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Chronic Kidney Disease Increases Atrial Fibrillation Inducibility: Involvement of Inflammation, Atrial Fibrosis, and Connexins

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机构: [1]Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China [2]Department ofCardiology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China [3]Department of Nephrology,Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China [4]Department of Cardiology, Guangzhou Hospital ofTraditional Chinese Medicine, Guangzhou, China [5]Department of internal medicine, Beijing University of Chinese Medicine,Beijing, China
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关键词: chronic kidney disease atrial fibrillation fibrosis transforming growth factor-beta 1 inflammasome connexins

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Chronic kidney disease (CKD) causes atrial structural remodeling and subsequently increases the incidence of atrial fibrillation (AF). Atrial connexins and inflammatory responses may be involved in this remodeling process. In this study, nephrectomy was used to produce the CKD rat model. Three months post-nephrectomy, cardiac structure, function and AF vulnerability were quantified using echocardiography and electrophysiology methods. The left atrial tissue was tested for quantification of fibrosis and inflammation, and for the distribution and expression of connexin (Cx) 40 and Cx43. An echocardiography showed that CKD resulted in the left atrial enlargement and left ventricular hypertrophy, but had no functional changes. CKD caused a significant increase in the AF inducible rate (91.11% in CKD group vs. 6.67% in sham group, P < 0.001) and the AF duration [107 (0-770) s in CKD vs. 0 (0-70) s in sham, P < 0.001] with prolonged P-wave duration. CKD induced severe interstitial fibrosis, activated the transforming growth factor-beta 1/Smad2/3 pathway with a massive extracellular matrix deposition of collagen type I and alpha-smooth muscle actin, and matured the NLR (nucleotide-binding domain leucine-rich repeat-containing receptor) pyrin domain-containing protein 3 (NLRP3) inflammasome with an inflammatory cascade response. CKD resulted in an increase in non-phosphorylated-Cx43, a decrease in Cx40 and phosphorylated-Cx43, and lateralized the distribution of Cx40 and Cx43 proteins with upregulations of Rac-1, connective tissue growth factor and N-cadherin. These findings implicate the transforming growth factor-beta 1/Smad2/3, the NLRP3 inflammasome and the connexins as potential mediators of increased AF vulnerability in CKD.

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出版当年[2017]版:
大类 | 2 区 医学
小类 | 2 区 生理学
最新[2025]版:
大类 | 3 区 医学
小类 | 2 区 生理学
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出版当年[2016]版:
Q1 PHYSIOLOGY
最新[2023]版:
Q2 PHYSIOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

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第一作者机构: [1]Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China [2]Department ofCardiology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China
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通讯机构: [1]Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China [2]Department ofCardiology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China [3]Department of Nephrology,Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, China
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