Key result
Omentin-1 expression was significantly downregulated in epicardial adipose tissue and right atrial appendages of patients with atrial fibrillation, and it inhibited TGF-β1-induced fibrotic changes in vitro.
Why the study?
Epicardial adipose tissue remodeling and adipocytokines are linked to structural remodeling in AF, but the role of omentin-1 in structural remodeling remains unknown.
Omentin-1 acts as an antifibrotic adipocytokine that is downregulated in patients with atrial fibrillation, suggesting a potential protective role against atrial structural remodeling.
Answers are grounded in this paper and cite their sources.
Omentin-1 downregulation may promote atrial fibrosis in AF; leaves open its therapeutic potential pending human trials.
Background Epicardial adipose tissue (EAT) remodeling and adipocytokines are associated with structural remodeling in atrial fibrillation (AF). However, the role of omentin-1, a novel adipocytokine, in structural remodeling remains unknown. Methods Hematoxylin and eosin (H&E) and Masson’s trichrome stains were used to investigate the histology of EAT and right atrial appendages. The expression levels of adipocytokines in these human samples were determined by immunohistochemical assay and western blotting. Models of transforming growth factor (TGF)-β1-induced activation of cardiac fibroblasts (CFs) and TGF-β1-induced endothelial-mesenchymal transition (EndMT) of human umbilical vein endothelial cell (HUVEC) were established to explore roles of omentin-1 in these processes. To determine changes in adipocytokines secretion under hypoxia conditions, adipocytes were treated with 5% O2 and 95% N2, and then CFs and HUVECs were co-cultured with the conditioned medium of adipocytes to determine the effects of hypoxia-treated adipocytes on these cells. Results Expression of omentin-1 was downregulated in the EAT and right atrial appendages from patients with AF compared to samples from patients without AF, while the TGF-β1 level was upregulated in EAT from patients with AF. EAT from patients with AF exhibited adipocyte hypertrophy and severe interstitial fibrosis. Omentin-1 inhibited TGF-β1-induced CF activation and reversed TGF-β1-induced HUVEC EndMT. Adipocytes treated with hypoxia exhibited downregulation of omentin-1 and partly activated CFs. Conclusions This study demonstrated that omentin-1 was an antifibrotic adipocytokine and was downregulated in patients with AF, which was partly mediated by hypoxia.
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Chen et al. (2020) studied Atrial fibrillation in patients with cardiac valve disease (n=48). Atrial fibrillation vs. Patients without atrial fibrillation was evaluated on Omentin-1 and TGF-β1 expression levels in epicardial adipose tissue and right atrial appendages. Omentin-1 expression was significantly downregulated in epicardial adipose tissue and right atrial appendages of patients with atrial fibrillation, and it inhibited TGF-β1-induced fibrotic changes in vitro.
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