The 4q25 variant rs13143308T links risk of atrial fibrillation to defective calcium homoeostasis

Abstract Aims Single nucleotide polymorphisms on chromosome 4q25 have been associated with risk of atrial fibrillation (AF) but the exiguous knowledge of the mechanistic links between these risk variants and underlying electrophysiological alterations hampers their clinical utility. Here, we tested...

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Veröffentlicht in:Cardiovascular research 2019-03, Vol.115 (3), p.578-589
Hauptverfasser: Herraiz-Martínez, Adela, Llach, Anna, Tarifa, Carmen, Gandía, Jorge, Jiménez-Sabado, Verónica, Lozano-Velasco, Estefanía, Serra, Selma A, Vallmitjana, Alexander, Vázquez Ruiz de Castroviejo, Eduardo, Benítez, Raúl, Aranega, Amelia, Muñoz-Guijosa, Christian, Franco, Diego, Cinca, Juan, Hove-Madsen, Leif
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container_issue 3
container_start_page 578
container_title Cardiovascular research
container_volume 115
creator Herraiz-Martínez, Adela
Llach, Anna
Tarifa, Carmen
Gandía, Jorge
Jiménez-Sabado, Verónica
Lozano-Velasco, Estefanía
Serra, Selma A
Vallmitjana, Alexander
Vázquez Ruiz de Castroviejo, Eduardo
Benítez, Raúl
Aranega, Amelia
Muñoz-Guijosa, Christian
Franco, Diego
Cinca, Juan
Hove-Madsen, Leif
description Abstract Aims Single nucleotide polymorphisms on chromosome 4q25 have been associated with risk of atrial fibrillation (AF) but the exiguous knowledge of the mechanistic links between these risk variants and underlying electrophysiological alterations hampers their clinical utility. Here, we tested the hypothesis that 4q25 risk variants cause alterations in the intracellular calcium homoeostasis that predispose to spontaneous electrical activity. Methods and results Western blotting, confocal calcium imaging, and patch-clamp techniques were used to identify mechanisms linking the 4q25 risk variants rs2200733T and rs13143308T to defects in the calcium homoeostasis in human atrial myocytes. Our findings revealed that the rs13143308T variant was more frequent in patients with AF and that myocytes from carriers of this variant had a significantly higher density of calcium sparks (14.1 ± 4.5 vs. 3.1 ± 1.3 events/min, P = 0.02), frequency of transient inward currents (ITI) (1.33 ± 0.24 vs. 0.26 ± 0.09 events/min, P 
doi_str_mv 10.1093/cvr/cvy215
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Here, we tested the hypothesis that 4q25 risk variants cause alterations in the intracellular calcium homoeostasis that predispose to spontaneous electrical activity. Methods and results Western blotting, confocal calcium imaging, and patch-clamp techniques were used to identify mechanisms linking the 4q25 risk variants rs2200733T and rs13143308T to defects in the calcium homoeostasis in human atrial myocytes. Our findings revealed that the rs13143308T variant was more frequent in patients with AF and that myocytes from carriers of this variant had a significantly higher density of calcium sparks (14.1 ± 4.5 vs. 3.1 ± 1.3 events/min, P = 0.02), frequency of transient inward currents (ITI) (1.33 ± 0.24 vs. 0.26 ± 0.09 events/min, P &lt; 0.001) and incidence of spontaneous membrane depolarizations (1.22 ± 0.26 vs. 0.56 ± 0.17 events/min, P = 0.001) than myocytes from patients with the normal rs13143308G variant. These alterations were linked to higher sarcoplasmic reticulum calcium loading (10.2 ± 1.4 vs. 7.3 ± 0.5 amol/pF, P = 0.01), SERCA2 expression (1.37 ± 0.13 fold, P = 0.03), and RyR2 phosphorylation at ser2808 (0.67 ± 0.08 vs. 0.47 ± 0.03, P = 0.01) but not at ser2814 (0.28 ± 0.14 vs. 0.31 ± 0.14, P = 0.61) in patients carrying the rs13143308T risk variant. Furthermore, the presence of a risk variant or AF independently increased the ITI frequency and the increase in the ITI frequency observed in carriers of the risk variants was exacerbated in those with AF. By contrast, the presence of a risk variant did not affect the amplitude or properties of the L-type calcium current in patients with or without AF. Conclusions Here, we identify the 4q25 variant rs13143308T as a genetic risk marker for AF, specifically associated with excessive calcium release and spontaneous electrical activity linked to increased SERCA2 expression and RyR2 phosphorylation.