1
|
AlKassas A, Fouda M, Fassini G, Sanhoury M. Pre-procedural high serum visfatin and tumor necrosis factor-α might predict recurrent atrial fibrillation after catheter ablation. Egypt Heart J 2023; 75:63. [PMID: 37466800 DOI: 10.1186/s43044-023-00383-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2023] [Accepted: 06/25/2023] [Indexed: 07/20/2023] Open
Abstract
BACKGROUND Many patients would require repeated ablation procedures owing to recurrent atrial fibrillation with its associated symptoms. Identifying those who are at risk of recurrent AF could assist us to develop preventive strategies and to properly select those who will benefit more from catheter ablation. Our aim is to study the role of preprocedural serum level of certain biomarkers in the prediction of AF recurrence after catheter ablation. RESULTS The present study included 117 patients: 26 patients with persistent and 91 patients with paroxysmal AF. Blood samples for estimation of serum levels of studied cytokines were obtained prior to the procedure. Pulmonary vein isolation was performed in all patients through point-by point radiofrequency ablation guided by 3D electroanatomical mapping system. Patients were followed for 12 months for AF recurrence. Forty-one (35%) patients developed AF recurrence. Those patients were significantly older, had significantly higher BMI, lower ejection fraction, and wider maximal left atrial diameter (LAD). Serum hs-CRP, IL-6, TNF-α, visfatin, and adiponectin levels were significantly higher compared to those who did not develop AF recurrence. Correlation analysis showed positive correlations between the incidence of RAF and patients' age, BMI, and maximum LAD and elevated cytokine levels and maximal LAD showed significant correlations with the type of AF and elevated serum TNF-α, visfatin, and adiponectin. Statistical analyses defined elevated serum levels of TNF-α, visfatin, and adiponectin as positive predictors for RAF, and automatic linear modeling analysis showed that elevated serum visfatin, TNF-α, and adiponectin can predict RAF by accuracy rates of 50%, 34%, and 16%, respectively. CONCLUSIONS RAF is most probably an outcome of the interplay between patients' clinical data, obesity, and inflammation. Pre-procedural estimation of serum levels of visfatin and TNF-α might determine patients with probability for RAF.
Collapse
Affiliation(s)
- Amr AlKassas
- Cardiology Department, Faculty of Medicine, Tanta University, Tanta, Egypt
| | - Mohamed Fouda
- Clinical Pathology Department, Faculty of Medicine, Tanta University, Tanta, Egypt
| | - Gaetano Fassini
- Cardiac Arrhythmia Research Centre, Department of Cardiovascular Sciences, Centro Cardiologico Monzino, University of Milan, Milan, Italy
| | - Mohamed Sanhoury
- Cardiology Department, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
| |
Collapse
|
2
|
Romejko K, Markowska M, Niemczyk S. The Review of Current Knowledge on Neutrophil Gelatinase-Associated Lipocalin (NGAL). Int J Mol Sci 2023; 24:10470. [PMID: 37445650 DOI: 10.3390/ijms241310470] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Revised: 06/15/2023] [Accepted: 06/20/2023] [Indexed: 07/15/2023] Open
Abstract
Neutrophil gelatinase-associated lipocalin (NGAL) is a 25-kDa protein that is secreted mostly by immune cells such as neutrophils, macrophages, and dendritic cells. Its production is stimulated in response to inflammation. The concentrations of NGAL can be measured in plasma, urine, and biological fluids such as peritoneal effluent. NGAL is known mainly as a biomarker of acute kidney injury and is released after tubular damage and during renal regeneration processes. NGAL is also elevated in chronic kidney disease and dialysis patients. It may play a role as a predictor of the progression of renal function decreases with complications and mortality due to kidney failure. NGAL is also useful in the diagnostic processes of cardiovascular diseases. It is highly expressed in injured heart tissue and atherosclerostic plaque; its serum concentrations correlate with the severity of heart failure and coronary artery disease. NGAL increases inflammatory states and its levels rise in arterial hypertension, obesity, diabetes, and metabolic complications such as insulin resistance, and is also involved in carcinogenesis. In this review, we present the current knowledge on NGAL and its involvement in different pathologies, especially its role in renal and cardiovascular diseases.
