Aldosterone Robustly Promotes Atrial Fibrillation in the Presence of Chronic Volume Overload in Rats
We investigated the modulatory effects of aldosterone on atrial remodeling induced by an abdominal aorto-venocaval shunt (AVS) in rats, as patients with primary hyperaldosteronism are suggested to have a higher risk of developing atrial fibrillation (AF). The rats were divided into four groups based...
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Abstract | We investigated the modulatory effects of aldosterone on atrial remodeling induced by an abdominal aorto-venocaval shunt (AVS) in rats, as patients with primary hyperaldosteronism are suggested to have a higher risk of developing atrial fibrillation (AF). The rats were divided into four groups based on the basis of whether they underwent AVS surgery, received aldosterone using an intraperitoneally implanted osmotic minipump, or both. Aldosterone was started at 0.5 µg/h during the AVS surgery, and morphological and electrophysiological assessments were performed four weeks after AVS creation. The atrial structural changes induced by AVS, including atrial cell hypertrophy and fibrosis, were not modulated by aldosterone, whereas P-wave duration was longer in aldosterone-treated AVS rats than in non-treated rats. Although the average AF duration induced by burst pacing was 10–25 s in the untreated, aldosterone-treated, and AVS rats, the AF duration was approximately 100 s in the aldosterone-treated AVS rats. Meanwhile, there was no significant difference in the atrial effective refractory period among the four experimental groups. Notably, premature atrial contractions (PAC) were frequently observed in aldosterone-treated sham rats, while paroxysmal AF, in addition to PAC, was detected in aldosterone-treated AVS rats, which was not induced in non-treated AVS rats. These findings suggest that aldosterone robustly promotes AF, particularly in the presence of chronic volume overload. |
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AbstractList | We investigated the modulatory effects of aldosterone on atrial remodeling induced by an abdominal aorto-venocaval shunt (AVS) in rats, as patients with primary hyperaldosteronism are suggested to have a higher risk of developing atrial fibrillation (AF). The rats were divided into four groups based on the basis of whether they underwent AVS surgery, received aldosterone using an intraperitoneally implanted osmotic minipump, or both. Aldosterone was started at 0.5 µg/h during the AVS surgery, and morphological and electrophysiological assessments were performed four weeks after AVS creation. The atrial structural changes induced by AVS, including atrial cell hypertrophy and fibrosis, were not modulated by aldosterone, whereas P-wave duration was longer in aldosterone-treated AVS rats than in non-treated rats. Although the average AF duration induced by burst pacing was 10–25 s in the untreated, aldosterone-treated, and AVS rats, the AF duration was approximately 100 s in the aldosterone-treated AVS rats. Meanwhile, there was no significant difference in the atrial effective refractory period among the four experimental groups. Notably, premature atrial contractions (PAC) were frequently observed in aldosterone-treated sham rats, while paroxysmal AF, in addition to PAC, was detected in aldosterone-treated AVS rats, which was not induced in non-treated AVS rats. These findings suggest that aldosterone robustly promotes AF, particularly in the presence of chronic volume overload. We investigated the modulatory effects of aldosterone on atrial remodeling induced by an abdominal aorto-venocaval shunt (AVS) in rats, as patients with primary hyperaldosteronism are suggested to have a higher risk of developing atrial fibrillation (AF). The rats were divided into four groups based on the basis of whether they underwent AVS surgery, received aldosterone using an intraperitoneally implanted osmotic minipump, or both. Aldosterone was started at 0.5 µg/h during the AVS surgery, and morphological and electrophysiological assessments were performed four weeks after AVS creation. The atrial structural changes induced by AVS, including atrial cell hypertrophy and fibrosis, were not modulated by