Circulation Journal

    Circulation Journal 76 (6), 1354-1362, 2012

    一般社団法人 日本循環器学会

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