Key result
Cessation of JDP2 overexpression completely reversed the paroxysmal atrial fibrillation phenotype and atrial hypertrophy, whereas continued overexpression maintained but did not aggravate the disease.
Why the study?
It was unknown whether AF and atrial remodeling reverse after terminating JDP2 overexpression, and whether paroxysmal AF converts to permanent AF if JDP2 overexpression continues.
Does cessation of JDP2 overexpression reverse paroxysmal atrial fibrillation and atrial remodeling in mice?
Does cessation of JDP2 overexpression reverse paroxysmal atrial fibrillation and atrial remodeling in mice?
Atrial remodeling and paroxysmal atrial fibrillation induced by JDP2 overexpression are completely reversible upon cessation of the overexpression, suggesting that downregulation of calcium proteins and connexins is crucial for disease maintenance.
Reversibility of JDP2-driven AF in mice leaves open whether pathway targeting could treat human paroxysmal AF; prospective studies needed.
Heart-specific overexpression of transcriptional regulator JDP2 (jun dimerization protein 2) for 5 weeks provokes paroxysmal atrial fibrillation (AF) in mice. We now investigated whether AF and atrial remodeling will be reversible upon termination of JDP2 overexpression, and whether paroxysmal AF converts to permanent AF in the presence of maintained JDP2 overexpression. Cardiac-specific JDP2 overexpression for 5 weeks, resulting in paroxysmal AF, was either continued or repressed via a tet-off system for another 5 weeks. ECGs were recorded weekly. Thereafter, heart and lung weights, and atrial mRNA and protein expression were determined. Extending JDP2 overexpression did not aggravate the AF phenotype, still paroxysmal AF, prolongation of PQ intervals, and atrial hypertrophy were present. This phenotype was completely reversible upon cessation of JDP2 overexpression. A massive downregulation of connexin40 and calcium handling proteins, including SERCA2a, calsequestrin, and ryanodine receptor, was observed in atria after prolonged JDP2 overexpression. In conclusion, atrial remodeling and paroxysmal AF under JDP2 overexpression are not sufficient to maintain or aggravate AF in the absence of JDP2. The comparison of the two groups indicates that the downregulation of calcium proteins and connexins is an important factor in the maintenance of the disease.
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Euler et al. (2025) studied Paroxysmal atrial fibrillation. Repression of JDP2 overexpression (via tet-off system) vs. Continued JDP2 overexpression was evaluated on Reversibility of AF phenotype, atrial remodeling, and progression to permanent AF. Cessation of JDP2 overexpression completely reversed the paroxysmal atrial fibrillation phenotype and atrial hypertrophy, whereas continued overexpression maintained but did not aggravate the disease.
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