دورية أكاديمية

Extracellular matrix remodeling precedes atrial fibrillation: Results of the PREDICT-AF trial.

التفاصيل البيبلوغرافية
العنوان: Extracellular matrix remodeling precedes atrial fibrillation: Results of the PREDICT-AF trial.
المؤلفون: van den Berg NWE; Department of Clinical and Experimental Cardiology and Cardiothoracic Surgery, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Neefs J; Department of Clinical and Experimental Cardiology and Cardiothoracic Surgery, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Kawasaki M; Department of Clinical and Experimental Cardiology and Cardiothoracic Surgery, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Nariswari FA; Department of Clinical and Experimental Cardiology and Cardiothoracic Surgery, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Wesselink R; Department of Clinical and Experimental Cardiology and Cardiothoracic Surgery, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Fabrizi B; Department of Clinical and Experimental Cardiology and Cardiothoracic Surgery, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Jongejan A; Department of Epidemiology and Data Science, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Klaver MN; Department of Cardiology and Cardiothoracic Surgery, St. Antonius Ziekenhuis, Nieuwegein, The Netherlands., Havenaar H; Department of Cardiology and Cardiothoracic Surgery, St. Antonius Ziekenhuis, Nieuwegein, The Netherlands., Hulsman EL; Department of Clinical and Experimental Cardiology and Cardiothoracic Surgery, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Wintgens LIS; Department of Cardiology and Cardiothoracic Surgery, St. Antonius Ziekenhuis, Nieuwegein, The Netherlands., Baalman SWE; Department of Clinical and Experimental Cardiology and Cardiothoracic Surgery, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Meulendijks ER; Department of Clinical and Experimental Cardiology and Cardiothoracic Surgery, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., van Boven WJ; Department of Clinical and Experimental Cardiology and Cardiothoracic Surgery, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., de Jong JSSG; Department of Cardiology, OLVG, Amsterdam, The Netherlands., van Putte BP; Department of Clinical and Experimental Cardiology and Cardiothoracic Surgery, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands; Department of Cardiology and Cardiothoracic Surgery, St. Antonius Ziekenhuis, Nieuwegein, The Netherlands., Driessen AHG; Department of Clinical and Experimental Cardiology and Cardiothoracic Surgery, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Boersma LVA; Department of Clinical and Experimental Cardiology and Cardiothoracic Surgery, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands; Department of Cardiology and Cardiothoracic Surgery, St. Antonius Ziekenhuis, Nieuwegein, The Netherlands., de Groot JR; Department of Clinical and Experimental Cardiology and Cardiothoracic Surgery, Heart Center, Amsterdam Cardiovascular Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands. Electronic address: j.r.degroot@amsterdamumc.nl.
مؤلفون مشاركون: PREDICT-AF Investigators
المصدر: Heart rhythm [Heart Rhythm] 2021 Dec; Vol. 18 (12), pp. 2115-2125. Date of Electronic Publication: 2021 Jul 29.
نوع المنشور: Journal Article; Observational Study; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101200317 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1556-3871 (Electronic) Linking ISSN: 15475271 NLM ISO Abbreviation: Heart Rhythm Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York, NY : Elsevier, c2004-
مواضيع طبية MeSH: Atrial Appendage*/pathology , Atrial Appendage*/surgery , Atrial Fibrillation*/blood , Atrial Fibrillation*/diagnosis , Atrial Fibrillation*/prevention & control , Extracellular Matrix*/metabolism , Extracellular Matrix*/pathology , Heart Atria*/pathology , Heart Atria*/physiopathology, Atrial Remodeling/*physiology, Aged ; Biglycan/metabolism ; Biomarkers/analysis ; Biomarkers/blood ; Cardiac Surgical Procedures/methods ; Collagen/metabolism ; Electrocardiography, Ambulatory/methods ; Electrocardiography, Ambulatory/statistics & numerical data ; Female ; Humans ; Male ; Predictive Value of Tests ; Prognosis ; Prophylactic Surgical Procedures/methods ; Tenascin/metabolism ; Thrombospondins/metabolism
مستخلص: Background: To which extent atrial remodeling occurs before atrial fibrillation (AF) is unknown.
Objective: The PREventive left atrial appenDage resection for the predICtion of fuTure Atrial Fibrillation (PREDICT-AF) study investigated such subclinical remodeling, which may be used for risk stratification and AF prevention.
Methods: Patients (N = 150) without a history of AF with a CHA 2 DS 2 -VASc score of ≥2 at an increased risk of developing AF were included. The left atrial appendage was excised and blood samples were collected during elective cardiothoracic surgery for biomarker discovery. Participants were followed for 2 years with Holter monitoring to determine any atrial tachyarrhythmia after a 50-day blanking period.
Results: Eighteen patients (12%) developed incident AF, which was associated with increased tissue gene expression of collagen I (COL1A1), collagen III (COL3A1), and collagen VIII (COL8A2), tenascin-C (TNC), thrombospondin-2 (THBS2), and biglycan (BGN). Furthermore, the fibroblast activating endothelin-1 (EDN1) and sodium voltage-gated channel β subunit 2 (SCN2B) were associated with incident AF whereas the Kir2.1 channel (KCNJ2) tended to downregulate. The plasma levels of COL8A2 and TNC correlated with tissue expression and predicted incident AF. A gene panel including tissue KCNJ2, COL1A1, COL8A2, and EDN1 outperformed clinical prediction models in discriminating incident AF.
Conclusion: The PREDICT-AF study demonstrates that atrial remodeling occurs long before incident AF and implies future potential for early patient identification and therapies to prevent AF (ClinicalTrials.gov identifier NCT03130985).
(Copyright © 2021 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.)
التعليقات: Comment in: Heart Rhythm. 2021 Dec;18(12):2126-2127. (PMID: 34508877)
فهرسة مساهمة: Keywords: Atrial fibrillation; Atrial remodeling; Biomarkers; Collagen VIII; Extracellular matrix; Tenascin
سلسلة جزيئية: ClinicalTrials.gov NCT03130985
المشرفين على المادة: 0 (BGN protein, human)
0 (Biglycan)
0 (Biomarkers)
0 (TNC protein, human)
0 (Tenascin)
0 (Thrombospondins)
0 (thrombospondin 2)
9007-34-5 (Collagen)
تواريخ الأحداث: Date Created: 20210731 Date Completed: 20220303 Latest Revision: 20220303
رمز التحديث: 20240628
DOI: 10.1016/j.hrthm.2021.07.059
PMID: 34332113
قاعدة البيانات: MEDLINE
الوصف
تدمد:1556-3871
DOI:10.1016/j.hrthm.2021.07.059