Therapeutic Potential of Intermittent Hypoxia in Atrial Fibrillation

Hyewon Park, Bokyeong Park, Kyu Sung Kim, Young Hoon Son, Sung Jin Park, Kichang Lee, Hyelim Park, Junbeom Park

Research output: Contribution to journalArticlepeer-review

Abstract

Intermittent hypoxia (IH) has been extensively studied in recent years, demonstrating adverse and beneficial effects on several physiological systems. However, the precise mechanism underlying its cardiac effects on the heart remains unclear. This study aims to explore the effect of treatment on atrial fibrillation under IH conditions, providing data that can potentially be used in the treatment of heart disease. An atrial fibrillation (AF) model was induced by injecting monocrotaline (MCT, 60 mg/kg) into rats. The study included 32 rats divided into four groups: Control, Control + IH, AF, and AF + IH. We evaluated molecular changes associated with AF using ELISA and Western blot and performed electrophysiological experiments to evaluate AF. Arrhythmia-related calcium and fibrosis markers were investigated. Phosphorylation levels of CaMKII, Phospholamban, and RyR2 all increased in the AF group but decreased in the IH-exposed group. Additionally, fibrosis marker expressions such as SMA, MMP2, MMP9, and TGF-β increased in the AF group but were significantly downregulated with IH treatment. Connexin 43 and AQP4 expression were restored in the IH-treated group. These findings suggest that IH may prevent AF by downregulating the expression of calcium-handling proteins and fibrosis-associated proteins in an AF-induced rat model.

Original languageEnglish
Article number11085
JournalInternational Journal of Molecular Sciences
Volume25
Issue number20
DOIs
StatePublished - Oct 2024

Bibliographical note

Publisher Copyright:
© 2024 by the authors.

Keywords

  • Aquaporin 4
  • arrhythmia
  • atrial fibrillation
  • cardiac remodeling
  • intermittent hypoxia

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