Enhanced Cardiomyocyte NLRP3 Inflammasome Signaling Promotes Atrial Fibrillation

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Chunxia Yao - , Baylor College of Medicine, Hebei University of Engineering (Author)
  • Tina Veleva - , University of Duisburg-Essen (Author)
  • Larry Scott - , Baylor College of Medicine (Author)
  • Shuyi Cao - , Baylor College of Medicine (Author)
  • Luge Li - , Baylor College of Medicine (Author)
  • Gong Chen - , Baylor College of Medicine (Author)
  • Prince Jeyabal - , Baylor College of Medicine (Author)
  • Xiaolu Pan - , Baylor College of Medicine (Author)
  • Katherina M. Alsina - , Baylor College of Medicine (Author)
  • Issam Abu-Taha - , University of Duisburg-Essen (Author)
  • Shokoufeh Ghezelbash - , University of Duisburg-Essen (Author)
  • Corey L. Reynolds - , Baylor College of Medicine (Author)
  • Ying H. Shen - , Baylor College of Medicine (Author)
  • Scott A. Lemaire - , Baylor College of Medicine (Author)
  • Wilhelm Schmitz - , University of Münster (Author)
  • Frank U. Müller - , University of Münster (Author)
  • Ali El-Armouche - , Institute of Pharmacology and Toxicology, TUD Dresden University of Technology (Author)
  • N. Tony Eissa - , Baylor College of Medicine (Author)
  • Christine Beeton - , Baylor College of Medicine (Author)
  • Stanley Nattel - , University of Duisburg-Essen, University of Montreal (Author)
  • Xander H.T. Wehrens - , Baylor College of Medicine (Author)
  • Dobromir Dobrev - , University of Duisburg-Essen (Author)
  • Na Li - , Baylor College of Medicine (Author)

Abstract

Background: Atrial fibrillation (AF) is frequently associated with enhanced inflammatory response. The NLRP3 (NACHT, LRR, and PYD domain containing protein 3) inflammasome mediates caspase-1 activation and interleukin-1β release in immune cells but is not known to play a role in cardiomyocytes (CMs). Here, we assessed the role of CM NLRP3 inflammasome in AF. Methods: NLRP3 inflammasome activation was assessed by immunoblot in atrial whole-tissue lysates and CMs from patients with paroxysmal AF or long-standing persistent (chronic) AF. To determine whether CM-specific activation of NLPR3 is sufficient to promote AF, a CM-specific knockin mouse model expressing constitutively active NLRP3 (CM-KI) was established. In vivo electrophysiology was used to assess atrial arrhythmia vulnerability. To evaluate the mechanism of AF, electric activation pattern, Ca2+ spark frequency, atrial effective refractory period, and morphology of atria were evaluated in CM-KI mice and wild-type littermates. Results: NLRP3 inflammasome activity was increased in the atrial CMs of patients with paroxysmal AF and chronic AF. CM-KI mice developed spontaneous premature atrial contractions and inducible AF, which was attenuated by a specific NLRP3 inflammasome inhibitor, MCC950. CM-KI mice exhibited ectopic activity, abnormal sarcoplasmic reticulum Ca2+ release, atrial effective refractory period shortening, and atrial hypertrophy. Adeno-associated virus subtype-9-mediated CM-specific knockdown of Nlrp3 suppressed AF development in CM-KI mice. Finally, genetic inhibition of Nlrp3 prevented AF development in CREM transgenic mice, a well-characterized mouse model of spontaneous AF. Conclusions: Our study establishes a novel pathophysiological role for CM NLRP3 inflammasome signaling, with a mechanistic link to the pathogenesis of AF, and establishes the inhibition of NLRP3 as a potential novel AF therapy approach.

Details

Original languageEnglish
Pages (from-to)2227-2242
Number of pages16
JournalCirculation
Volume138
Issue number20
Publication statusPublished - 13 Nov 2018
Peer-reviewedYes

External IDs

PubMed 29802206
ORCID /0000-0003-2514-9429/work/150884080

Keywords

Keywords

  • AAV9, atrial fibrillation, electrical remodeling, NLRP3 inflammasome