2014
DOI: 10.1016/j.freeradbiomed.2014.03.033
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Mitochondria and arrhythmias

Abstract: Mitochondria are essential to providing ATP thereby satisfying the energy demand of the incessant electrical activity and contractile action of cardiac muscle. Emerging evidence indicates that mitochondrial dysfunction can adversely impact cardiac electrical functioning by impairing the intracellular ion homeostasis and membrane excitability through reduced ATP production and excessive reactive oxidative species (ROS) generation, resulting in increased propensity to cardiac arrhythmias. In this review, the mol… Show more

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Cited by 113 publications
(111 citation statements)
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References 208 publications
(258 reference statements)
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“…Mitochondria are the major source of ATP that provides the energy to support myocardial contraction and maintenance of ionic homeostasis and cellular integrity (21,22,61). Under physiological conditions, Ͼ90% of energy production required for heart function comes from mitochondria and is dependent on activity of the multisubunit complexes forming the ETC (complexes I-IV) that generates the proton-motive force driving ATP synthesis through complex V. The activities of the ETC and ATP synthesis are tightly regulated to match ATP supply and demand in the heart during physiological workload (22).…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Mitochondria are the major source of ATP that provides the energy to support myocardial contraction and maintenance of ionic homeostasis and cellular integrity (21,22,61). Under physiological conditions, Ͼ90% of energy production required for heart function comes from mitochondria and is dependent on activity of the multisubunit complexes forming the ETC (complexes I-IV) that generates the proton-motive force driving ATP synthesis through complex V. The activities of the ETC and ATP synthesis are tightly regulated to match ATP supply and demand in the heart during physiological workload (22).…”
Section: Discussionmentioning
confidence: 99%
“…Although the pathophysiology of AF has been well characterized, the underlying mechanisms that contribute to the progression of AF in human atria have not been fully defined (33,35,57,58,60). Mitochondria, occupying 30% of cardiomyocyte volume, are critical for maintaining normal energetics of the heart, a highly aerobic organ dependent on oxidative phosphorylation (OXPHOS) for maintenance of its normal electrical and mechanical function (1,61). Imbalance in the production of high-energy phosphate compounds and metabolic oscillations with supply-demand mismatch in adenosine 5=-triphosphate (ATP) can affect cardiac electrical activity through impact on ion channels (5a, 11, 15, 27), oxidative stress, and regulation of cell death/survival signaling (12,17,56,59), which increases predisposition to arrhythmogenesis.…”
mentioning
confidence: 99%
“…Indeed, in CMs, a complex network involving plasmalemma, SR receptors (namely, Rya, but also IP3 receptors), and mitochondria is responsible for fine-tuning cytosolic Ca 2þ (72)(73)(74). In this interplay, the mitochondria serve as an efficient dynamic buffer of the Ca 2þ released during contraction.…”
Section: Discussionmentioning
confidence: 99%
“…3f). Mounting evidence suggests that mitochondria are the primary source of ROS [39], and reduced activities of the mitochondrial respiratory chain complexes can result in the overproduction of mitochondrial ROS (mtROS) at the expense of ATP production [40]. Moreover, excessive mtROS production can promote oxidative stress and cause oxidative damage in tissues [41].…”
Section: Cellular Physiology and Biochemistrymentioning
confidence: 99%