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Enhanced Cardiomyocyte NLRP3 Inflammasome Signaling Promotes Atrial Fibrillation

Open access
Yao, Chunxia, Veleva, Tina, Scott, Larry, Cao, Shuyi, Li, Luge, Chen, Gong, Jeyabal, Prince, Pan, Xiaolu, Alsina, Katherina M., Abu-Taha, Issam, Ghezelbash, Shokoufeh, Reynolds, Corey L., Shen, Ying H., LeMaire, Scott A., Schmitz, Wilhelm, Müller, Frank U., El-Armouche, Ali, Tony Eissa, N., Beeton, Christine, Nattel, Stanley, Wehrens, Xander H.T., Dobrev, Dobromir, Li, Na·2018·Circulation

Abstract

Background: Atrial fibrillation (AF) is frequently associated with enhanced inflammatory response. The NLRP3 (NACHT, LRR, and PYD domain containing protein 3) inflammasome mediates caspase-1 activation and interleukin-1β release in immune cells but is not known to play a role in cardiomyocytes (CMs). Here, we assessed the role of CM NLRP3 inflammasome in AF. Methods: NLRP3 inflammasome activation was assessed by immunoblot in atrial whole-tissue lysates and CMs from patients with paroxysmal AF or long-standing persistent (chronic) AF. To determine whether CM-specific activation of NLPR3 is sufficient to promote AF, a CM-specific knockin mouse model expressing constitutively active NLRP3 (CM-KI) was established. In vivo electrophysiology was used to assess atrial arrhythmia vulnerability. To evaluate the mechanism of AF, electric activation pattern, Ca 2+ spark frequency, atrial effective refractory period, and morphology of atria were evaluated in CM-KI mice and wild-type littermates. Results: NLRP3 inflammasome activity was increased in the atrial CMs of patients with paroxysmal AF and chronic AF. CM-KI mice developed spontaneous premature atrial contractions and inducible AF, which was attenuated by a specific NLRP3 inflammasome inhibitor, MCC950. CM-KI mice exhibited ectopic activity, abnormal sarcoplasmic reticulum Ca 2+ release, atrial effective refractory period shortening, and atrial hypertrophy. Adeno-associated virus subtype-9–mediated CM-specific knockdown of Nlrp3 suppressed AF development in CM-KI mice. Finally, genetic inhibition of Nlrp3 prevented AF development in CREM transgenic mice, a well-characterized mouse model of spontaneous AF. Conclusions: Our study establishes a novel pathophysiological role for CM NLRP3 inflammasome signaling, with a mechanistic link to the pathogenesis of AF, and establishes the inhibition of NLRP3 as a potential novel AF therapy approach.

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Metadata

Authors
Yao, C., Veleva, T., Scott, L., Cao, S., Li, L., Chen, G., Jeyabal, P., Pan, X., Alsina, K. M., Abu-Taha, I., Ghezelbash, S., Reynolds, C. L., Shen, Y. H., LeMaire, S. A., Schmitz, W., Müller, F. U., El-Armouche, A., Tony Eissa, N., Beeton, C., Nattel, S., Wehrens, X. H. T., Dobrev, D., & Li, N.
Venue
Circulation
Published
2018-11-13
Volume
138
Issue
20
Pages
2227-2242
ISSN
  • 0009-7322 (ISSN-L)
  • 1524-4539
OpenAlex
W2804559696
Cited by
653
References
9
FWCI
32.51
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Enhanced Cardiomyocyte NLRP3 Inflammasome Signaling Promotes Atrial Fibrillation. https://app.cochat.ai/papers/10.1161/circulationaha.118.035202
The paper
Yao, C., Veleva, T., Scott, L., Cao, S., Li, L., Chen, G., Jeyabal, P., Pan, X., Alsina, K. M., Abu-Taha, I., Ghezelbash, S., Reynolds, C. L., Shen, Y. H., LeMaire, S. A., Schmitz, W., Müller, F. U., El-Armouche, A., Tony Eissa, N., Beeton, C., . . . Li, N. (2018). Enhanced Cardiomyocyte NLRP3 Inflammasome Signaling Promotes Atrial Fibrillation. Circulation. https://doi.org/10.1161/circulationaha.118.035202

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.