Why the study?
The left and right atria experience different mechanical and metabolic environments that may cause intrinsic cardiomyocyte diversity and provoke different responsiveness to pathological conditions.
Does paroxysmal atrial fibrillation induce different structural and functional changes in left versus right atrial cardiomyocytes in a rat model?
Does paroxysmal atrial fibrillation induce different structural and functional changes in left versus right atrial cardiomyocytes in a rat model?
Paroxysmal atrial fibrillation induces distinct, load-dependent contractile and structural changes in left versus right atrial cardiomyocytes, highlighting inter-atrial differences that may contribute to AF progression.
Suggests load-dependent inter-atrial differences in AF myocyte effects; leaves open translation to human AF progression or therapy.
Introduction The left and right atria (LA, RA) work under different mechanical and metabolic environments that may cause an intrinsic inter-chamber diversity in structure and functional properties between atrial cardiomyocytes (CM) in norm and provoke their different responsiveness to pathological conditions. In this study, we assessed a LA vs. RA difference in CM contractility in paroxysmal atrial fibrillation (AF) and underlying mechanisms. Methods We investigated the contractile function of single isolated CM from LA and RA using a 7-day acetylcholine (ACh)-CaCl 2 AF model in rats. We compared auxotonic force, sarcomere length dynamics, cytosolic calcium ([Ca 2+ ] i ) transients, intracellular ROS and NO production in LA and RA CM, and analyzed the phosphorylation levels of contractile proteins and actin-myosin interaction using an in vitro motility assay. Results AF resulted in more prominent structural and functional changes in LA myocardium, reducing sarcomere shortening amplitude, and velocity of sarcomere relengthening in mechanically non-loaded LA CM, which was associated with the increased ROS production, decreased NO production, reduced myofibrillar content, and decreased phosphorylation of cardiac myosin binding protein C and troponin I. However, in mechanically loaded CM, AF depressed the auxotonic force amplitude and kinetics in RA CM, while force characteristics were preserved in LA CM. Discussion Thus, inter-atrial differences are increased in paroxysmal AF and affected by the mechanical load that may contribute to the maintenance and progression of AF.
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Butova et al. (2023) studied this question.
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