Key result
CB13 reduces Angiotensin II-induced rat atrial cardiomyocyte enlargement by ~21% via an AMPK-dependent mechanism.
Why the study?
Pathological atrial remodeling predisposes to arrhythmia, but effective therapeutic strategies targeting this remodeling are currently lacking.
Does CB13 prevent atrial myocyte enlargement and mitochondrial dysfunction in neonatal rat atrial cardiomyocytes stimulated by angiotensin II?
Does CB13 prevent atrial myocyte enlargement and mitochondrial dysfunction in neonatal rat atrial cardiomyocytes stimulated by angiotensin II?
Absolute Event Rate: 97.9% vs 124.6%
p-value: p=≤0.01
Peripheral cannabinoid receptor activation with CB13 prevents AngII-induced pathological hypertrophy and mitochondrial dysfunction in rat atrial cardiomyocytes, suggesting a potential therapeutic strategy for atrial remodeling.
No clinical use yet; leaves open translation of CB13 to human atrial remodeling prevention.
Pathological remodeling of atrial tissue renders the atria more prone to arrhythmia upon arrival of electrical triggers. Activation of the renin-angiotensin system is an important factor that contributes to atrial remodeling, which may result in atrial hypertrophy and prolongation of P-wave duration. In addition, atrial cardiomyocytes are electrically coupled via gap junctions, and electrical remodeling of connexins may result in dysfunction of coordinated wave propagation within the atria. Currently, there is a lack of effective therapeutic strategies that target atrial remodeling. We previously proposed that cannabinoid receptors (CBR) may have cardioprotective qualities. CB13 is a dual cannabinoid receptor agonist that activates AMPK signaling in ventricular cardiomyocytes. We reported that CB13 attenuates tachypacing-induced shortening of atrial refractoriness and inhibition of AMPK signaling in the rat atria. Here, we evaluated the effects of CB13 on neonatal atrial rat cardiomyocytes (NRAM) stimulated by angiotensin II (AngII) in terms of atrial myocyte enlargement and mitochondrial function. CB13 inhibited AngII-induced enhancement of atrial myocyte surface area in an AMPK-dependent manner. CB13 also inhibited mitochondrial membrane potential deterioration in the same context. However, AngII and CB13 did not affect mitochondrial permeability transition pore opening. We further demonstrate that CB13 increased Cx43 compared to AngII-treated neonatal rat atrial myocytes. Overall, our results support the notion that CBR activation promotes atrial AMPK activation, and prevents myocyte enlargement (an indicator that suggests pathological hypertrophy), mitochondrial depolarization and Cx43 destabilization. Therefore, peripheral CBR activation should be further tested as a novel treatment strategy in the context of atrial remodeling.
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Altieri et al. (2023) studied Atrial remodeling and hypertrophy. CB13 (dual cannabinoid receptor agonist) vs. Angiotensin II (10 μM) alone was evaluated on Cell surface area (% of control) (p=≤0.01). CB13 significantly reduced Angiotensin II-induced neonatal rat atrial cardiomyocyte enlargement from 124.6% to 97.9% compared to control in an AMPK-dependent manner.
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