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Activation of PKG-CREB-KLF15 by melatonin attenuates Angiotensin II-induced vulnerability to atrial fibrillation via enhancing branched-chain amino acids catabolism.

Free radical biology & medicine
January 1, 2022
Li-Ming Yu et al. (12 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tHuman Study
Study Details

Study Goal

The researchers aimed to explore the role of BCAA catabolism in atrial fibrillation (AF) pathogenesis and evaluate melatonin's therapeutic effect via PKG-CREB-KLF15 signaling.

Results Summary

Elevated BCAA levels and reduced catabolic enzyme activity worsened AF vulnerability, atrial remodeling, and mitochondrial ROS damage, which were mitigated by melatonin but exacerbated by BCAA supplementation. Melatonin reversed BCAA-induced damage by activating PKG-CREB-KLF15 signaling.

Population

Angiotensin II-treated atria (animal model, not specified further).

Effective Dosage

Not specified.

Duration

Not specified.

Interactions

None mentioned.

Extracted Claims (14)
InterventionDirectionEndpointPopulationDosageImpactClaim #
angiotensin II treatment
increase
BCAA level
atria
-
exhibited significantly elevated
#1
angiotensin II treatment
decrease
BCAA catabolic enzyme activity
atria
-
reduced
#2
angiotensin II treatment
increase
AF vulnerability
atria
-
increased
#3
angiotensin II treatment
increase
atrial electrical and structural remodeling
atria
-
aggravated
#4
angiotensin II treatment
increase
mitochondrial ROS damage
atria
-
enhanced
#5
melatonin co-administration
decrease
these deleterious effects
angiotensin II-treated atria
-
attenuated
#6
BCAA oral supplementation
increase
these deleterious effects
angiotensin II-treated atria
-
exacerbated
#7
melatonin treatment
decrease
BCAA-induced atrial damage
-
-
ameliorated
#8
melatonin treatment
increase
BCAA-induced down-regulation of atrial PKGIα expression
-
-
reversed
#9
melatonin treatment
increase
BCAA-induced down-regulation of CREB phosphorylation
-
-
reversed
#10
melatonin treatment
increase
BCAA-induced down-regulation of KLF15 expression
-
-
reversed
#11
inhibition of PKG
decrease
melatonin-induced beneficial actions
-
-
partly abolished
#12
melatonin treatment
decrease
Ang II-induced atrial structural as well as electrical remodeling
-
-
ameliorated
#13
melatonin treatment
increase
PKG-CREB-KLF15
-
-
ameliorated by activating
#14
Abstract

Mitochondrial reactive oxygen species (ROS) damage and atrial remodeling serve as the crucial substrates for the genesis of atrial fibrillation (AF). Branched-chain amino acids (BCAAs) catabolic defect plays critical roles in multiple cardiovascular diseases. However, the alteration of atrial BCAA catabolism and its role in AF remain largely unknown. This study aimed to explore the role of BCAA catabolism in the pathogenesis of AF and to further evaluate the therapeutic effect of melatonin with a focus on protein kinase G (PKG)-cAMP response element binding protein (CREB)-Krüppel-like factor 15 (KLF15) signaling. We found that angiotensin II-treated atria exhibited significantly elevated BCAA level, reduced BCAA catabolic enzyme activity, increased AF vulnerability, aggravated atrial electrical and structural remodeling, and enhanced mitochondrial ROS damage. These deleterious effects were attenuated by melatonin co-administration while exacerbated by BCAA oral supplementation. Melatonin treatment ameliorated BCAA-induced atrial damage and reversed BCAA-induced down-regulation of atrial PKGIα expression, CREB phosphorylation as well as KLF15 expression. However, inhibition of PKG partly abolished melatonin-induced beneficial actions. In summary, these data demonstrated that atrial BCAA catabolic defect contributed to the pathogenesis of AF by aggravating tissue fibrosis and mitochondrial ROS damage. Melatonin treatment ameliorated Ang II-induced atrial structural as well as electrical remodeling by activating PKG-CREB-KLF15. The present study reveals additional mechanisms contributing to AF genesis and highlights the opportunity of a novel therapy for AF by targeting BCAA catabolism. Melatonin may serve as a potential therapeutic agent for AF intervention.

Medical Subject Headings (MeSH)
Amino Acids, Branched-ChainAngiotensin IIAtrial FibrillationCyclic AMP Response Element-Binding ProteinCyclic GMP-Dependent Protein KinasesHumansKruppel-Like Transcription FactorsMelatonin
Study Links
Quality Scores
Safety30
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations25
Citations/Year8.3
Relative Citation Ratio3.06
NIH Percentile85.4%
Research Impact Scores
APT Score0.25
Weight Score2.82
Normalized Score0.58
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