MicroRNA-26 governs profibrillatory inward-rectifier potassium current changes in atrial fibrillation.
Authors:
Luo, X Pan, Z Shan, H Xiao, J Sun, X Wang, N Lin, H Xiao, L Maguy, A Qi, XY Li, Y Gao, X Dong, D Zhang, Y Bai, Y Ai, J Sun, L Lu, H Luo, XY Wang, Z Lu, Y Yang, B Nattel, S
Citation:
Luo X, etal., J Clin Invest. 2013 May 1;123(5):1939-51. doi: 10.1172/JCI62185. Epub 2013 Apr 1.
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.