Key result
High-fat diet in guinea pigs increases atrial arrhythmia vulnerability, driven by ~116% higher IK density.
Why the study?
Obesity mechanisms that render atrial tissue vulnerable to arrhythmia are poorly understood.
Does high-fat diet-induced obesity alter atrial electrical function and ion channel currents in guinea pigs?
Does high-fat diet-induced obesity alter atrial electrical function and ion channel currents in guinea pigs?
Absolute Event Rate: 50.7% vs 23.52%
p-value: p=0.00002
High-fat diet-induced obesity alters multiple atrial ion currents (IK, ICa,L, IKur, IK1), leading to shortened action potential duration and early afterdepolarizations that may initiate supraventricular arrhythmias.
Supports obesity-related AF mechanisms via ion remodeling; leaves open translation to human atrial electrophysiology.
Obesity mechanisms that make atrial tissue vulnerable to arrhythmia are poorly understood. Voltage-dependent potassium (IK, IKur, IK1) and L-type calcium currents (ICa,L) are electrically relevant and represent key substrates for modulation in obesity. We investigated whether electrical remodeling produced by high-fat diet (HFD) alone or in concert with acute atrial stimulation were different. Electrophysiology was used to assess atrial electrical function after short-term HFD-feeding in guinea pigs. HFD atria displayed spontaneous beats, increased IK (IKr + IKs) and decreased ICa,L densities. Only with pacing did a reduction in IKur and increased IK1 phenotype emerge, leading to a further shortening of action potential duration. Computer modeling studies further indicate that the measured changes in potassium and calcium current densities contribute prominently to shortened atrial action potential duration in human heart. Our data are the first to show that multiple mechanisms (shortened action potential duration, early afterdepolarizations and increased incidence of spontaneous beats) may underlie initiation of supraventricular arrhythmias in obese guinea pig hearts. These results offer different mechanistic insights with implications for obese patients harboring supraventricular arrhythmias.
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Martínez-Mateu et al. (2019) studied Obesity-induced atrial arrhythmogenesis. High-fat diet vs. Low-fat diet was evaluated on IK current density at +100 mV (pA/pF) (p=0.00002). High-fat diet feeding in guinea pigs significantly increased atrial IK density and decreased ICa,L density, leading to shortened action potential duration and increased vulnerability to atrial arrhythmias.
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