2019
DOI: 10.1096/fj.201802455rrr
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Mutation in NPPA causes atrial fibrillation by activating inflammation and cardiac fibrosis in a knock‐in rat model

Abstract: Atrial fibrillation (AF) affects >30 million individuals worldwide. However, no genetic mutation from human patients with AF has been linked to inflammation. Here, we show that AF‐associated human variant p.Ile138Thr in natriuretic peptide A (NPPA) encoding the atrial natriuretic peptide (ANP) causes inflammation, fibroblast activation, atrial fibrosis, and AF in knock‐in (KI) rats. Variant p.Ile138Thr inhibits the interaction between ANP and its receptor natriuretic peptide receptor A and reduces intracellula… Show more

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Cited by 28 publications
(21 citation statements)
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“…Subsequently, several other variants in NPPA were later also linked to AF [ 99 , 100 ]. Cheng et al [ 101 ] suggested that NPPA variants promote AF by activating inflammation and fibrosis. However, the exact molecular mechanism by which NPPA variants cause AF is poorly understood.…”
Section: Genetics Of Atrial Fibrillationmentioning
confidence: 99%
“…Subsequently, several other variants in NPPA were later also linked to AF [ 99 , 100 ]. Cheng et al [ 101 ] suggested that NPPA variants promote AF by activating inflammation and fibrosis. However, the exact molecular mechanism by which NPPA variants cause AF is poorly understood.…”
Section: Genetics Of Atrial Fibrillationmentioning
confidence: 99%
“…The above genes are mostly related to immune regulatory systems: Nppa plays an important role in the control of extracellular fluid volume and electrolyte homeostasis and participates in the pathogenesis and disease progression of cardiac diseases (19) . Shisa8 is a kind of the cystineknot AMPA receptor-modulating proteins, which could mediate most of the fast-excitatory transmission in the central nervous system of vertebrates (20) .…”
Section: Discussionmentioning
confidence: 99%
“…55 Furthermore, it has been shown that NPPA mutations are correlated with diseases, such as atrial fibrosis. 56 Moreover, it has been indicated that NKX2-5 and TBX20 bind to the NPPA promotor and control its expression. 57,58 In our study, we confirmed the expression of these genes specifically in CMs and used ChIP sequencing data to confirm a direct interaction between TBX20 and NPPA.…”
Section: Discussionmentioning
confidence: 99%