Hypoxia and reoxygenation modulate the arrhythmogenic activity of the pulmonary vein and atrium

Yung Kuo Lin, Mei Shou Lai, Yao Chang Chen, Chen Chuan Cheng, Jen Hung Huang, Shih Ann Chen, Yi Jen Chen, Cheng I. Lin

研究成果: 雜誌貢獻文章

34 引文 (Scopus)

摘要

Ischaemia and reperfusion contribute to the genesis of AF (atrial fibrillation). PVs (pulmonary veins) and the atria are important foci for AF initiation and maintenance. However, the effect of ischaemia and reperfusion on PVs and the atria has not yet been fully elucidated. In the present study, conventional microelectrodes were used to record the APs (action potentials) in isolated rabbit PV, LA (left atrium) and RA (right atrium) specimens during hypoxia and reoxygenation, and pharmacological interventions. Hypoxia reduced the PV beating rates from 1.8 ± 0.1 to 1.3 ± 0.2 and 0.8 ± 0.1 Hz at 30 and 60 min respectively (n=8, P <0.005), and induced EAD (early after depolarization) in three (37.5%) of the PVs and DAD (delayed after depolarization) in one (12.5%) of the PVs. Reoxygenation increased the PV spontaneous rate to 1.4 ± 0.2 Hz (P <0.05) and induced PV burst firings (3.5 ± 0.1 Hz, P <0.001) in six (75 %) of the PVs. Hypoxia shortened the AP duration in the LA and PVs, but not in the RA. Pretreatment with glibenclamide attenuated hypoxia-induced decreases in the PV spontaneous activity and the shortening of the LA and PV AP duration. Similar to those in hypoxia, the K ATP (ATP-sensitive potassium) channel opener pinacidil (30μM) decreased PV spontaneous activity and shortened the AP duration. Pretreatment with 5 mM N-MPG [N-(mercaptopropionyl)glycine; a hydroxyl ( OH) free-radical scavenger] or 300μM chloramphenicol [a cytochrome P450 inhibitor that reduces ROS (reactive oxygen species)] attenuated the rate changes induced by hypoxia and reoxygenation, and also decreased the burst firing incidence. In conclusion, hypoxia and reoxygenation significantly increased PV arrhythmogenesis and induced different electrophysiological responses in the RA and LA, which may play a role in the pathophysiology of AF.

原文英語
頁(從 - 到)121-132
頁數12
期刊Clinical Science
122
發行號3
DOIs
出版狀態已發佈 - 二月 2012

指紋

Pulmonary Veins
Heart Atria
Action Potentials
Atrial Fibrillation
Hypoxia
Reperfusion
Ischemia
Pinacidil
KATP Channels
Free Radical Scavengers
Glyburide
Microelectrodes
Chloramphenicol
Hydroxyl Radical
Glycine
Cytochrome P-450 Enzyme System
Reactive Oxygen Species

ASJC Scopus subject areas

  • Medicine(all)

引用此文

Hypoxia and reoxygenation modulate the arrhythmogenic activity of the pulmonary vein and atrium. / Lin, Yung Kuo; Lai, Mei Shou; Chen, Yao Chang; Cheng, Chen Chuan; Huang, Jen Hung; Chen, Shih Ann; Chen, Yi Jen; Lin, Cheng I.

於: Clinical Science, 卷 122, 編號 3, 02.2012, p. 121-132.

研究成果: 雜誌貢獻文章

Lin, Yung Kuo ; Lai, Mei Shou ; Chen, Yao Chang ; Cheng, Chen Chuan ; Huang, Jen Hung ; Chen, Shih Ann ; Chen, Yi Jen ; Lin, Cheng I. / Hypoxia and reoxygenation modulate the arrhythmogenic activity of the pulmonary vein and atrium. 於: Clinical Science. 2012 ; 卷 122, 編號 3. 頁 121-132.
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abstract = "Ischaemia and reperfusion contribute to the genesis of AF (atrial fibrillation). PVs (pulmonary veins) and the atria are important foci for AF initiation and maintenance. However, the effect of ischaemia and reperfusion on PVs and the atria has not yet been fully elucidated. In the present study, conventional microelectrodes were used to record the APs (action potentials) in isolated rabbit PV, LA (left atrium) and RA (right atrium) specimens during hypoxia and reoxygenation, and pharmacological interventions. Hypoxia reduced the PV beating rates from 1.8 ± 0.1 to 1.3 ± 0.2 and 0.8 ± 0.1 Hz at 30 and 60 min respectively (n=8, P <0.005), and induced EAD (early after depolarization) in three (37.5{\%}) of the PVs and DAD (delayed after depolarization) in one (12.5{\%}) of the PVs. Reoxygenation increased the PV spontaneous rate to 1.4 ± 0.2 Hz (P <0.05) and induced PV burst firings (3.5 ± 0.1 Hz, P <0.001) in six (75 {\%}) of the PVs. Hypoxia shortened the AP duration in the LA and PVs, but not in the RA. Pretreatment with glibenclamide attenuated hypoxia-induced decreases in the PV spontaneous activity and the shortening of the LA and PV AP duration. Similar to those in hypoxia, the K ATP (ATP-sensitive potassium) channel opener pinacidil (30μM) decreased PV spontaneous activity and shortened the AP duration. Pretreatment with 5 mM N-MPG [N-(mercaptopropionyl)glycine; a hydroxyl ( •OH) free-radical scavenger] or 300μM chloramphenicol [a cytochrome P450 inhibitor that reduces ROS (reactive oxygen species)] attenuated the rate changes induced by hypoxia and reoxygenation, and also decreased the burst firing incidence. In conclusion, hypoxia and reoxygenation significantly increased PV arrhythmogenesis and induced different electrophysiological responses in the RA and LA, which may play a role in the pathophysiology of AF.",
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AU - Lin, Yung Kuo

