TRPV4 blockade suppresses atrial fibrillation in sterile pericarditis rats

Atrial fibrillation (AF) commonly occurs after surgery and is associated with atrial remodeling. TRPV4 is functionally expressed in the heart, and its activation affects cardiac structure and functions. We hypothesized that TRPV4 blockade alleviates atrial remodeling and reduces AF induction in sterile pericarditis (SP) rats. TRPV4 antagonist GSK2193874 or vehicle was orally administered 1 day before pericardiotomy. AF susceptibility and atrial function were assessed using in vivo electrophysiology, ex vivo optical mapping, patch clamp, and molecular biology on day 3 after surgery. TRPV4 expression increased in the atria of SP rats and patients with AF. GSK2193874 significantly reduced AF vulnerability in vivo and the frequency of atrial ectopy and AF with a reentrant pattern ex vivo. Mechanistically, GSK2193874 reversed the abnormal action potential duration (APD) prolongation in atrial myocytes through the regulation of voltage-gated K+ currents (IK); reduced the activation of atrial fibroblasts by inhibiting P38, AKT, and STAT3 pathways; and alleviated the infiltration of immune cells. Our results reveal that TRPV4 blockade prevented abnormal changes in atrial myocyte electrophysiology and ameliorated atrial fibrosis and inflammation in SP rats; therefore, it might be a promising strategy to treat AF, particularly postoperative AF.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:5

Enthalten in:

JCI insight - 5(2020), 23 vom: 03. Dez.

Sprache:

Englisch

Beteiligte Personen:

Liao, Jie [VerfasserIn]
Wu, Qiongfeng [VerfasserIn]
Qian, Cheng [VerfasserIn]
Zhao, Ning [VerfasserIn]
Zhao, Zhaoyang [VerfasserIn]
Lu, Kai [VerfasserIn]
Zhang, Shaoshao [VerfasserIn]
Dong, Qian [VerfasserIn]
Chen, Lei [VerfasserIn]
Li, Qince [VerfasserIn]
Du, Yimei [VerfasserIn]

Links:

Volltext

Themen:

Arrhythmias
Calcium
Cardiology
Fibrosis
GSK2193874
Journal Article
Piperidines
Quinolines
Research Support, Non-U.S. Gov't
TRPV Cation Channels
TRPV4 protein, human
Trpv4 protein, rat

Anmerkungen:

Date Completed 24.05.2021

Date Revised 24.05.2021

published: Electronic

Citation Status MEDLINE

doi:

10.1172/jci.insight.137528

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM316880930