Collapse
Affiliation(s)
- Katarzyna Romejko
- Department of Internal Diseases, Nephrology and Dialysis, Military Institute of Medicine-National Research Institute, 128 Szaserów Street, 04-141 Warsaw, Poland
| | - Magdalena Markowska
- Department of Internal Diseases, Nephrology and Dialysis, Military Institute of Medicine-National Research Institute, 128 Szaserów Street, 04-141 Warsaw, Poland
| | - Stanisław Niemczyk
- Department of Internal Diseases, Nephrology and Dialysis, Military Institute of Medicine-National Research Institute, 128 Szaserów Street, 04-141 Warsaw, Poland
| |
Collapse
|
3
|
Hou J, Yue Y, Hu B, Xu G, Su R, Lv L, Huang J, Yao J, Guan Y, Wang K, Wu Z. DACT1 Involvement in the Cytoskeletal Arrangement of Cardiomyocytes in Atrial Fibrillation by Regulating Cx43. Braz J Cardiovasc Surg 2019; 34:711-722. [PMID: 31545578 PMCID: PMC6894021 DOI: 10.21470/1678-9741-2019-0033] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
OBJECTIVE To determine the role of the dishevelled binding antagonist of beta catenin 1 (DACT1) in the cytoskeletal arrangement of cardiomyocytes in atrial fibrillation (AF). METHODS The DACT1 expression and its associations with the degree of fibrosis and β-catenin in valvular disease patients were analyzed by immunohistochemistry and Masson's staining. DACT1 was overexpressed in the atrial myocyte cell line (HL-1) and the cardiac cell line (H9C2) by adenoviral vectors. Alterations in the fibrous actin (F-actin) content and organization and the expression of β-catenin were detected by flow cytometry, immunofluorescence, and Western blotting. Additionally, the association of DACT1 with gap junctions connexin 43 (Cx43) was detected by immunohistochemistry, immunofluorescence, and Western blotting. RESULTS Decreased cytoplasmic DACT1 expression in the myocardium was associated with AF (P=0.037) and a high degree of fibrosis (weak vs. strong, P=0.028; weak vs. very strong, P=0.029). A positive association was observed between DACT1 and β-catenin expression in clinical samples (P=0.028, Spearman's rho=0.408). Furthermore, overexpression of DACT1 in HL-1 and H9C2 cells induced an increase in β-catenin and subsequent partial colocalization of DACT1 and β-catenin. In addition, F-actin content and organization were enhanced. Interestingly, DACT1 was positively correlated with the Cx43 expression in clinical samples (P=0.048, Spearman's rho=0.370) and changed the Cx43 distribution in cardiac cell lines. CONCLUSION DACT1 proved to be a novel AF-related gene by regulating Cx43 via cytoskeletal organization induced by β-catenin accumulation in cardiomyocytes. DACT1 could thus serve as a potential therapeutic marker for AF.
Collapse
Affiliation(s)
- Jian Hou
- The First Affiliated Hospital of Sun Yat-Sen University Department of Cardiac Surgery Guangzhou GD People's Republic of China Department of Cardiac Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, GD, People's Republic of China.,Sun Yat-Sen University NHC Key Laboratory of Assisted Circulation Guangzhou GD People's Republic of China NHC Key Laboratory of Assisted Circulation, Sun Yat-Sen University, Guangzhou, GD, People's Republic of China
| | - Yuan Yue
- The First Affiliated Hospital of Sun Yat-Sen University Department of Cardiac Surgery Guangzhou GD People's Republic of China Department of Cardiac Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, GD, People's Republic of China.,Sun Yat-Sen University NHC Key Laboratory of Assisted Circulation Guangzhou GD People's Republic of China NHC Key Laboratory of Assisted Circulation, Sun Yat-Sen University, Guangzhou, GD, People's Republic of China
| | - Bo Hu
- Jiaxing University Jiaxing Hospital of Traditional Chinese Medicine Department of Pathology and Molecular Medicine Center Jiaxing ZJ People's Republic of China Department of Pathology and Molecular Medicine Center, Jiaxing Hospital of Traditional Chinese Medicine, Jiaxing University, Jiaxing, ZJ, People's Republic of China
| | - Guangtao Xu
- Jiaxing University Jiaxing Hospital of Traditional Chinese Medicine Department of Pathology and Molecular Medicine Center Jiaxing ZJ People's Republic of China Department of Pathology and Molecular Medicine Center, Jiaxing Hospital of Traditional Chinese Medicine, Jiaxing University, Jiaxing, ZJ, People's Republic of China
| | - Ruibing Su
