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Published on: June 29, 2022
Inhibition of mitochondrial translocator protein prevents atrial fibrillation
Jun Li1, Junjie Xiao, Dandan Liang
1Department of Cardiology, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.
Abstract:
Atrial fibrillation is the most common arrhythmia encountered in clinical practice. It can cause severe complications such as congestive heart failure and stroke. However, identification of prime targets for efficient therapeutic intervention remains a challenge. In vitro rabbit heart models of ischemia-, stretch-, and cholinergic agitation-induced atrial fibrillation were developed, and pharmacological interventions of mitochondrial translocator protein (TSPO) were adopted to explore the role of the mitochondrial protein in the aforementioned atrial fibrillations. Fura-2 AM and Mg(2+)-Fura-2 AM were used to monitor the alterations of intracellular Ca(2+) and ATP respectively under chemical ischemia or cholinergic agitation. The results showed that inhibition of TSPO significantly reduced the incidence of all three types of atrial fibrillation. In addition, TSPO inhibition ameliorated the cytoplasmic Ca(2+) overload and energy compromise facing to chemical ischemia or cholinergic agitation in HL-1 cells, an atrial muscle cell line. Thus, TSPO may be an important molecule in the context of different kinds of atrial fibrillation, and a novel and common target for atrial fibrillation treatment.
Insights
Targeting mitochondrial translocator protein (TSPO) effectively reduced atrial fibrillation incidence in rabbit models. TSPO inhibition also improved cellular calcium and ATP levels, suggesting it as a novel therapeutic target for atrial fibrillation.
Area of Science:
- Cardiology
- Molecular Biology
- Biochemistry
Background:
- Atrial fibrillation is a common arrhythmia with severe complications like heart failure and stroke.
- Identifying effective therapeutic targets for atrial fibrillation remains a significant clinical challenge.
Purpose of the Study:
- To investigate the role of mitochondrial translocator protein (TSPO) in different types of atrial fibrillation.
- To evaluate the therapeutic potential of TSPO inhibition for atrial fibrillation.
Main Methods:
- Development of in vitro rabbit heart models for ischemia-, stretch-, and cholinergic agitation-induced atrial fibrillation.
- Pharmacological inhibition of TSPO.
- Monitoring intracellular Ca(2+) and ATP levels using Fura-2 AM and Mg(2+)-Fura-2 AM in HL-1 cells.
Main Results:
- TSPO inhibition significantly reduced the incidence of all three induced atrial fibrillation models.
- Inhibition of TSPO ameliorated cytoplasmic Ca(2+) overload and energy compromise in HL-1 cells subjected to chemical ischemia or cholinergic agitation.
Conclusions:
- TSPO plays a crucial role in various forms of atrial fibrillation.
- TSPO represents a promising and common molecular target for novel atrial fibrillation treatments.
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