Key result
Selective A3R inhibition increases transient inward current frequency ~2.9-fold in human atrial myocytes.
Why the study?
Adenosine A3 receptors could counteract excessive A2A receptor activation in atrial fibrillation, but their functional role in the human atrium remains elusive.
Does adenosine A3 receptor modulation alter spontaneous calcium release and transient inward current frequency in human atrial myocytes?
Does adenosine A3 receptor modulation alter spontaneous calcium release and transient inward current frequency in human atrial myocytes?
Absolute Event Rate: 0.81% vs 0.28%
p-value: p=<0.05
Adenosine A3 receptors play a protective role in human atrial myocytes by blunting spontaneous arrhythmogenic calcium release, presenting a potential novel target for atrial fibrillation prevention.
A3R inhibition increases arrhythmogenic currents in human atrial myocytes; leaves open whether selective A3R agonism merits testing for AF prevention.
Increased adenosine A2A receptor (A2AR) expression and activation underlies a higher incidence of spontaneous calcium release in atrial fibrillation (AF). Adenosine A3 receptors (A3R) could counteract excessive A2AR activation, but their functional role in the atrium remains elusive, and we therefore aimed to address the impact of A3Rs on intracellular calcium homeostasis. For this purpose, we analyzed right atrial samples or myocytes from 53 patients without AF, using quantitative PCR, patch-clamp technique, immunofluorescent labeling or confocal calcium imaging. A3R mRNA accounted for 9% and A2AR mRNA for 32%. At baseline, A3R inhibition increased the transient inward current (ITI) frequency from 0.28 to 0.81 events/min (p < 0.05). Simultaneous stimulation of A2ARs and A3Rs increased the calcium spark frequency seven-fold (p < 0.001) and the ITI frequency from 0.14 to 0.64 events/min (p < 0.05). Subsequent A3R inhibition caused a strong additional increase in the ITI frequency (to 2.04 events/min; p < 0.01) and increased phosphorylation at s2808 1.7-fold (p < 0.001). These pharmacological treatments had no significant effects on L-type calcium current density or sarcoplasmic reticulum calcium load. In conclusion, A3Rs are expressed and blunt spontaneous calcium release at baseline and upon A2AR-stimulation in human atrial myocytes, pointing to A3R activation as a means to attenuate physiological and pathological elevations of spontaneous calcium release events.
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Tarifa et al. (2023) studied No previous history of atrial fibrillation (n=53). Adenosine A3 receptor (A3R) inhibition (MRS1191) and/or stimulation (CGS21680) vs. Baseline measurements / Control myocytes was evaluated on Transient inward current (ITI) frequency at baseline upon A3R inhibition (p=<0.05). In human right atrial myocytes, selective A3R inhibition at baseline significantly increased the transient inward current frequency from 0.28 to 0.81 events/min (p<0.05).
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