Key result
Hyperlipidemia markedly exacerbates nicotine-induced arrhythmogenesis and cardiomyocyte toxicity in preclinical models.
Why the study?
Does the combination of nicotine and palmitic acid-induced hyperlipidemia exacerbate electrophysiological damage and cell death in primary rat cardiomyocytes compared to nicotine alone?
Does the combination of nicotine and palmitic acid-induced hyperlipidemia exacerbate electrophysiological damage and cell death in primary rat cardiomyocytes compared to nicotine alone?
A hyperlipidemic state significantly sensitizes primary rat cardiomyocytes to nicotine-induced electrophysiological damage and cell death, highlighting the synergistic cardiotoxicity of smoking and hyperlipidemia.
Answers are grounded in this paper and cite their sources.
May heighten nicotine-related arrhythmia risk in hyperlipidemia; leaves open translation from rat cardiomyocyte findings to patients.
Cigarette smoking and hyperlipidemia are major risk factors for cardiovascular disease. However, the mechanisms underlying their synergistic cardiotoxic effects remain insufficiently elucidated, particularly at the cellular electrophysiological level. To address this, we developed an electrophysiological biosensing platform to establish a real-time co-exposure model that simulates the combined stress of nicotine and palmitic acid-induced hyperlipidemia on the primary rat cardiomyocytes. This model enabled continuous, non-invasive monitoring and quantitative analysis of field potential under individual and combined conditions. Our results revealed a distinct concentration-dependent effect of nicotine on cardiomyocytes: low-dose nicotine induced transient and reversible electrophysiological suppression, while high concentrations triggered severe arrhythmias and cell death. Critically, the co-exposure model revealed that a hyperlipidemic state significantly sensitizes cardiomyocytes to nicotine, markedly exacerbating arrhythmogenesis and compromising cell viability compared to nicotine alone. Moreover, nicotine withdrawal experiments showed that the electrophysiological damage induced by moderate nicotine exposure was reversible, whereas the adverse effects of high-dose nicotine exposure were largely irreversible. This study establishes an in vitro model to investigate the multifactorial cardiotoxicity, and provides a predictive platform for risk stratification and therapeutic intervention in smoking- and/or diet-related cardiovascular diseases.
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He et al. (2026) studied Cardiotoxicity. Nicotine and palmitic acid vs. Nicotine alone or untreated control was evaluated on Electrophysiological activity (field potential amplitude and firing rate). A hyperlipidemic state induced by palmitic acid significantly sensitized cardiomyocytes to nicotine, markedly exacerbating arrhythmogenesis and compromising cell viability compared to nicotine alone.
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