Fetal cardiomyocyte phenotype, ketone body metabolism, and mitochondrial dysfunction in the pathology of atrial fibrillation

Atrial fibrillation (AF) is the most common cardiac arrhythmia diagnosed in clinical practice. Even though hypertension, congestive heart failure, pulmonary disease, and coronary artery disease are the potential risk factors for AF, the underlying molecular pathology is largely unknown. The reversio...

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Veröffentlicht in:Molecular and cellular biochemistry 2021-02, Vol.476 (2), p.1165-1178
Hauptverfasser: Brown, Sean M., Larsen, Nicholas K., Thankam, Finosh G., Agrawal, Devendra K
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creator Brown, Sean M.
Larsen, Nicholas K.
Thankam, Finosh G.
Agrawal, Devendra K
description Atrial fibrillation (AF) is the most common cardiac arrhythmia diagnosed in clinical practice. Even though hypertension, congestive heart failure, pulmonary disease, and coronary artery disease are the potential risk factors for AF, the underlying molecular pathology is largely unknown. The reversion of the mature cardiomyocytes to fetal phenotype, impaired ketone body metabolism, mitochondrial dysfunction, and the cellular effect of reactive oxygen species (ROS) are the major underlying biochemical events associated with the molecular pathology of AF. On this background, the present manuscript sheds light into these biochemical events in regard to the metabolic derangements in cardiomyocyte leading to AF, especially with respect to structural, contractile, and electrophysiological properties. In addition, the article critically reviews the current understanding, potential demerits, and translational strategies in the management of AF.
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subjects Amino acids
Apixaban
Arrhythmia
Atrial fibrillation
Atrial Fibrillation - etiology
Atrial Fibrillation - metabolism
Atrial Fibrillation - pathology
Biochemistry
Biomedical and Life Sciences
Cardiac arrhythmia
Cardiology
Cardiomyocytes
Cardiovascular disease
Clopidogrel
Congestive heart failure
Coronary artery
Coronary artery disease
Coronary heart disease
Fetus - physiopathology
Fetuses
Fibrillation
Genetic aspects
Heart
Humans
Hypertension
Ketone Bodies - metabolism
Ketones
Life Sciences
Lung diseases
Medical Biochemistry
Metabolism
Mitochondria
Mitochondria - metabolism
Mitochondria - pathology
Muscle contraction
Myocytes, Cardiac - metabolism
Myocytes, Cardiac - pathology
Oncology
Pathology
Phenotype
Phenotypes
Physiological aspects
Pulmonary artery
Reactive oxygen species
Reactive Oxygen Species - metabolism
Reversion
Risk analysis
Risk factors
Rivaroxaban
title Fetal cardiomyocyte phenotype, ketone body metabolism, and mitochondrial dysfunction in the pathology of atrial fibrillation
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