An arrhythmogenic metabolite in atrial fibrillation
Standard
An arrhythmogenic metabolite in atrial fibrillation. / Krause, Julia; Nickel, Alexander; Madsen, Alexandra; Aitken-Buck, Hamish M; Stoter, A M Stella; Schrapers, Jessica; Ojeda, Francisco; Geiger, Kira; Kern, Melanie; Kohlhaas, Michael; Bertero, Edoardo; Hofmockel, Patrick; Hübner, Florian; Assum, Ines; Heinig, Matthias; Müller, Christian; Hansen, Arne; Krause, Tobias; Park, Deung-Dae; Just, Steffen; Aïssi, Dylan; Börnigen, Daniela; Lindner, Diana; Friedrich, Nele; Alhussini, Khaled; Bening, Constanze; Schnabel, Renate B; Karakas, Mahir; Iacoviello, Licia; Salomaa, Veikko; Linneberg, Allan; Tunstall-Pedoe, Hugh; Kuulasmaa, Kari; Kirchhof, Paulus; Blankenberg, Stefan; Christ, Torsten; Eschenhagen, Thomas; Lamberts, Regis R; Maack, Christoph; Stenzig, Justus; Zeller, Tanja.
In: J TRANSL MED, Vol. 21, No. 1, 24.08.2023, p. 566.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - An arrhythmogenic metabolite in atrial fibrillation
AU - Krause, Julia
AU - Nickel, Alexander
AU - Madsen, Alexandra
AU - Aitken-Buck, Hamish M
AU - Stoter, A M Stella
AU - Schrapers, Jessica
AU - Ojeda, Francisco
AU - Geiger, Kira
AU - Kern, Melanie
AU - Kohlhaas, Michael
AU - Bertero, Edoardo
AU - Hofmockel, Patrick
AU - Hübner, Florian
AU - Assum, Ines
AU - Heinig, Matthias
AU - Müller, Christian
AU - Hansen, Arne
AU - Krause, Tobias
AU - Park, Deung-Dae
AU - Just, Steffen
AU - Aïssi, Dylan
AU - Börnigen, Daniela
AU - Lindner, Diana
AU - Friedrich, Nele
AU - Alhussini, Khaled
AU - Bening, Constanze
AU - Schnabel, Renate B
AU - Karakas, Mahir
AU - Iacoviello, Licia
AU - Salomaa, Veikko
AU - Linneberg, Allan
AU - Tunstall-Pedoe, Hugh
AU - Kuulasmaa, Kari
AU - Kirchhof, Paulus
AU - Blankenberg, Stefan
AU - Christ, Torsten
AU - Eschenhagen, Thomas
AU - Lamberts, Regis R
AU - Maack, Christoph
AU - Stenzig, Justus
AU - Zeller, Tanja
N1 - © 2023. BioMed Central Ltd., part of Springer Nature.
PY - 2023/8/24
Y1 - 2023/8/24
N2 - BACKGROUND: Long-chain acyl-carnitines (ACs) are potential arrhythmogenic metabolites. Their role in atrial fibrillation (AF) remains incompletely understood. Using a systems medicine approach, we assessed the contribution of C18:1AC to AF by analysing its in vitro effects on cardiac electrophysiology and metabolism, and translated our findings into the human setting.METHODS AND RESULTS: Human iPSC-derived engineered heart tissue was exposed to C18:1AC. A biphasic effect on contractile force was observed: short exposure enhanced contractile force, but elicited spontaneous contractions and impaired Ca2+ handling. Continuous exposure provoked an impairment of contractile force. In human atrial mitochondria from AF individuals, C18:1AC inhibited respiration. In a population-based cohort as well as a cohort of patients, high C18:1AC serum concentrations were associated with the incidence and prevalence of AF.CONCLUSION: Our data provide evidence for an arrhythmogenic potential of the metabolite C18:1AC. The metabolite interferes with mitochondrial metabolism, thereby contributing to contractile dysfunction and shows predictive potential as novel circulating biomarker for risk of AF.
AB - BACKGROUND: Long-chain acyl-carnitines (ACs) are potential arrhythmogenic metabolites. Their role in atrial fibrillation (AF) remains incompletely understood. Using a systems medicine approach, we assessed the contribution of C18:1AC to AF by analysing its in vitro effects on cardiac electrophysiology and metabolism, and translated our findings into the human setting.METHODS AND RESULTS: Human iPSC-derived engineered heart tissue was exposed to C18:1AC. A biphasic effect on contractile force was observed: short exposure enhanced contractile force, but elicited spontaneous contractions and impaired Ca2+ handling. Continuous exposure provoked an impairment of contractile force. In human atrial mitochondria from AF individuals, C18:1AC inhibited respiration. In a population-based cohort as well as a cohort of patients, high C18:1AC serum concentrations were associated with the incidence and prevalence of AF.CONCLUSION: Our data provide evidence for an arrhythmogenic potential of the metabolite C18:1AC. The metabolite interferes with mitochondrial metabolism, thereby contributing to contractile dysfunction and shows predictive potential as novel circulating biomarker for risk of AF.
KW - Humans
KW - Atrial Fibrillation
KW - Heart Atria
KW - Mitochondria
KW - Muscle Contraction
KW - Respiration
U2 - 10.1186/s12967-023-04420-z
DO - 10.1186/s12967-023-04420-z
M3 - SCORING: Journal article
C2 - 37620858
VL - 21
SP - 566
JO - J TRANSL MED
JF - J TRANSL MED
SN - 1479-5876
IS - 1
ER -