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Updated: Dec 12, 2025

Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation
Published on: July 20, 2022
Genetics and Epigenetics of Atrial Fibrillation
Estefanía Lozano-Velasco1,2, Diego Franco1,2, Amelia Aranega1,2
1Department of Experimental Biology, University of Jaen, 23071 Jaen, Spain.
Insights
Atrial fibrillation (AF), a common heart rhythm disorder, is linked to genetic factors and epigenetic changes. Understanding these epigenetic networks is key to developing new AF treatments.
Area of Science:
- Cardiology
- Genetics
- Epigenetics
Background:
- Atrial fibrillation (AF) is the most common arrhythmia, affecting 1% of the population and increasing with age.
- AF involves ion channel dysfunction, calcium handling issues, and structural heart remodeling.
- Genetic factors, identified through GWAS, play a role in AF development.
Purpose of the Study:
- To review current knowledge on epigenetic regulatory networks in atrial fibrillation.
- To highlight the role of post-transcriptional modifications in AF pathogenesis.
Main Methods:
- Review of genome-wide association studies (GWAS) for AF-related genetic loci.
- Analysis of recent discoveries in non-coding RNAs, DNA methylation, and histone modification.
- Focus on functional characterization of AF-related epigenetic mechanisms.
Main Results:
- Over 100 genetic loci associated with AF have been identified, many related to ion channels and cardiac transcription factors.
- Epigenetic mechanisms, including microRNAs, DNA methylation, and histone modifications, are crucial for normal heart development and AF.
- These mechanisms are involved in reshaping cardiac processes leading to arrhythmias.
Conclusions:
- Epigenetic regulatory networks are increasingly recognized as critical in the development of atrial fibrillation.
- Further research into these networks is essential for understanding AF and developing targeted therapies.
Abstract:
Atrial fibrillation (AF) is known to be the most common supraventricular arrhythmia affecting up to 1% of the general population. Its prevalence exponentially increases with age and could reach up to 8% in the elderly population. The management of AF is a complex issue that is addressed by extensive ongoing basic and clinical research. AF centers around different types of disturbances, including ion channel dysfunction, Ca2+-handling abnormalities, and structural remodeling. Genome-wide association studies (GWAS) have uncovered over 100 genetic loci associated with AF. Most of these loci point to ion channels, distinct cardiac-enriched transcription factors, as well as to other regulatory genes. Recently, the discovery of post-transcriptional regulatory mechanisms, involving non-coding RNAs (especially microRNAs), DNA methylation, and histone modification, has allowed to decipher how a normal heart develops and which modifications are involved in reshaping the processes leading to arrhythmias. This review aims to provide a current state of the field regarding the identification and functional characterization of AF-related epigenetic regulatory networks.
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