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Updated: Mar 22, 2026

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
Targeting histone deacetylases: A novel therapeutic strategy for atrial fibrillation
Baigalmaa Lkhagva1, Yu-Hsun Kao2, Yao-Chang Chen3
1Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Insights
Histone deacetylase (HDAC) inhibition offers a promising new therapeutic strategy for atrial fibrillation (AF), a common heart rhythm disorder. Targeting HDACs may improve AF treatment by addressing its underlying causes and effects.
Area of Science:
- Cardiology
- Molecular Biology
- Pharmacology
Background:
- Atrial fibrillation (AF) is a prevalent cardiac arrhythmia with significant mortality and morbidity.
- Existing AF treatments have limitations in efficacy and present considerable side effects.
- Histone deacetylases (HDACs) are implicated in cardiovascular disease pathophysiology and AF development.
Purpose of the Study:
- To review the current understanding of HDACs and their inhibitors in the context of AF.
- To explore the potential of HDAC inhibition as a novel therapeutic approach for AF.
- To dissect the underlying molecular mechanisms through which HDACs influence AF.
Main Methods:
- Literature review of studies on HDACs, HDAC inhibitors, and atrial fibrillation.
- Analysis of the role of HDACs in cardiac electrophysiological and structural remodeling.
- Discussion of potential therapeutic strategies involving HDAC inhibition for AF.
Main Results:
- HDACs play a critical role in the development and progression of AF.
- HDAC inhibition demonstrates potential for modifying AF-related electrical and structural remodeling.
- Targeting HDACs could offer a novel upstream therapeutic strategy for AF.
Conclusions:
- HDAC inhibition represents a promising novel therapeutic avenue for managing atrial fibrillation.
- Further research into HDACs and their inhibitors is warranted to develop effective AF treatments.
- Understanding HDAC mechanisms is key to advancing AF therapy.
Abstract:
Atrial fibrillation (AF) is a common cardiac arrhythmia associated with high mortality and morbidity. Current treatments of AF have limited efficacy and considerable side effects. Histone deacetylases (HDACs) play critical roles in the pathophysiology of cardiovascular diseases and contribute to the genesis of AF. Therefore, HDAC inhibition may prove a novel therapeutic strategy for AF through upstream therapy and modifications of AF electrical and structural remodeling. In this review, we provide an update of the knowledge of the effects of HDACs and HDAC inhibitors on AF, and dissect potential underlying mechanisms.
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