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Updated: Jun 5, 2026

Isolation of Human Atrial Myocytes for Simultaneous Measurements of Ca2+ Transients and Membrane Currents
Published on: July 3, 2013
Molecular characterization of thyroid hormone-inhibited atrial L-type calcium channel expression: implication for
Wei-Jan Chen1, Yung-Hsin Yeh, Kwang-Huei Lin
1First Cardiovascular Division, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Fu-Shin Road no 5, Kwei-Shan, Tao-Yuan, Taiwan. wjchen@adm.cgmh.org.tw
Abstract:
Atrial fibrillation (AF) is a common complication in hyperthyroidism. Earlier studies demonstrate that thyroid hormone decreases L-type calcium channel (LCC) current expression with resultant shortening of action potential duration (APD), providing a substrate for AF. The aim of this study was to investigate the potential mechanism underlying the regulatory effect of thyroid hormone on LCC. In a hyperthyroid rat model, thyroid hormone (triiodothyronine [T3]) administration down-regulated atrial LCC expression. In vitro, treatment of murine atrial myocytes (HL-1) with T3 decreased the expression of LCC and its current, resulting in abbreviation of APD. Furthermore, T3 inhibited the activation of cyclic AMP response element (CRE)-binding protein (CREB), including phosphorylation at Ser133 and its nuclear translocation. Transient transfection studies in HL-1 cells indicated that T3 reduced LCC promoter activity. Deletion and mutation analysis of the LCC promoter region along with chromatin immunoprecipitation using anti-CREB antibody showed that CRE was essential for T3-mediated LCC gene expression. Transfection of dominant-negative CREB (mutated Ser133) and mutant thyroid hormone receptor (TR, mutated Cys51) abolished the T3-dependent effects, suggesting an association between both transcriptional factors. Co-immunoprecipitation documented an increased binding of TR with CREB after T3 treatment. The transcriptional cross-talk 3 between TR and CREB bound to CRE mediates T3-inhibited CREB activity and LCC expression. Thyroid hormone-induced TR binding of CREB inhibits CREB activity and LCC current expression, which may contribute to AF. These findings provide an important mechanistic insight into hyperthyroidism-induced AF.
Insights
Thyroid hormone in hyperthyroidism reduces atrial L-type calcium channel expression via a mechanism involving thyroid hormone receptor and CREB interaction. This contributes to atrial fibrillation.
Area of Science:
- Cardiology
- Endocrinology
- Molecular Biology
Background:
- Atrial fibrillation (AF) is a common complication of hyperthyroidism.
- Thyroid hormone is known to decrease L-type calcium channel (LCC) expression, shortening action potential duration (APD) and creating a substrate for AF.
Purpose of the Study:
- To investigate the molecular mechanism by which thyroid hormone regulates LCC expression in the atria.
Main Methods:
- Utilized a hyperthyroid rat model and cultured murine atrial myocytes (HL-1).
- Administered triiodothyronine (T3) and assessed LCC expression, LCC current, and APD.
- Investigated the role of cyclic AMP response element-binding protein (CREB) and thyroid hormone receptor (TR) using transfection, chromatin immunoprecipitation, and co-immunoprecipitation assays.
Main Results:
- T3 administration down-regulated atrial LCC expression and LCC current, abbreviating APD in HL-1 cells.
- T3 inhibited CREB activation (phosphorylation and nuclear translocation) and reduced LCC promoter activity.
- CRE was essential for T3-mediated LCC gene expression, and TR binding to CREB was increased by T3, inhibiting CREB activity and LCC expression.
Conclusions:
- Thyroid hormone-induced TR binding to CREB mediates the inhibition of CREB activity and LCC expression.
- This mechanism provides a mechanistic insight into hyperthyroidism-induced AF.
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