Key result
Experimental sinus node damage in rabbits increases bradycardia duration ~50-fold and upregulates pro-fibrotic atrial periostin.
Why the study?
Although sinus node dysfunction is frequently accompanied by increased right atrial fibrosis, its molecular basis remains elusive.
Does experimental sinus node dysfunction induce molecular changes that account for structural remodeling in the right atrium of rabbits?
Does experimental sinus node dysfunction induce molecular changes that account for structural remodeling in the right atrium of rabbits?
Experimental sinus node dysfunction induces rapid pro-fibrotic molecular changes in the right atrium, mediated by TGF-β signaling and periostin, providing insights into SND-induced atrial remodeling.
The sinus node (SN) is located at the apex of the cardiac conduction system, and SN dysfunction (SND)-characterized by electrical remodeling-is generally attributed to idiopathic fibrosis or ischemic injuries in the SN. SND is associated with increased risk of cardiovascular disorders, including syncope, heart failure, and atrial arrhythmias, particularly atrial fibrillation. One of the histological SND hallmarks is degenerative atrial remodeling that is associated with conduction abnormalities and increased right atrial refractoriness. Although SND is frequently accompanied by increased fibrosis in the right atrium (RA), its molecular basis still remains elusive. Therefore, we investigated whether SND can induce significant molecular changes that account for the structural remodeling of RA. Towards this, we employed a rabbit model of experimental SND, and then compared the genome-wide RNA expression profiles in RA between SND-induced rabbits and sham-operated controls to identify the differentially expressed transcripts. The accompanying gene enrichment analysis revealed extensive pro-fibrotic changes within 7 days after the SN ablation, including activation of transforming growth factor-β (TGF-β) signaling and alterations in the levels of extracellular matrix components and their regulators. Importantly, our findings suggest that periostin, a matricellular factor that regulates the development of cardiac tissue, might play a key role in mediating TGF-β-signaling-induced aberrant atrial remodeling. In conclusion, the present study provides valuable information regarding the molecular signatures underlying SND-induced atrial remodeling, and indicates that periostin can be potentially used in the diagnosis of fibroproliferative cardiac dysfunctions.
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Roh et al. (2020) studied Sinus Node Dysfunction (n=8). Experimental sinus node damage (SNX) vs. Sham operation (saline) was evaluated on Duration spent at HR < 130 bpm (%) (p=<0.01). Experimental sinus node damage in rabbits significantly increased the duration of bradycardia (88.57% vs 1.79%) and induced extensive pro-fibrotic molecular changes in the right atrium, notably upregulating periostin.
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