Key result
Inhibition of p300 or p53 reduced PAI-1 expression, which decreased atrial fibroblast senescence, atrial fibrosis, and atrial fibrillation inducibility in aged models.
Why the study?
Whether plasminogen activator inhibitor-1 participates in aging-related atrial fibrosis and its detailed mechanism remain unclear.
Does inhibition of the p300/p53/PAI-1 pathway reduce age-related atrial fibrosis and AF inducibility in preclinical models?
Does inhibition of the p300/p53/PAI-1 pathway reduce age-related atrial fibrosis and AF inducibility in preclinical models?
The p300/p53/PAI-1 signaling pathway mediates age-related atrial fibrosis, suggesting a potential therapeutic target for atrial fibrillation in the elderly.
PAI-1 may drive aging-related atrial fibrosis; hypothesis-generating for targeted AF therapies in the elderly.
Plasminogen activator inhibitor-1 (PAI-1), a key regulator of the fibrinolytic system, is also intimately involved in the fibrosis. Although PAI-1 may be involved in the occurrence of atrial fibrillation (AF) and thrombosis in the elderly, but whether it participated in aging-related atrial fibrosis and the detailed mechanism is still unclear. We compared the transcriptomics data of young (passage 4) versus senescent (passage 14) human atrial fibroblasts and found that PAI-1 was closely related to aging-related fibrosis. Aged mice and senescent human and mouse atrial fibroblasts underwent electrophysiological and biochemical studies. We found that p300, p53, and PAI-1 protein expressions were increased in the atrial tissue of aged mice and senescent human and mouse atrial fibroblasts. Curcumin or C646 (p300 inhibitor), or p300 knockdown inhibited the expression of PAI-1 contributing to reduced atrial fibroblasts senescence, atrial fibrosis, and the AF inducibility. Furthermore, p53 knockdown decreased the protein expression of PAI-1 and p21 in senescent human and mouse atrial fibroblasts. Our results suggest that p300/p53/PAI-1 signaling pathway participates in the mechanism of atrial fibrosis induced by aging, which provides new sights into the treatment of elderly AF.
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Lai et al. (2023) studied Age-related atrial fibrosis and atrial fibrillation. p300/p53 inhibition (Curcumin, C646, or knockdown) vs. Untreated/control was evaluated on PAI-1 expression, atrial fibroblast senescence, atrial fibrosis, and AF inducibility. Inhibition of p300 or p53 reduced PAI-1 expression, which decreased atrial fibroblast senescence, atrial fibrosis, and atrial fibrillation inducibility in aged models.
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