</description><identifier>ISSN: 0008-6363</identifier><identifier>EISSN: 1755-3245</identifier><identifier>DOI: 10.1093/cvr/cvy215</identifier><identifier>PMID: 30219899</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Action Potentials - genetics ; Aged ; Atrial Fibrillation - diagnosis ; Atrial Fibrillation - genetics ; Atrial Fibrillation - metabolism ; Atrial Fibrillation - physiopathology ; Calcium - metabolism ; Calcium Signaling - genetics ; Cardiologia ; Case-Control Studies ; Chromosomes, Human, Pair 4 ; Electrònica biomèdica ; Electrònica en cardiologia ; Enginyeria biomèdica ; Female ; Genetic Association Studies ; Genetic Predisposition to Disease ; Heart Atria - metabolism ; Heart Atria - physiopathology ; Heart Rate - genetics ; Homeostasis ; Human atrial myocytes ; Humans ; Informàtica ; Male ; Myocytes, Cardiac - metabolism ; Myocytes, Cardiac - pathology ; Original ; Phenotype ; Phosphorylation ; Polymorphism, Single Nucleotide ; Risk Factors ; Ryanodine receptor ; Ryanodine Receptor Calcium Release Channel - metabolism ; Sarcoplasmic reticulum calcium release ; Sarcoplasmic Reticulum Calcium-Transporting ATPases - metabolism ; Single nucleotide polymorphisms ; Spontaneous electrical activity ; Àrees temàtiques de la UPC</subject><ispartof>Cardiovascular research, 2019-03, Vol.115 (3), p.578-589</ispartof><rights>The Author(s) 2018. Published by Oxford University Press on behalf of the European Society of Cardiology 2018</rights><rights>The Author(s) 2018. Published by Oxford University Press on behalf of the European Society of Cardiology.</rights><rights>Attribution-NonCommercial-NoDerivs 3.0 Spain info:eu-repo/semantics/openAccess &lt;a href="http://creativecommons.org/licenses/by-nc-nd/3.0/es/"&gt;http://creativecommons.org/licenses/by-nc-nd/3.0/es/&lt;/a&gt;</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c476t-eeaa2ea93e27ff2db0d0a38e191c9993c522bc75fd5c2d59b5ee85626e9e3cde3</citedby><cites>FETCH-LOGICAL-c476t-eeaa2ea93e27ff2db0d0a38e191c9993c522bc75fd5c2d59b5ee85626e9e3cde3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,1578,26951,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30219899$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Herraiz-Martínez, Adela</creatorcontrib><creatorcontrib>Llach, Anna</creatorcontrib><creatorcontrib>Tarifa, Carmen</creatorcontrib><creatorcontrib>Gandía, Jorge</creatorcontrib><creatorcontrib>Jiménez-Sabado, Verónica</creatorcontrib><creatorcontrib>Lozano-Velasco, Estefanía</creatorcontrib><creatorcontrib>Serra, Selma A</creatorcontrib><creatorcontrib>Vallmitjana, Alexander</creatorcontrib><creatorcontrib>Vázquez Ruiz de Castroviejo, Eduardo</creatorcontrib><creatorcontrib>Benítez, Raúl</creatorcontrib><creatorcontrib>Aranega, Amelia</creatorcontrib><creatorcontrib>Muñoz-Guijosa, Christian</creatorcontrib><creatorcontrib>Franco, Diego</creatorcontrib><creatorcontrib>Cinca, Juan</creatorcontrib><creatorcontrib>Hove-Madsen, Leif</creatorcontrib><title>The 4q25 variant rs13143308T links risk of atrial fibrillation to defective calcium homoeostasis</title><title>Cardiovascular research</title><addtitle>Cardiovasc Res</addtitle><description>Abstract Aims Single nucleotide polymorphisms on chromosome 4q25 have been associated with risk of atrial fibrillation (AF) but the exiguous knowledge of the mechanistic links between these risk variants and underlying electrophysiological alterations hampers their clinical utility. Here, we tested the hypothesis that 4q25 risk variants cause alterations in the intracellular calcium homoeostasis that predispose to spontaneous electrical activity. Methods and results Western blotting, confocal calcium imaging, and patch-clamp techniques were used to identify mechanisms linking the 4q25 risk variants rs2200733T and rs13143308T to defects in