Abstract
Methods and results: Human iPSC-derived engineered heart tissue was exposed to C18:1AC. A biphasic effect on contractile force was observed: short exposure enhanced contractile force, but elicited spontaneous contractions and impaired Ca2+ handling. Continuous exposure provoked an impairment of contractile force. In human atrial mitochondria from AF individuals, C18:1AC inhibited respiration. In a population-based cohort as well as a cohort of patients, high C18:1AC serum concentrations were associated with the incidence and prevalence of AF.
Conclusion: Our data provide evidence for an arrhythmogenic potential of the metabolite C18:1AC. The metabolite interferes with mitochondrial metabolism, thereby contributing to contractile dysfunction and shows predictive potential as novel circulating biomarker for risk of AF.
Original language | English |
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Article number | 566 |
Journal | Journal of translational medicine |
Volume | 21 |
Issue number | 1 |
Early online date | 24 Aug 2023 |
DOIs | |
Publication status | E-pub ahead of print - 24 Aug 2023 |
Keywords
- Atrial fibrillation
- Acyl-carnitine
- Translational medicine
- Metabolites
- Engineered heart tissue