PMID- 33332716 OWN - NLM STAT- MEDLINE DCOM- 20210818 LR - 20220531 IS - 1748-1716 (Electronic) IS - 1748-1708 (Linking) VI - 231 IP - 4 DP - 2021 Apr TI - ZFHX3 knockdown dysregulates mitochondrial adaptations to tachypacing in atrial myocytes through enhanced oxidative stress and calcium overload. PG - e13604 LID - 10.1111/apha.13604 [doi] AB - AIM: To investigate the role of zinc finger homeobox 3 gene (ZFHX3) in tachypacing-induced mitochondrial dysfunction and explore its molecular mechanisms and potential as a therapeutic target in atrial fibrillation (AF). METHODS: Through a bioluminescent assay, a patch clamp, confocal fluorescence and fluorescence microscopy, microplate enzyme activity assays and Western blotting, we studied ATP and ADP production, mitochondrial electron transfer chain complex activities, ATP-sensitive potassium channels (I(KATP) ), mitochondrial oxidative stress, Ca(2+) content, and protein expression in control and ZFHX3 knockdown (KD) HL-1 cells subjected to 1 and 5-Hz pacing for 24 hours. RESULTS: Compared with 1-Hz pacing, 5-Hz pacing increased ATP and ADP production, I(KATP) , phosphorylated adenosine monophosphate-activated protein kinase and inositol 1,4,5-triphosphate (IP(3) ) receptor (IP(3) R) protein expression. Tachypacing induced mitochondrial oxidative stress and Ca(2+) overload in both cell types. Furthermore, under 1- and 5-Hz pacing, ZFHX3 KD cells showed higher I(KATP) , ATP and ADP production, mitochondrial oxidative stress and Ca(2+) content than control cells. Under 5-Hz pacing, 2-aminoethoxydiphenyl borate (2-APB; 3 mumol/L, an IP(3) R inhibitor) and MitoTEMPO (10 micromol/L, a mitochondria-targeted antioxidant) reduced ADP and increased ATP production in both cell types; however, only 2-APB significantly reduced mitochondrial Ca(2+) overload in control cells. Under 5-Hz pacing, mitochondrial oxidative stress was significantly reduced by both MitoTEMPO and 2-APB and only by 2-APB in control and ZFHX3 KD cells respectively. CONCLUSION: ZFHX3 KD cells modulate mitochondrial adaptations to tachypacing in HL-1 cardiomyocytes through Ca(2+) overload, oxidative stress and metabolic disorder. Targeting IP(3) R signalling or oxidative stress could reduce AF. CI - (c) 2020 Scandinavian Physiological Society. Published by John Wiley & Sons Ltd. FAU - Lkhagva, Baigalmaa AU - Lkhagva B AD - Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. FAU - Lin, Yung-Kuo AU - Lin YK AD - Division of Cardiology, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. FAU - Chen, Yao-Chang AU - Chen YC AD - Department of Biomedical Engineering, National Defense Medical Center, Taipei, Taiwan. FAU - Cheng, Wan-Li AU - Cheng WL AD - Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. FAU - Higa, Satoshi AU - Higa S AD - Cardiac Electrophysiology and Pacing Laboratory, Division of Cardiovascular Medicine, Makiminato Central Hospital, Okinawa, Japan. FAU - Kao, Yu-Hsun AU - Kao YH AD - Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. AD - Department of Medical Education and Research, Wan-Fang Hospital, Taipei Medical University, Taipei, Taiwan. FAU - Chen, Yi-Jen AU - Chen YJ AUID- ORCID: 0000-0001-7224-4491 AD - Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan. AD - Cardiovascular Research Center, Wan-Fang Hospital, Taipei Medical University, Taipei, Taiwan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20201229 PL - England TA - Acta Physiol (Oxf) JT - Acta physiologica (Oxford, England) JID - 101262545 RN - 0 (Homeodomain Proteins) RN - 143258-00-8 (ZFHX3 protein, human) RN - SY7Q814VUP (Calcium) SB - IM MH - *Atrial Fibrillation/metabolism MH - Calcium/metabolism MH - Homeodomain Proteins/metabolism MH - Humans MH - Mitochondria/metabolism MH - *Myocytes, Cardiac/metabolism MH - Oxidative Stress OTO - NOTNLM OT - ZFHX3 OT - atrial fibrillation OT - calcium OT - mitochondria OT - tachypacing EDAT- 2020/12/18 06:00 MHDA- 2021/08/19 06:00 CRDT- 2020/12/17 17:21 PHST- 2020/12/06 00:00 [revised] PHST- 2020/07/01 00:00 [received] PHST- 2020/12/11 00:00 [accepted] PHST- 2020/12/18 06:00 [pubmed] PHST- 2021/08/19 06:00 [medline] PHST- 2020/12/17 17:21 [entrez] AID - 10.1111/apha.13604 [doi] PST - ppublish SO - Acta Physiol (Oxf). 2021 Apr;231(4):e13604. doi: 10.1111/apha.13604. Epub 2020 Dec 29.