the calcium homoeostasis in human atrial myocytes. Our findings revealed that the rs13143308T variant was more frequent in patients with AF and that myocytes from carriers of this variant had a significantly higher density of calcium sparks (14.1 ± 4.5 vs. 3.1 ± 1.3 events/min, P = 0.02), frequency of transient inward currents (ITI) (1.33 ± 0.24 vs. 0.26 ± 0.09 events/min, P &lt; 0.001) and incidence of spontaneous membrane depolarizations (1.22 ± 0.26 vs. 0.56 ± 0.17 events/min, P = 0.001) than myocytes from patients with the normal rs13143308G variant. These alterations were linked to higher sarcoplasmic reticulum calcium loading (10.2 ± 1.4 vs. 7.3 ± 0.5 amol/pF, P = 0.01), SERCA2 expression (1.37 ± 0.13 fold, P = 0.03), and RyR2 phosphorylation at ser2808 (0.67 ± 0.08 vs. 0.47 ± 0.03, P = 0.01) but not at ser2814 (0.28 ± 0.14 vs. 0.31 ± 0.14, P = 0.61) in patients carrying the rs13143308T risk variant. Furthermore, the presence of a risk variant or AF independently increased the ITI frequency and the increase in the ITI frequency observed in carriers of the risk variants was exacerbated in those with AF. By contrast, the presence of a risk variant did not affect the amplitude or properties of the L-type calcium current in patients with or without AF. Conclusions Here, we identify the 4q25 variant rs13143308T as a genetic risk marker for AF, specifically associated with excessive calcium release and spontaneous electrical activity linked to increased SERCA2 expression and RyR2 phosphorylation.</description><subject>Action Potentials - genetics</subject><subject>Aged</subject><subject>Atrial Fibrillation - diagnosis</subject><subject>Atrial Fibrillation - genetics</subject><subject>Atrial Fibrillation - metabolism</subject><subject>Atrial Fibrillation - physiopathology</subject><subject>Calcium - metabolism</subject><subject>Calcium Signaling - genetics</subject><subject>Cardiologia</subject><subject>Case-Control Studies</subject><subject>Chromosomes, Human, Pair 4</subject><subject>Electrònica biomèdica</subject><subject>Electrònica en cardiologia</subject><subject>Enginyeria biomèdica</subject><subject>Female</subject><subject>Genetic Association Studies</subject><subject>Genetic Predisposition to Disease</subject><subject>Heart Atria - metabolism</subject><subject>Heart Atria - physiopathology</subject><subject>Heart Rate - genetics</subject><subject>Homeostasis</subject><subject>Human atrial myocytes</subject><subject>Humans</subject><subject>Informàtica</subject><subject>Male</subject><subject>Myocytes, Cardiac - metabolism</subject><subject>Myocytes, Cardiac - pathology</subject><subject>Original</subject><subject>Phenotype</subject><subject>Phosphorylation</subject><subject>Polymorphism, Single Nucleotide</subject><subject>Risk Factors</subject><subject>Ryanodine receptor</subject><subject>Ryanodine Receptor Calcium Release Channel - metabolism</subject><subject>Sarcoplasmic reticulum calcium release</subject><subject>Sarcoplasmic Reticulum Calcium-Transporting ATPases - metabolism</subject><subject>Single nucleotide polymorphisms</subject><subject>Spontaneous electrical activity</subject><subject>Àrees temàtiques de la UPC</subject><issn>0008-6363</issn><issn>1755-3245</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>EIF</sourceid><sourceid>XX2</sourceid><recordid>eNp9kUtr3DAURkVJyEwem_yAok2gBJzoYcnWplBC0hYC2UzXiixfd5SxrYkkD-TfR9OZDu0mi4u46Nyjx4fQJSU3lCh-azch1xuj4hOa00qIgrNSHKE5IaQuJJd8hk5jfMmtEFV5gmacMKpqpeboebEEXL4ygTcmODMmHCLltOSc1Avcu3EVcXBxhX2HTcpEjzvXBNf3Jjk_4uRxCx3Y5DaAremtmwa89IMHH5OJLp6j4870ES726xn69XC_uPtRPD59_3n37bGwZSVTAWAMA6M4sKrrWNuQlhheA1XUKqW4FYw1thJdKyxrhWoEQC0kk6CA2xb4Gfq6866nZoDWwpiC6fU6uMGEN-2N0__vjG6pf_uNlrzmRJIsoDuBjZPVASwEa9KfwUOzLUYqprlUJdnOfNkfGvzrBDHpwUUL-XNG8FPUjJKalTWTKqPXe33wMQboDlejRG9j1DlGvYsxw5__fcwB_ZtbBq52gJ_WH4neAY_qp7E</recordid><startdate>20190301</startdate><enddate>20190301</enddate><creator>Herraiz-Martínez, Adela</creator><creator>Llach, Anna</creator><creator>Tarifa, Carmen</creator><creator>Gandía, Jorge</creator><creator>Jiménez-Sabado, Verónica</creator><creator>Lozano-Velasco, Estefanía</creator><creator>Serra, Selma