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Cardiovascular Research 2002 54(2):247-258; doi:10.1016/S0008-6363(01)00521-1
© 2002 by European Society of Cardiology
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Copyright © 2002, European Society of Cardiology

Signal transduction systems and atrial fibrillation

Andreas Goettea,*, Uwe Lendeckelb and Helmut U Kleina

aDivision of Cardiology, Department of Internal Medicine, University Hospital Magdeburg, Leipzigerstr. 44, 39120 Magdeburg, Germany
bInstitute of Experimental Internal Medicine, Department of Internal Medicine, University Hospital Magdeburg, Magdeburg, Germany

* Corresponding author. Tel.: +49-391-671-3203; fax: +49-391-671-3202 andreas.goette{at}medizin.uni-magdeburg.de

Cell communication, an essential component of integrated physiological function in multicellular organisms, is mediated largely through informational molecules, such as hormones and neurotransmitters. After binding to specific receptors, these first messengers activate intracellular signaling cascades and, thereby, translate extracellular messenger levels into intracellular events. Atrial fibrillation is associated with significant electrophysiological and structural alterations of atrial tissue. Most of these changes seem to be related to activation of signal transduction systems at the molecular atrial level. This review will describe the role and regulation of different signal transduction systems in fibrillating atria.

KEYWORDS AC, adenylyl cyclase; ACE, angiotensin-converting enzyme; ADAM, a disintegrin and metalloprotease; AF, atrial fibrillation; APA, aminopeptidase A; APB, aminopeptidase B; APN, alanyl-aminopeptidase; bFGF, basic fibroblast growth factor; BK, bradykinin; CPM, carboxypeptidase M; DAG, diacylglycerol; DPIV, dipeptidyl peptidase IV (CD26); ERK-1,-2, extracellular-signal regulated kinase-1,-2; FAK, focal adhesion kinase; GDP, guanosine diphosphate; GTP, guanosine triphosphate; IL, interleukin; IP3, inositol trisphosphate; JAK2, janus kinase 2; JNK, c-jun terminal kinase; MAPK, mitogen-activated protein kinase; MEK-1,-2, Erk-activating kinase-1,-2; MKK, MAP kinase kinase; MKKK, MAP kinase kinase kinase; MMP, matrix metalloproteinase; NC, ADP-ribosyl cyclase; NEP, neutral endopeptidase; PKA, protein kinase A; PKC, protein kinase C; PLC, phospholipase C; Shc, sequence homology of collagen; SOD, superoxide dismutase; Sos, ‘son of sevenless’; STAT, signal transducer and activators of transcription; TGF-β, transforming growth factor β


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