Cardiac hypertrophy is a major risk factor for
the development of atrial fibrillation (AF). However, there are few animal
models of AF associated with cardiac hypertrophy. In this study, we describe the in vivo electrophysiological
characteristics and histopathology of a mouse model of cardiac hypertrophy that
develops AF. Myostatin is a well-known
negative regulator of skeletal muscle growth that was recently found to additionally
regulate cardiac muscle growth. Using
cardiac-specific expression of the inhibitory myostatin pro-peptide, we
generated transgenic (TG) mice with dominant-negative regulation of MSTN (DN-MSTN).
One line (DN-MSTN TG13) displayed ventricular hypertrophy, as well as
spontaneous AF on the surface electrocardiogram (ECG), and was further
evaluated. DN-MSTN TG13 had normal systolic function, but displayed atrial
enlargement on cardiac MRI, as well as atrial fibrosis histologically. Baseline ECG revealed an increased P wave
duration and QRS interval compared with wild-type littermate (WT) mice. Seven
of 19 DN-MSTN TG13 mice had spontaneous or inducible AF, while none of the WT
mice had atrial arrhythmias (p<0.05). Connexin40 (Cx40) was decreased in DN-MSTN TG13 mice, even in the
absence of AF or significant atrial fibrosis, raising the possibility that MSTN
signaling may play a role in Cx40 down-regulation and the development of AF in
this mouse model. In conclusion, DN-MSTN
TG13 mice represent a novel model of AF, in which molecular changes including
an initial loss of Cx40 are noted prior to fibrosis and the development of
atrial arrhythmias.
Credits: Michael A. Rosenberg MD; Saumya Das MD, PhD; Pablo Quintero Pinzon MD; Ashley C. Knight BA; David E. Sosnovik MD; Patrick T. Ellinor MD, PhD; Anthony Rosenzweig MD