A</creator><creator>Vallmitjana, Alexander</creator><creator>Vázquez Ruiz de Castroviejo, Eduardo</creator><creator>Benítez, Raúl</creator><creator>Aranega, Amelia</creator><creator>Muñoz-Guijosa, Christian</creator><creator>Franco, Diego</creator><creator>Cinca, Juan</creator><creator>Hove-Madsen, Leif</creator><general>Oxford University Press</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>XX2</scope><scope>5PM</scope></search><sort><creationdate>20190301</creationdate><title>The 4q25 variant rs13143308T links risk of atrial fibrillation to defective calcium homoeostasis</title><author>Herraiz-Martínez, Adela ; Llach, Anna ; Tarifa, Carmen ; Gandía, Jorge ; Jiménez-Sabado, Verónica ; Lozano-Velasco, Estefanía ; Serra, Selma A ; Vallmitjana, Alexander ; Vázquez Ruiz de Castroviejo, Eduardo ; Benítez, Raúl ; Aranega, Amelia ; Muñoz-Guijosa, Christian ; Franco, Diego ; Cinca, Juan ; Hove-Madsen, Leif</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c476t-eeaa2ea93e27ff2db0d0a38e191c9993c522bc75fd5c2d59b5ee85626e9e3cde3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Action Potentials - genetics</topic><topic>Aged</topic><topic>Atrial Fibrillation - diagnosis</topic><topic>Atrial Fibrillation - genetics</topic><topic>Atrial Fibrillation - metabolism</topic><topic>Atrial Fibrillation - physiopathology</topic><topic>Calcium - metabolism</topic><topic>Calcium Signaling - genetics</topic><topic>Cardiologia</topic><topic>Case-Control Studies</topic><topic>Chromosomes, Human, Pair 4</topic><topic>Electrònica biomèdica</topic><topic>Electrònica en cardiologia</topic><topic>Enginyeria biomèdica</topic><topic>Female</topic><topic>Genetic Association Studies</topic><topic>Genetic Predisposition to Disease</topic><topic>Heart Atria - metabolism</topic><topic>Heart Atria - physiopathology</topic><topic>Heart Rate - genetics</topic><topic>Homeostasis</topic><topic>Human atrial myocytes</topic><topic>Humans</topic><topic>Informàtica</topic><topic>Male</topic><topic>Myocytes, Cardiac - metabolism</topic><topic>Myocytes, Cardiac - pathology</topic><topic>Original</topic><topic>Phenotype</topic><topic>Phosphorylation</topic><topic>Polymorphism, Single Nucleotide</topic><topic>Risk Factors</topic><topic>Ryanodine receptor</topic><topic>Ryanodine Receptor Calcium Release Channel - metabolism</topic><topic>Sarcoplasmic reticulum calcium release</topic><topic>Sarcoplasmic Reticulum Calcium-Transporting ATPases - metabolism</topic><topic>Single nucleotide polymorphisms</topic><topic>Spontaneous electrical activity</topic><topic>Àrees temàtiques de la UPC</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Herraiz-Martínez, Adela</creatorcontrib><creatorcontrib>Llach, Anna</creatorcontrib><creatorcontrib>Tarifa, Carmen</creatorcontrib><creatorcontrib>Gandía, Jorge</creatorcontrib><creatorcontrib>Jiménez-Sabado, Verónica</creatorcontrib><creatorcontrib>Lozano-Velasco, Estefanía</creatorcontrib><creatorcontrib>Serra, Selma A</creatorcontrib><creatorcontrib>Vallmitjana, Alexander</creatorcontrib><creatorcontrib>Vázquez Ruiz de Castroviejo, Eduardo</creatorcontrib><creatorcontrib>Benítez, Raúl</creatorcontrib><creatorcontrib>Aranega, Amelia</creatorcontrib><creatorcontrib>Muñoz-Guijosa, Christian</creatorcontrib><creatorcontrib>Franco, Diego</creatorcontrib><creatorcontrib>Cinca, Juan</creatorcontrib><creatorcontrib>Hove-Madsen, Leif</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Recercat</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Cardiovascular research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Herraiz-Martínez, Adela</au><au>Llach, Anna</au><au>Tarifa, Carmen</au><au>Gandía, Jorge</au><au>Jiménez-Sabado, Verónica</au><au>Lozano-Velasco, Estefanía</au><au>Serra, Selma A</au><au>Vallmitjana, Alexander</au><au>Vázquez Ruiz de Castroviejo, Eduardo</au><au>Benítez, Raúl</au><au>Aranega, Amelia</au><au>Muñoz-Guijosa, Christian</au><au>Franco, Diego</au><au>Cinca, Juan</au><au>Hove-Madsen, Leif</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The 