- Shantou University Medical College Department of Forensic Pathology Shantou GD People's Republic of China Department of Forensic Pathology, Shantou University Medical College, Shantou, GD, People's Republic of China
| | - Linhua Lv
- The First Affiliated Hospital of Sun Yat-Sen University Department of Cardiac Surgery Guangzhou GD People's Republic of China Department of Cardiac Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, GD, People's Republic of China
| | - Jiaxing Huang
- The First Affiliated Hospital of Sun Yat-Sen University Department of Cardiac Surgery Guangzhou GD People's Republic of China Department of Cardiac Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, GD, People's Republic of China
| | - Jianping Yao
- The First Affiliated Hospital of Sun Yat-Sen University Department of Cardiac Surgery Guangzhou GD People's Republic of China Department of Cardiac Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, GD, People's Republic of China
| | - Yuanjun Guan
- Sun Yat-Sen University Zhongshan School of Medicine Core Lab Plat for Medical Science Guangzhou GD People's Republic of China Core Lab Plat for Medical Science, Zhongshan School of Medicine, Sun Yat-Sen University, Guangzhou, GD, People's Republic of China
| | - Keke Wang
- The First Affiliated Hospital of Sun Yat-Sen University Department of Cardiac Surgery Guangzhou GD People's Republic of China Department of Cardiac Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, GD, People's Republic of China.,Sun Yat-Sen University NHC Key Laboratory of Assisted Circulation Guangzhou GD People's Republic of China NHC Key Laboratory of Assisted Circulation, Sun Yat-Sen University, Guangzhou, GD, People's Republic of China
| | - Zhongkai Wu
- The First Affiliated Hospital of Sun Yat-Sen University Department of Cardiac Surgery Guangzhou GD People's Republic of China Department of Cardiac Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, GD, People's Republic of China.,Sun Yat-Sen University NHC Key Laboratory of Assisted Circulation Guangzhou GD People's Republic of China NHC Key Laboratory of Assisted Circulation, Sun Yat-Sen University, Guangzhou, GD, People's Republic of China
| |
Collapse
|
4
|
Li Y, Pastori D, Guo Y, Wang Y, Lip GYH. Risk factors for new-onset atrial fibrillation: A focus on Asian populations. Int J Cardiol 2018; 261:92-98. [PMID: 29657061 DOI: 10.1016/j.ijcard.2018.02.051] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2017] [Revised: 01/23/2018] [Accepted: 02/13/2018] [Indexed: 12/21/2022]
Abstract
The incidence of new-onset atrial fibrillation (NOAF) is increasing both in the Asian populations and Western countries. Several demographic and clinical risk factors were independently associated with NOAF, including ageing, male sex, obesity, obstructive sleep apnea syndrome, hypertension, coronary artery disease, renal dysfunction and heart failure. However, some differences in the incidence of NOAF, the prevalence of some risk factors and lifestyle or environmental conditions may exist between Asian and Western countries. Early recognition and holistic management of risk factors in an integrated manner may help reduce the burden of NOAF and its complications. While some risk scores have been developed to predict the risk of NOAF, thus far none are currently recommended or adequately validated to be used as a screening tool especially in the Asian population. The present semi-systematic review article aims to provide a comprehensive overview on the risk factors associated to NOAF, focusing on those explored in the Asian populations.
Collapse
Affiliation(s)
- Yanguang Li
- Institute of Cardiovascular Sciences, University of Birmingham, Birmingham, United Kingdom; Chinese PLA General Hospital, Chinese PLA Medical School, Department of Cardiology, Beijing, China
| | - Daniele Pastori
- Institute of Cardiovascular Sciences, University of Birmingham, Birmingham, United Kingdom; I Clinica Medica, Atherothrombosis Center, Department of Internal Medicine and Medical Specialties, Sapienza University of Rome, Rome, Italy
| | - Yutao Guo
- Chinese PLA General Hospital, Chinese PLA Medical School, Department of Cardiology, Beijing, China
| | - Yutang Wang
- Chinese PLA General Hospital, Chinese PLA Medical, Department of Geriatric Cardiology, Beijing, China
| | - Gregory Y H Lip
- Institute of Cardiovascular Sciences, University of Birmingham, Birmingham, United Kingdom; Aalborg Thrombosis Research Unit, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
| |
Collapse
|