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Lenaerts, I; Bito, V; Heinzel, FR; Driesen, RB; Holemans, P; D'hooge, J; Heidbüchel, H; Sipido, KR; Willems, R.
Ultrastructural and functional remodeling of the coupling between Ca2+ influx and sarcoplasmic reticulum Ca2+ release in right atrial myocytes from experimental persistent atrial fibrillation.
Circ Res. 2009; 105(9): 876-885.
Doi: 10.1161/CIRCRESAHA.109.206276
[OPEN ACCESS]
Web of Science
PubMed
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- Co-authors Med Uni Graz
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Heinzel Frank
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- Abstract:
- RATIONALE: Persistent atrial fibrillation (AF) has been associated with structural and electric remodeling and reduced contractile function. Objective: To unravel mechanisms underlying reduced sarcoplasmic reticulum (SR) Ca(2+) release in persistent AF.
METHODS: We studied cell shortening, membrane currents, and [Ca(2+)](i) in right atrial myocytes isolated from sheep with persistent AF (duration 129+/-39 days, N=16), compared to matched control animals (N=21). T-tubule density, ryanodine receptor (RyR) distribution, and local [Ca(2+)](i) transients were examined in confocal imaging.
RESULTS: Myocyte shortening and underlying [Ca(2+)](i) transients were profoundly reduced in AF (by 54.8% and 62%, P<0.01). This reduced cell shortening could be corrected by increasing [Ca(2+)](i). SR Ca(2+) content was not different. Calculated fractional SR Ca(2+) release was reduced in AF (by 20.6%, P<0.05). Peak Ca(2+) current density was modestly decreased (by 23.9%, P<0.01). T-tubules were present in the control atrial myocytes at low density and strongly reduced in AF (by 45%, P<0.01), whereas the regular distribution of RyR was unchanged. Synchrony of SR Ca(2+) release in AF was significantly reduced with increased areas of delayed Ca(2+) release. Propagation between RyR was unaffected but Ca(2+) release at subsarcolemmal sites was reduced. Rate of Ca(2+) extrusion by Na(+)/Ca(2+) exchanger was increased.
CONCLUSIONS: In persistent AF, reduced SR Ca(2+) release despite preserved SR Ca(2+) content is a major factor in contractile dysfunction. Fewer Ca(2+) channel-RyR couplings and reduced efficiency of the coupling at subsarcolemmal sites, possibly related to increased Na(+)/Ca(2+) exchanger, underlie the reduction in Ca(2+) release.
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Actin Cytoskeleton - metabolism
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Animals -
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Atrial Fibrillation - metabolism
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Atrial Function, Right -
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Calcium Channels, L-Type - metabolism
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Calcium Signaling -
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Disease Models, Animal -
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Electrophysiologic Techniques, Cardiac -
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Female -
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Glycogen - metabolism
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Heart Atria - metabolism
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Membrane Potentials -
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Myocardial Contraction -
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Myocytes, Cardiac - metabolism
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Ryanodine Receptor Calcium Release Channel - metabolism
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Sarcolemma - metabolism
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Sarcoplasmic Reticulum - metabolism
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Sheep -
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Sodium-Calcium Exchanger - metabolism
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Time Factors -
- Find related publications in this database (Keywords)
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atrial fibrillation
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sarcoplasmic reticulum
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Na+/Ca2+ exchange
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ryanodine receptor
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T-tubules