[HTML][HTML] MicroRNA-26 governs profibrillatory inward-rectifier potassium current changes in atrial fibrillation

X Luo, Z Pan, H Shan, J Xiao, X Sun… - The Journal of …, 2013 - Am Soc Clin Investig
X Luo, Z Pan, H Shan, J Xiao, X Sun, N Wang, H Lin, L Xiao, A Maguy, XY Qi, Y Li, X Gao…
The Journal of clinical investigation, 2013Am Soc Clin Investig
Atrial fibrillation (AF) is a highly prevalent arrhythmia with pronounced morbidity and
mortality. Inward-rectifier K+ current (IK1) is believed to be an important regulator of
reentrant-spiral dynamics and a major component of AF-related electrical remodeling.
MicroRNA-26 (miR-26) is predicted to target the gene encoding KIR2. 1, KCNJ2. We found
that miR-26 was downregulated in atrial samples from AF animals and patients and this
downregulation was accompanied by upregulation of IK1/KIR2. 1 protein. miR-26 …
Atrial fibrillation (AF) is a highly prevalent arrhythmia with pronounced morbidity and mortality. Inward-rectifier K+ current (IK1) is believed to be an important regulator of reentrant-spiral dynamics and a major component of AF-related electrical remodeling. MicroRNA-26 (miR-26) is predicted to target the gene encoding KIR2.1, KCNJ2. We found that miR-26 was downregulated in atrial samples from AF animals and patients and this downregulation was accompanied by upregulation of IK1/KIR2.1 protein. miR-26 overexpression suppressed expression of KCNJ2/KIR2.1. In contrast, miR-26 knockdown, inhibition, or binding-site mutation enhanced KCNJ2/KIR2.1 expression, establishing KCNJ2 as a miR-26 target. Knockdown of endogenous miR-26 promoted AF in mice, whereas adenovirus-mediated expression of miR-26 reduced AF vulnerability. Kcnj2-specific miR-masks eliminated miR-26–mediated reductions in Kcnj2, abolishing miR-26’s protective effects, while coinjection of a Kcnj2-specific miR-mimic prevented miR-26 knockdown-associated AF in mice. Nuclear factor of activated T cells (NFAT), a known actor in AF-associated remodeling, was found to negatively regulate miR-26 transcription. Our results demonstrate that miR-26 controls the expression of KCNJ2 and suggest that this downregulation may promote AF.
The Journal of Clinical Investigation