Circulating Mesencephalic Astrocyte-Derived Neurotrophic Factor Negatively Correlates With Atrial Apoptosis in Human Chronic Atrial Fibrillation

被引:31
作者
Wang, Changhui [1 ]
Yu, Shujun [2 ]
Bao, Qin [3 ]
Qiang, Weimin [4 ]
Wu, Chaoran [1 ]
Zhang, Chengxin [5 ]
Jiang, Yan [6 ]
Cai, Yongping [6 ]
Huang, Dake [3 ]
Chen, Ying [3 ]
Hou, Chao [3 ]
Wang, Dong [3 ]
机构
[1] Anhui Med Univ, Dept Cardiol, Affiliated Hosp 1, Hefei, Peoples R China
[2] Anhui Med Univ, Clin Med Coll 2, Hefei, Peoples R China
[3] Anhui Med Univ, Sch Basic Med Sci, 81 Meishan Rd, Hefei 230032, Anhui, Peoples R China
[4] Taizhou Peoples Hosp, Dept Pharm, Taizhou, Peoples R China
[5] Anhui Med Univ, Dept Cardiac Surg, Affiliated Hosp 1, Hefei, Peoples R China
[6] Anhui Med Univ, Dept Pathol, Hefei, Peoples R China
基金
中国国家自然科学基金;
关键词
mesencephalic astrocyte-derived neurotrophic factor; atrial myocytes; apoptosis; atrial fibrillation; STRESS; MANF; ISCHEMIA; PROLIFERATION; INFLAMMATION; ACTIVATION; MECHANISMS; EXPRESSION; PROTEIN; DAMAGE;
D O I
10.1097/FJC.0000000000000781
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Atrial apoptosis has been found to be majorly involved in the pathogenesis of human atrial fibrillation (AF). Mesencephalic astrocyte-derived neurotrophic factor exerts an antiapoptotic effect for multiple cell types. However, the correlation between MANF and atrial apoptosis in AF is still undefined. In this study, 59 patients with valvular or congenital heart disease were divided into 2 groups: AF group and sinus rhythm (SR) group. We found that the apoptotic atrial myocytes in the right atrial appendage tissues of the AF group were significantly more than those of the SR group, whereas mRNA and protein levels of MANF in the AF group were significantly down-regulated compared with those in the SR group. The serum MANF in patients with AF was markedly lower than that in patients with SR, which was inversely correlated with atrial apoptosis in patients with AF. In addition, the AF group had the greater inflammation and endoplasmic reticulum stress compared with the SR group. These findings suggest that MANF downregulation may lead to more atrial apoptosis in human chronic AF, indicating MANF as a potential therapeutic agent in AF treatment.
引用
收藏
页码:141 / 147
页数:7
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