aldosterone, whereas P-wave duration was longer in aldosterone-treated AVS rats than in non-treated rats. Although the average AF duration induced by burst pacing was 10-25 s in the untreated, aldosterone-treated, and AVS rats, the AF duration was approximately 100 s in the aldosterone-treated AVS rats. Meanwhile, there was no significant difference in the atrial effective refractory period among the four experimental groups. Notably, premature atrial contractions (PAC) were frequently observed in aldosterone-treated sham rats, while paroxysmal AF, in addition to PAC, was detected in aldosterone-treated AVS rats, which was not induced in non-treated AVS rats. These findings suggest that aldosterone robustly promotes AF, particularly in the presence of chronic volume overload.We investigated the modulatory effects of aldosterone on atrial remodeling induced by an abdominal aorto-venocaval shunt (AVS) in rats, as patients with primary hyperaldosteronism are suggested to have a higher risk of developing atrial fibrillation (AF). The rats were divided into four groups based on the basis of whether they underwent AVS surgery, received aldosterone using an intraperitoneally implanted osmotic minipump, or both. Aldosterone was started at 0.5 µg/h during the AVS surgery, and morphological and electrophysiological assessments were performed four weeks after AVS creation. The atrial structural changes induced by AVS, including atrial cell hypertrophy and fibrosis, were not modulated by aldosterone, whereas P-wave duration was longer in aldosterone-treated AVS rats than in non-treated rats. Although the average AF duration induced by burst pacing was 10-25 s in the untreated, aldosterone-treated, and AVS rats, the AF duration was approximately 100 s in the aldosterone-treated AVS rats. Meanwhile, there was no significant difference in the atrial effective refractory period among the four experimental groups. Notably, premature atrial contractions (PAC) were frequently observed in aldosterone-treated sham rats, while paroxysmal AF, in addition to PAC, was detected in aldosterone-treated AVS rats, which was not induced in non-treated AVS rats. These findings suggest that aldosterone robustly promotes AF, particularly in the presence of chronic volume overload. |
ArticleNumber | b24-00445 |
Author | Nagasawa, Yoshinobu Takahara, Akira Aimoto, Megumi Nada, Mizuki |
Author_xml | – sequence: 1 fullname: Aimoto, Megumi organization: Department of Pharmacology and Therapeutics, Faculty of Pharmaceutical Sciences, Toho University – sequence: 2 fullname: Nada, Mizuki organization: Department of Pharmacology and Therapeutics, Faculty of Pharmaceutical Sciences, Toho University – sequence: 3 fullname: Nagasawa, Yoshinobu organization: Department of Pharmacology and Therapeutics, Faculty of Pharmaceutical Sciences, Toho University – sequence: 4 fullname: Takahara, Akira organization: Department of Pharmacology and Therapeutics, Faculty of Pharmaceutical Sciences, Toho University |
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Cites_doi | 10.3390/ijms242015472 10.1161/CIRCULATIONAHA.104.503706 10.1093/eurheartj/ehr266 10.3389/fcvm.2014.00007 10.1152/ajpheart.01060.2005 10.1161/CIRCEP.107.754564 10.1016/S0140-6736(14)61774-8 10.1210/jc.2002-021476 10.1161/CIRCULATIONAHA.116.023163 10.1248/bpb.b22-00031 10.1016/j.jphs.2017.12.009 10.1016/j.jacc.2005.01.015 10.1016/j.cardiores.2005.05.009 10.1111/j.1469-7793.2001.0151k.x 10.1016/j.jacc.2019.06.066 10.1161/CIRCEP.111.964080 10.1113/jphysiol.2005.092692 10.1161/01.RES.85.12.1139 10.1097/00005344-200407000-00017 10.1161/CIRCULATIONAHA.108.805804 10.1161/JAHA.119.013133 |
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SubjectTerms | Aldosterone Aldosterone - blood Animals atrial fibrillation Atrial Fibrillation - etiology Atrial Fibrillation - physiopathology atrial remodeling Atrial Remodeling - drug effects Cardiac arrhythmia chronic volume overload Fibrillation Fibrosis Heart Atria - drug effects Heart Atria - pathology Heart Atria - physiopathology Hypertrophy Male Rats Rats, Sprague-Dawley Surgery |
Title | Aldosterone Robustly Promotes Atrial Fibrillation in the Presence of Chronic Volume Overload in Rats |
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