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2016 ; 13
(4
): 983-91
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Relaxin suppresses atrial fibrillation in aged rats by reversing fibrosis and
upregulating Na+ channels
#MMPMID26711798
Henry BL
; Gabris B
; Li Q
; Martin B
; Giannini M
; Parikh A
; Patel D
; Haney J
; Schwartzman DS
; Shroff SG
; Salama G
Heart Rhythm
2016[Apr]; 13
(4
): 983-91
PMID26711798
show ga
BACKGROUND: Atrial fibrillation (AF) contributes significantly to morbidity and
mortality in elderly patients and has been correlated with enhanced age-dependent
atrial fibrosis. Reversal of atrial fibrosis has been proposed as therapeutic
strategy to suppress AF. OBJECTIVE: To test the ability of relaxin to reverse
age-dependent atrial fibrosis and suppress AF. METHODS: Aged F-344 rats (24
months old) were treated with subcutaneous infusion of vehicle or relaxin (0.4
mg/kg/day) for 2 weeks. Rat hearts were excised, perfused on a Langendorff
apparatus, and stained with voltage and Ca(2+) indicator dyes. Optical mapping
and programmed electrical stimulation was used to test arrhythmia vulnerability
and changes in electrophysiological characteristics. Changes in protein
expression and Na(+) current density (INa) were measured by tissue
immunofluorescence and whole-cell patch clamp technique. RESULTS: In aged rats,
sustained AF was readily induced with a premature pulse (n = 7/8) and relaxin
treatment suppressed sustained AF by a premature impulse or burst pacing (n =
1/6) (P < .01). Relaxin significantly increased atrial action potential
conduction velocity and decreased atrial fibrosis. Relaxin treatment increased
Nav1.5 expression (n = 6; 36% ± 10%) and decreased total collagen and collagen I
(n = 5-6; 55%-66% ± 15%) in aged atria (P < .05) and decreased collagen I and III
and TGF-?1 mRNA (P < .05). Voltage-clamp experiments demonstrated that relaxin
treatment (100 nM for 2 days) increased atrial INa by 46% ± 4% (n = 12-13/group,
P < .02). CONCLUSION: Relaxin suppresses AF through an increase in atrial
conduction velocity by decreasing atrial fibrosis and increasing INa. These data
provide compelling evidence that relaxin may serve as an effective therapy to
manage AF in geriatric patients by reversing fibrosis and modulating cardiac
ionic currents.