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    標題: Toll-like receptor 4 activation modulates pericardium-myocardium interactions in lipopolysaccharide-induced atrial arrhythmogenesis
    作者: Lin, Fong-Jhih
    Li, Shao-Jung
    Lu, Yen-Yu
    Wu, Wen-Shiann
    Chen, Yao-Chang
    Chen, Shih-Ann
    Chen, Yi-Jen
    貢獻者: Natl Def Med Ctr, Grad Inst Life Sci
    Taipei Med Univ Taipei, Wan Fang Hosp, Dept Surg, Div Cardiovasc Surg
    Sijhih Cathay Gen Hosp, Dept Internal Med, Div Cardiol
    Fu Jen Catholic Univ, Sch Med
    Chi Mei Med Ctr, Dept Cardiol
    Chia Nan Univ Pharm & Sci, Dept Pharm
    Natl Def Med Ctr, Dept Biomed Engn
    Taipei Vet Gen Hosp, Heart Rhythm Ctr, Dept Med, Div Cardiol
    Taichung Vet Gen Hosp, Cardiovasc Ctr
    Taipei Med Univ, Wan Fang Hosp, Dept Internal Med, Div Cardiovasc Med
    Taipei Med Univ, Coll Med, Grad Inst Clin Med
    關鍵字: Atrial fibrillation
    Inflammation
    Pericardium
    Toll-like receptor 4
    Left atrium
    Lipopolysaccharide pericarditis
    Induced atrial arrhytmogenesis
    日期: 2021
    上傳時間: 2023-11-11 11:52:47 (UTC+8)
    出版者: OXFORD UNIV PRESS
    摘要: Aims Inflammation plays a role in the pathogenesis of atrial fibrillation (AF). Pericarditis enhanced atrial arrhythmogenesis, but the role of the pericardium remains unclear in AF. Activation of the toll-like receptor 4 (TLR4) by binding to lipopolysaccharide (LPS) promotes cardiac electrical remodelling. In this study, we hypothesized that pericarditis may induce atrial arrhythmogenesis via pericardium-myocardium interactions by TLR4 signalling. Methods and results Pericarditis was induced in rabbits by injecting LPS (1-2mg/kg) into the pericardium. Conventional microelectrodes were used to record the action potentials of left atrial (LA) posterior walls (LAPWs) and LA appendages (LAAs) with and without attached pericardium in the control or pericarditis-induced rabbits. Cytokine array was used to measure the expression levels of proinflammatory cytokines in control and LPS-treated pericardium. Compared with the controls, the LPS-treated pericardium had higher expressions of IL-1 alpha, IL-8, and MIP-1 beta. Rapid atrial pacing-induced burst firing in LPS-treated LAPWs and LAAs, and in control LAPWs (but not in LAAs). The incidence of pacing-induced spontaneous activity and burst firing was increased by LPS-treated pericardium but was attenuated by the control pericardium. Moreover, burst firing induced by LPS-treated pericardium was blocked upon administration of the TLR4 inhibitor, TAK-242 (100ng/mL), ryanodine receptor inhibitor (ryanodine, 3 mu M), or calmodulin kinase II inhibitor (KN-93, 1 mu M). Conclusions Healthy and inflamed pericardium differently modulate LPS-induced atrial arrhythmogenesis. Targeting pericardium via TLR4 signalling may be a novel therapeutic strategy for AF.
    關聯: EUROPACE, v.23, n.11, pp.1837-1846
    顯示於類別:[藥學系(所)] 期刊論文

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