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Published on: May 27, 2010
Oxidized Ca(2+)/calmodulin-dependent protein kinase II triggers atrial fibrillation
Anil Purohit1, Adam G Rokita, Xiaoqun Guan
1Department of Internal Medicine, Division of Cardiovascular Medicine and Cardiovascular Research Center, Carver College of Medicine (A.P., A.G.R., X.G., B.C., O.M.K., Z.G., E.D.L., H.S., A.C.B., R.N.E.-A., P.D.S., R.M.W., L.-S.S., M.E.A.), Department of Obstetrics and Gynecology (B.Y.), and Department of Molecular Physiology and Biophysics (M.E.A.), University of Iowa, Iowa City; Institute of Pharmacology, Faculty of Medicine, University Duisburg-Essen, Essen, Germany, and Division of Experimental Cardiology, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany (N.V., D.D.); Cardiology and Pneumology, German Heart Center, University Hospital Goettingen, Goettingen, Germany (S.N., T.S., L.S.M.); and Department of Molecular Physiology and Biophysics, Baylor College of Medicine, Houston, TX (N.L., X.H.T.W.).
Background:
Atrial fibrillation (AF) is a growing public health problem without adequate therapies. Angiotensin II and reactive oxygen species are validated risk factors for AF in patients, but the molecular pathways connecting reactive oxygen species and AF are unknown. The Ca(2+)/calmodulin-dependent protein kinase II (CaMKII) has recently emerged as a reactive oxygen species-activated proarrhythmic signal, so we hypothesized that oxidized CaMKIIδ could contribute to AF.
Methods And Results:
We found that oxidized CaMKII was increased in atria from AF patients compared with patients in sinus rhythm and from mice infused with angiotensin II compared with mice infused with saline. Angiotensin II-treated mice had increased susceptibility to AF compared with saline-treated wild-type mice, establishing angiotensin II as a risk factor for AF in mice. Knock-in mice lacking critical oxidation sites in CaMKIIδ (MM-VV) and mice with myocardium-restricted transgenic overexpression of methionine sulfoxide reductase A, an enzyme that reduces oxidized CaMKII, were resistant to AF induction after angiotensin II infusion.
Conclusions:
Our studies suggest that CaMKII is a molecular signal that couples increased reactive oxygen species with AF and that therapeutic strategies to decrease oxidized CaMKII may prevent or reduce AF.
Insights
Oxidized Ca(2+)/calmodulin-dependent protein kinase II (CaMKII) is linked to atrial fibrillation (AF). Reducing oxidized CaMKII may offer new therapies for AF patients.
Area of Science:
- Cardiovascular Research
- Molecular Cardiology
- Biochemistry
Background:
- Atrial fibrillation (AF) is a significant public health concern with limited therapeutic options.
- Angiotensin II and reactive oxygen species (ROS) are known risk factors for AF, but the underlying molecular mechanisms remain unclear.
- Ca(2+)/calmodulin-dependent protein kinase II (CaMKII) is a newly identified ROS-activated proarrhythmic signal.
Purpose of the Study:
- To investigate the role of oxidized CaMKIIδ in the development of AF.
- To determine if CaMKII acts as a molecular link between ROS and AF.
- To explore potential therapeutic strategies targeting oxidized CaMKII for AF prevention.
Main Methods:
- Comparison of oxidized CaMKII levels in atrial tissue from AF patients versus sinus rhythm patients.
- Assessment of AF susceptibility in mice infused with angiotensin II.
- Utilizing knock-in mice with modified CaMKIIδ oxidation sites (MM-VV) and transgenic mice overexpressing methionine sulfoxide reductase A.
Main Results:
- Oxidized CaMKII was elevated in atria of AF patients and angiotensin II-treated mice.
- Angiotensin II infusion increased AF susceptibility in wild-type mice.
- MM-VV CaMKIIδ knock-in mice and methionine sulfoxide reductase A-overexpressing mice showed resistance to AF induction.
Conclusions:
- CaMKII serves as a molecular mediator connecting increased ROS to AF.
- Therapeutic interventions aimed at reducing oxidized CaMKII may hold promise for preventing or mitigating AF.
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