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Cited by 249

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Human Atrial Ion Channel and Transporter Subunit Gene-Expression Remodeling Associated With Valvular Heart Disease and Atrial Fibrillation

Open access
Gaborit, Nathalie, Steenman, Marja, Lamirault, Guillaume, Le Meur, Nolwenn, Le Bouter, Sabrina, Lande, Gilles, Léger, Jean, Charpentier, Flavien, Christ, Torsten, Dobrev, Dobromir, Escande, Denis, Nattel, Stanley, Demolombe, Sophie·2005·Circulation

Abstract

Background— Valvular heart disease (VHD), which often leads to atrial fibrillation (AF), and AF both cause ion-channel remodeling. We evaluated the ion-channel gene expression profile of VHD patients, in permanent AF (AF-VHD) or in sinus rhythm (SR-VHD), in comparison with patients without AF or VHD, respectively. Methods and Results— We used microarrays containing probes for human ion-channel and Ca 2+ -regulator genes to quantify mRNA expression in atrial tissues from 7 SR-VHD patients and 11 AF-VHD patients relative to 11 control patients in SR without structural heart disease (SR-CAD). From the data set, we selected for detailed analysis 59 transcripts expressed in the human heart. SR-VHD patients differentially expressed 24/59 ion-channel and Ca 2+ -regulator transcripts. There was significant overlap between VHD groups, with 66% of genes altered in SR-VHD patients being similarly modified in AF-VHD. Statistical differences between the AF- and SR-VHD groups identified the specific molecular portrait of AF, which involved 12 genes that were further confirmed by real-time reverse transcription–polymerase chain reaction. For example, phospholamban, the β-subunit MinK ( KCNE1 ) and MIRP2 ( KCNE3 ), and the 2-pore potassium channel TWIK-1 were upregulated in AF-VHD compared with SR-VHD, whereas the T-type calcium-channel Cav3.1 and the transient-outward potassium channel Kv4.3 were downregulated. Two-way hierarchical clustering separated SR-VHD from AF-VHD patients. AF-related changes in L-type Ca 2+ -current and inward-rectifier current were confirmed at protein and functional levels. Finally, for 13 selected genes, SR restoration reversed ion-channel remodeling. Conclusions— VHD extensively remodels cardiac ion-channel and transporter expression, and AF alters ion-channel expression in VHD patients.

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Crossref · 10.1161/circulationaha.104.506857

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Metadata

Authors
Gaborit, N., Steenman, M., Lamirault, G., Le Meur, N., Le Bouter, S., Lande, G., Léger, J., Charpentier, F., Christ, T., Dobrev, D., Escande, D., Nattel, S., & Demolombe, S.
Venue
Circulation
Published
2005-07-26
Volume
112
Issue
4
Pages
471-481
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2140771305
Cited by
249
References
1
FWCI
9.76
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Human Atrial Ion Channel and Transporter Subunit Gene-Expression Remodeling Associated With Valvular Heart Disease and Atrial Fibrillation. https://app.cochat.ai/papers/10.1161/circulationaha.104.506857
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Gaborit, N., Steenman, M., Lamirault, G., Le Meur, N., Le Bouter, S., Lande, G., Léger, J., Charpentier, F., Christ, T., Dobrev, D., Escande, D., Nattel, S., & Demolombe, S. (2005). Human Atrial Ion Channel and Transporter Subunit Gene-Expression Remodeling Associated With Valvular Heart Disease and Atrial Fibrillation. Circulation. https://doi.org/10.1161/circulationaha.104.506857

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