AU - Lai, Mei Shou

AU - Chen, Yao Chang

AU - Cheng, Chen Chuan

AU - Huang, Jen Hung

AU - Chen, Shih Ann

AU - Chen, Yi Jen

AU - Lin, Cheng I.

PY - 2012/2

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N2 - Ischaemia and reperfusion contribute to the genesis of AF (atrial fibrillation). PVs (pulmonary veins) and the atria are important foci for AF initiation and maintenance. However, the effect of ischaemia and reperfusion on PVs and the atria has not yet been fully elucidated. In the present study, conventional microelectrodes were used to record the APs (action potentials) in isolated rabbit PV, LA (left atrium) and RA (right atrium) specimens during hypoxia and reoxygenation, and pharmacological interventions. Hypoxia reduced the PV beating rates from 1.8 ± 0.1 to 1.3 ± 0.2 and 0.8 ± 0.1 Hz at 30 and 60 min respectively (n=8, P <0.005), and induced EAD (early after depolarization) in three (37.5%) of the PVs and DAD (delayed after depolarization) in one (12.5%) of the PVs. Reoxygenation increased the PV spontaneous rate to 1.4 ± 0.2 Hz (P <0.05) and induced PV burst firings (3.5 ± 0.1 Hz, P <0.001) in six (75 %) of the PVs. Hypoxia shortened the AP duration in the LA and PVs, but not in the RA. Pretreatment with glibenclamide attenuated hypoxia-induced decreases in the PV spontaneous activity and the shortening of the LA and PV AP duration. Similar to those in hypoxia, the K ATP (ATP-sensitive potassium) channel opener pinacidil (30μM) decreased PV spontaneous activity and shortened the AP duration. Pretreatment with 5 mM N-MPG [N-(mercaptopropionyl)glycine; a hydroxyl ( •OH) free-radical scavenger] or 300μM chloramphenicol [a cytochrome P450 inhibitor that reduces ROS (reactive oxygen species)] attenuated the rate changes induced by hypoxia and reoxygenation, and also decreased the burst firing incidence. In conclusion, hypoxia and reoxygenation significantly increased PV arrhythmogenesis and induced different electrophysiological responses in the RA and LA, which may play a role in the pathophysiology of AF.

AB - Ischaemia and reperfusion contribute to the genesis of AF (atrial fibrillation). PVs (pulmonary veins) and the atria are important foci for AF initiation and maintenance. However, the effect of ischaemia and reperfusion on PVs and the atria has not yet been fully elucidated. In the present study, conventional microelectrodes were used to record the APs (action potentials) in isolated rabbit PV, LA (left atrium) and RA (right atrium) specimens during hypoxia and reoxygenation, and pharmacological interventions. Hypoxia reduced the PV beating rates from 1.8 ± 0.1 to 1.3 ± 0.2 and 0.8 ± 0.1 Hz at 30 and 60 min respectively (n=8, P <0.005), and induced EAD (early after depolarization) in three (37.5%) of the PVs and DAD (delayed after depolarization) in one (12.5%) of the PVs. Reoxygenation increased the PV spontaneous rate to 1.4 ± 0.2 Hz (P <0.05) and induced PV burst firings (3.5 ± 0.1 Hz, P <0.001) in six (75 %) of the PVs. Hypoxia shortened the AP duration in the LA and PVs, but not in the RA. Pretreatment with glibenclamide attenuated hypoxia-induced decreases in the PV spontaneous activity and the shortening of the LA and PV AP duration. Similar to those in hypoxia, the K ATP (ATP-sensitive potassium) channel opener pinacidil (30μM) decreased PV spontaneous activity and shortened the AP duration. Pretreatment with 5 mM N-MPG [N-(mercaptopropionyl)glycine; a hydroxyl ( •OH) free-radical scavenger] or 300μM chloramphenicol [a cytochrome P450 inhibitor that reduces ROS (reactive oxygen species)] attenuated the rate changes induced by hypoxia and reoxygenation, and also decreased the burst firing incidence. In conclusion, hypoxia and reoxygenation significantly increased PV arrhythmogenesis and induced different electrophysiological responses in the RA and LA, which may play a role in the pathophysiology of AF.

KW - Atrial fibrillation (AF)

KW - Early after depolarization (EAD)

KW - Hypoxia

KW - Reoxygenation

KW - Resting membrane potential (RMP)

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