Characterization of the Genetic Program Linked to the Development of Atrial Fibrillation in CREM-IbΔC-X Mice

Matthias D Seidl1, Juliane Stein2, Sabine Hamer2

  • 1From the Institute of Pharmacology and Toxicology, University of Münster, Germany (M.D.S., J.S., S.H., F.P., B.S., F.U.M.); Department of Genetic Epidemiology, Institute of Human Genetics, University of Münster, Germany (A.H., A.W., M.S.); Gerhard-Domagk-Institute of Pathology, University Hospital Münster, Germany (E.W.); Interfaculty Institute of Genetics and Functional Genomics, University Medicine Greifswald, Germany (E.H., U.V.); and German Centre for Cardiovascular Research, Partner Site Greifswald, Germany (E.H., U.V.). seidl@uni-muenster.de.

Abstract

Insights

Altered gene expression in cAMP response element-binding protein/modulator (CREM) transgenic mice reveals key changes in atrial structure, metabolism, and electrical activity, modeling human atrial fibrillation (AF) pathophysiology.

Area of Science:

  • Cardiovascular Biology
  • Molecular Genetics
  • Cardiac Electrophysiology

Background:

  • Reduced cAMP response element-binding protein/modulator (CREM) gene expression is linked to atrial fibrillation (AF) susceptibility.
  • Cardiomyocyte-specific expression of inhibitory CREM isoform CREM-IbΔC-X in transgenic mice (TG) induces AF, atrial dilatation, and conduction abnormalities.

Purpose of the Study:

  • Characterize the altered gene program associated with atrial remodeling and AF development in CREM-TG mice.
  • Investigate temporal changes in gene expression and proteomic alterations before and after AF onset.

Main Methods:

  • mRNA microarray profiling of atria from young (pre-AF) and old (post-AF) CREM-TG mice and age-matched wild-type controls.
  • Proteomic profiling in young TG and wild-type mice.
  • Electron microscopy to assess structural changes.

Main Results:

  • Significant differences in biological functions and pathways were observed before and after AF onset in TG mice.
  • Early alterations in metabolic pathways, muscle contraction, and ion transport were noted in young TG mice.
  • Structural changes included loss of sarcomeres and mitochondria, increased collagen and glycogen deposition.
  • Electrophysiological pathway alterations and changes in ion channel gene expression became prominent after AF onset.

Conclusions:

  • CREM-induced atrial remodeling involves prominent alterations in genes regulating structure, metabolism, contractility, and electrical activity.
  • CREM transgenic mice serve as a valuable model for studying human AF pathophysiology.

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