© 1999 by European Society of Cardiology
Copyright © 1999, European Society of Cardiology
Gene expression of proteins influencing the calcium homeostasis in patients with persistent and paroxysmal atrial fibrillation
aDepartment of Cardiology, Thoraxcenter, University Hospital Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands
bDepartment Clinical Pharmacology, Thoraxcenter, University Hospital Groningen, Groningen, The Netherlands
cDepartment of Thoracic Surgery, Thoraxcenter, University Hospital Groningen, Groningen, The Netherlands
i.c.van.gelder{at}thorax.azg.nl
* Corresponding author. Tel.: +31-50-3612355; fax: +31-50-3614391
Objective: Persistent atrial fibrillation (AF) results in an impairment of atrial function. In order to elucidate the mechanism behind this phenomenon, we investigated the gene expression of proteins influencing calcium handling. Methods: Right atrial appendages were obtained from eight patients with paroxysmal AF, ten with persistent AF (>8 months) and 18 matched controls in sinus rhythm. All controls underwent coronary artery bypass grafting, whereas most AF patients underwent Coxs MAZE surgery (n=12). All patients had a normal left ventricular function. Total RNA was isolated and reversely transcribed into cDNA. In a semi-quantitative polymerase chain reaction the cDNA of interest and of glyceraldehyde-3-phosphate dehydrogenase were coamplified and separated by ethidium bromide-stained gel electrophoresis. Slot blot analysis was performed to study protein expression. Results: L-type calcium channel
1 and sarcoplasmic reticulum Ca2+-ATPase mRNA (–57%, p=0.01 and –28%, p=0.04, respectively) and protein contents (–43%, p=0.02 and –28%, p=0.04, respectively) were reduced in patients with persistent AF compared to the controls. mRNA contents of phospholamban, ryanodine receptor type 2 and sodium/calcium exchanger were comparable. No changes were observed in patients with paroxysmal AF. Conclusions: Alterations in gene expression of proteins involved in the calcium homeostasis occur only in patients with long-term persistent AF. In the absence of underlying heart disease, the changes are rather secondary than primary to AF.
KEYWORDS Atrial fibrillation; Ca2+-handling proteins; Gene expression
Presented in part at the Congress of the NASPE (North American Society for Pacing and Electrophysiology), May 6–9 1998, San Diego, California.
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