4q25 variant rs13143308T links risk of atrial fibrillation to defective calcium homoeostasis</atitle><jtitle>Cardiovascular research</jtitle><addtitle>Cardiovasc Res</addtitle><date>2019-03-01</date><risdate>2019</risdate><volume>115</volume><issue>3</issue><spage>578</spage><epage>589</epage><pages>578-589</pages><issn>0008-6363</issn><eissn>1755-3245</eissn><abstract>Abstract Aims Single nucleotide polymorphisms on chromosome 4q25 have been associated with risk of atrial fibrillation (AF) but the exiguous knowledge of the mechanistic links between these risk variants and underlying electrophysiological alterations hampers their clinical utility. Here, we tested the hypothesis that 4q25 risk variants cause alterations in the intracellular calcium homoeostasis that predispose to spontaneous electrical activity. Methods and results Western blotting, confocal calcium imaging, and patch-clamp techniques were used to identify mechanisms linking the 4q25 risk variants rs2200733T and rs13143308T to defects in the calcium homoeostasis in human atrial myocytes. Our findings revealed that the rs13143308T variant was more frequent in patients with AF and that myocytes from carriers of this variant had a significantly higher density of calcium sparks (14.1 ± 4.5 vs. 3.1 ± 1.3 events/min, P = 0.02), frequency of transient inward currents (ITI) (1.33 ± 0.24 vs. 0.26 ± 0.09 events/min, P &lt; 0.001) and incidence of spontaneous membrane depolarizations (1.22 ± 0.26 vs. 0.56 ± 0.17 events/min, P = 0.001) than myocytes from patients with the normal rs13143308G variant. These alterations were linked to higher sarcoplasmic reticulum calcium loading (10.2 ± 1.4 vs. 7.3 ± 0.5 amol/pF, P = 0.01), SERCA2 expression (1.37 ± 0.13 fold, P = 0.03), and RyR2 phosphorylation at ser2808 (0.67 ± 0.08 vs. 0.47 ± 0.03, P = 0.01) but not at ser2814 (0.28 ± 0.14 vs. 0.31 ± 0.14, P = 0.61) in patients carrying the rs13143308T risk variant. Furthermore, the presence of a risk variant or AF independently increased the ITI frequency and the increase in the ITI frequency observed in carriers of the risk variants was exacerbated in those with AF. By contrast, the presence of a risk variant did not affect the amplitude or properties of the L-type calcium current in patients with or without AF. Conclusions Here, we identify the 4q25 variant rs13143308T as a genetic risk marker for AF, specifically associated with excessive calcium release and spontaneous electrical activity linked to increased SERCA2 expression and RyR2 phosphorylation.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>30219899</pmid><doi>10.1093/cvr/cvy215</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record>
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source Oxford University Press Journals All Titles (1996-Current); MEDLINE; Recercat; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Action Potentials - genetics
Aged
Atrial Fibrillation - diagnosis
Atrial Fibrillation - genetics
Atrial Fibrillation - metabolism
Atrial Fibrillation - physiopathology
Calcium - metabolism
Calcium Signaling - genetics
Cardiologia
Case-Control Studies
Chromosomes, Human, Pair 4
Electrònica biomèdica
Electrònica en cardiologia
Enginyeria biomèdica
Female
Genetic Association Studies
Genetic Predisposition to Disease
Heart Atria - metabolism
Heart Atria - physiopathology
Heart Rate - genetics
Homeostasis
Human atrial myocytes
Humans
Informàtica
Male
Myocytes, Cardiac - metabolism
Myocytes, Cardiac - pathology
Original
Phenotype
Phosphorylation
Polymorphism, Single Nucleotide
Risk Factors
Ryanodine receptor
Ryanodine Receptor Calcium Release Channel - metabolism
Sarcoplasmic reticulum calcium release
Sarcoplasmic Reticulum Calcium-Transporting ATPases - metabolism
Single nucleotide polymorphisms
Spontaneous electrical activity
Àrees temàtiques de la UPC
title The 4q25 variant rs13143308T links risk of atrial fibrillation to defective calcium homoeostasis
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