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Published on: June 29, 2022
Altered expression of hyperpolarization-activated cyclic nucleotide-gated channels and microRNA-1 and -133 in
Yao-Dong Li1, Yi-Fan Hong1, Yueerguli Yusufuaji1
1Department of Cardiology, The First Affiliated Hospital, Xinjiang Medical University, Urumqi, Xinjiang Uyghur 830011, P.R. China.
Insights
Age-associated atrial fibrillation is linked to increased HCN2 and HCN4 channel expression and decreased miR-1 and miR-133 levels in the atrium. These changes in hyperpolarization-activated cyclic nucleotide-gated (HCN) channels and microRNAs may trigger arrhythmias.
Area of Science:
- Cardiology
- Molecular Biology
- Geroscience
Background:
- Hyperpolarization-activated cyclic nucleotide-gated (HCN) cation channels are crucial for pacemaker currents in the atrium.
- MicroRNA (miR) families miR-1 and miR-133 are known regulators of myocardial function, including HCN channel expression.
Purpose of the Study:
- To investigate the hypothesis that age-dependent alterations in HCN2, HCN4, miR-1, and miR-133 expression contribute to age-associated atrial fibrillation.
- To determine the correlation between the expression levels of these molecules in adult and aged patients with and without atrial fibrillation.
Main Methods:
- Analysis of right atrial appendage samples from 60 patients undergoing coronary artery bypass grafting.
- Quantification of target RNA and protein expression using reverse transcription-quantitative polymerase chain reaction (RT-qPCR) and western blot.
Main Results:
- Aged patients with atrial fibrillation showed significantly higher HCN2 and HCN4 mRNA and protein levels, and significantly lower miR-1 and miR-133 levels compared to aged patients with sinus rhythm.
- Aged patients with sinus rhythm exhibited significantly higher HCN2 and HCN4 mRNA and protein levels, and significantly lower miR-1 and miR-133 levels compared to adult patients with sinus rhythm.
- HCN2 and HCN4 expression levels increased with age, with a more pronounced increase observed in patients with age-associated atrial fibrillation.
Conclusions:
- Age-dependent changes in HCN2, HCN4, miR-1, and miR-133 expression are associated with atrial fibrillation in the elderly.
- These molecular and electrophysiological alterations may promote ectopic beats, potentially triggering atrial fibrillation.
Abstract:
Hyperpolarization-activated cyclic nucleotide-gated (HCN) cation channels mediate pacemaker currents in the atrium. The microRNA (miR) families miR-1 and miR-133 regulate the expression of multiple genes involved in myocardial function, including HCN channels. It was hypothesized that age‑dependent changes in HCN2, HCN4, miR‑1 and miR‑133 expression may contribute to age‑associated atrial fibrillation, and therefore the correlation between expression levels, among adult (≤65 years) and aged patients (≥65 years), and sinus rhythm was determined. Right atrial appendage samples were collected from 60 patients undergoing coronary artery bypass grafting. Reverse transcription-quantitative polymerase chain reaction (PCR) and western blot analyses were performed in order to determine target RNA and protein expression levels. Compared with aged patients with sinus rhythm, aged patients with atrial fibrillation exhibited significantly higher HCN2 and HCN4 channel mRNA and protein expression levels (P<0.05), but significantly lower expression levels of miR‑1 and miR‑133 (P<0.05). In addition, aged patients with sinus rhythm exhibited significantly higher expression levels of HCN2 and HCN4 channel mRNA and protein (P<0.05), but significantly lower expression levels of miR‑1 and ‑133 (P<0.05), compared with those of adult patients with sinus rhythm. Expression levels of HCN2 and HCN4 increased with age, and a greater increase was identified in patients with age‑associated atrial fibrillation compared with that in those with aged sinus rhythm. These electrophysiological changes may contribute to the induction of ectopic premature beats that trigger atrial fibrillation.
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