Why the study?
Atrial calcium transient alternans is causally linked to AF, and mitochondria regulate excitation-contraction coupling and Ca signaling through the redox environment, but the role of mitochondrial ROS remains to be elucidated.
Does modulating mitochondrial ROS affect calcium transient alternans in isolated atrial myocytes?
Does modulating mitochondrial ROS affect calcium transient alternans in isolated atrial myocytes?
Intact mitochondrial antioxidant defense protects against pro-arrhythmic calcium transient alternans, suggesting mitochondrial redox modulation as a potential therapeutic approach for atrial fibrillation.
ROS modulation of CaT alternans warrants preclinical AF studies; leaves open clinical translation.
Atrial calcium transient (CaT) alternans is defined as beat-to-beat alternations in CaT amplitude and is causally linked to atrial fibrillation (AF). Mitochondria play a significant role in cardiac excitation–contraction coupling and Ca signaling through redox environment regulation. In isolated rabbit atrial myocytes, ROS production is enhanced during CaT alternans, measured by fluorescence microscopy. Exogenous ROS (tert-butyl hydroperoxide) enhanced CaT alternans, whereas ROS scavengers (dithiothreitol, MnTBAP, quercetin, tempol) alleviated CaT alternans. While the inhibition of cellular NADPH oxidases had no effect on CaT alternans, interference with mitochondrial ROS (ROSm) production had profound effects: (1) the superoxide dismutase mimetic MitoTempo diminished CaT alternans and shifted the pacing threshold to higher frequencies; (2) the inhibition of cyt c peroxidase by SS-31, and inhibitors of ROSm production by complexes of the electron transport chain S1QEL1.1 and S3QEL2, decreased the severity of CaT alternans; however (3) the impairment of mitochondrial antioxidant defense by the inhibition of nicotinamide nucleotide transhydrogenase with NBD-Cl and thioredoxin reductase-2 with auranofin enhanced CaT alternans. Our results suggest that intact mitochondrial antioxidant defense provides crucial protection against pro-arrhythmic CaT alternans. Thus, modulating the mitochondrial redox state represents a potential therapeutic approach for alternans-associated arrhythmias, including AF.
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Oropeza‐Almazán et al. (2024) studied this question.
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