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OBJECTIVE: To investigate the possible molecular mechanisms of radiofrequency ablation (RFA) for treating atrial fibrillation (AF) and the microRNA (miRNA) target for intervention in the future. METHODS: We examined the changes in miRNAs regulating the atrial ion-channel proteins across the whole genome. We compared findings from 90 AF patients with those from 90 healthy subjects before RFA and three months after RFA. RESULT: Twenty-one miRNAs regulating ion-channel proteins were differentially expressed more than tenfold, and the findings were completely reversed after RFA as compared with the pre-RFA results. The colonial regulating effects of miRNAs regulating the outward K+ current channels such as those for the ultra-rapid delayed rectifier potassium current (Ikur), voltage-dependent delayed rectifier potassium current (Ikr), and delayed rectifier potassium channel current (Iks) were more unanimous and stronger, while this was not the case for miRNAs regulating the L-type Ca2+ current and INa current channels. Generally, miR-1266 levels were increased in the blood but down-regulated in the rheumatic atrial tissue, while a dual luciferase test indicated that SCN5A was the direct target gene of miR-1266. CONCLUSION: Using RFA to treat AF may have an impact via reversing the changes in miRNAs regulating the ion-channel proteins, especially for outward K+ current channels such as Ikur, Ikr, and Iks, which may play a major role in electrical remodeling in AF. It may be that miR-1266 is an antiarrhythmic miRNA and an AF intervention target in the future. [ABSTRACT FROM AUTHOR]

Subject--object relations reflect the relation of phenomenology and physics and are at the centre of interest in brain research and neuro-psychology. The unresolved dichotomy behind this relation is one of the most challenging questions of our time. Setting out from causal modelling I suggest a particular topology for subject--object relations and argue that we can find a physical realization in living organism that provides a continuous transform between both domains. In a geometrical metaphor this transform has the topological properties of a one-sided surface or non-orientable flat. I argue that such a surface can be found within the electronic organization of atomic linings in the filter region of ion-conducting membrane proteins. Electron transfer along these atomic surfaces makes chiral induced spin changes to a promising signature of subject--object relations and has found experimental evidence in previous studies. I finally advocate the view that there is a basic dualism between subject and object which is physical on both sides and realized by an inversion relation along one-sided surfaces. The transition between these two aspects however is non-physical and hosts the phenomenology that characterizes subjectivity. [ABSTRACT FROM AUTHOR]