1. Xanthine oxidase inhibitor febuxostat reduces atrial fibrillation susceptibility by inhibition of oxidized CaMKII in Dahl salt-sensitive rats.
- Author
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Xu D, Murakoshi N, Tajiri K, Duo F, Okabe Y, Murakata Y, Yuan Z, Li S, Aonuma K, Song Z, Shimoda Y, Mori H, Sato A, Nogami A, Aonuma K, and Ieda M
- Subjects
- Allopurinol pharmacology, Animals, Atrial Fibrillation enzymology, Atrial Fibrillation genetics, Atrial Fibrillation physiopathology, Calcium Signaling, Calcium-Calmodulin-Dependent Protein Kinase Type 2 genetics, Connexins genetics, Connexins metabolism, Disease Models, Animal, Fibrosis, Gap Junctions drug effects, Gap Junctions enzymology, Gap Junctions pathology, Hypertension enzymology, Hypertension genetics, Hypertension physiopathology, Male, Myocytes, Cardiac enzymology, Myocytes, Cardiac pathology, Oxidation-Reduction, Phosphorylation, Rats, Inbred Dahl, Ryanodine Receptor Calcium Release Channel metabolism, Sodium Chloride, Dietary, Xanthine Oxidase metabolism, Gap Junction alpha-5 Protein, Rats, Atrial Fibrillation prevention & control, Calcium-Calmodulin-Dependent Protein Kinase Type 2 metabolism, Enzyme Inhibitors pharmacology, Febuxostat pharmacology, Hypertension drug therapy, Myocytes, Cardiac drug effects, Xanthine Oxidase antagonists & inhibitors
- Abstract
Oxidative stress could be a possible mechanism and a therapeutic target of atrial fibrillation (AF). However, the effects of the xanthine oxidase (XO) inhibition for AF remain to be fully elucidated. We investigated the effects of a novel XO inhibitor febuxostat on AF compared with allopurinol in hypertension rat model. Five-week-old Dahl salt-sensitive rats were fed either low-salt (LS) (0.3% NaCl) or high-salt (HS) (8% NaCl) diet. After 4 weeks of diet, HS diet rats were divided into three groups: orally administered to vehicle (HS-C), febuxostat (5 mg/kg/day) (HS-F), or allopurinol (50 mg/kg/day) (HS-A). After 4 weeks of treatment, systolic blood pressure (SBP) was significantly higher in HS-C than LS, and it was slightly but significantly decreased by treatment with each XO inhibitor. AF duration was significantly prolonged in HS-C compared with LS, and significantly suppressed in both HS-F and HS-A (LS; 5.8 ± 3.5 s, HS-C; 33.9 ± 23.7 s, HS-F; 15.0 ± 14.1 s, HS-A; 20.1 ± 11.9 s: P<0.05). Ca2+ spark frequency was obviously increased in HS-C rats and reduced in the XO inhibitor-treated rats, especially in HS-F group. Western blotting revealed that the atrial expression levels of Met281/282-oxidized Ca2+/Calmodulin-dependent kinase II (CaMKII) and Ser2814-phosphorylated ryanodine receptor 2 were significantly increased in HS-C, and those were suppressed in HS-F and HS-A. Decreased expression of gap junction protein connexin 40 in HS-C was partially restored by treatment with each XO inhibitor. In conclusion, XO inhibitor febuxostat, as well as allopurinol, could reduce hypertension-related increase in AF perpetuation by restoring Ca2+ handling and gap junction., (© 2021 The Author(s).)
- Published
- 2021
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