The L-type Ca2+-channel subunits α1C and β2 are not downregulated in atrial myocardiurn of patients with chronic atrial fibrillation

Objective. - Electrical remodeling as well as atrial contractile dysfunction after the conversion of atrial fibrillation (AF) to sinus rhythm (SR) are mainly caused by a reduction of the inward L-type Ca2+ current (I-CaL). We investigated whether the expression of L-type Ca2+-channel subunits was reduced in atrial myocardium. of AF patients. Methods. - Right atrial appendages were obtained from patients undergoing coronary artery bypass graft surgery (CAD, n = 35) or mitral valve surgery (MVD, n = 37). Seventeen of the CAD patients and 18 of the MVD patients were in chronic (>3 months) A-F, whereas the others were in SR. The protein expression of the L-type Ca2+-channel subunits alpha(1C) and beta(2) was quantified by western blot analysis. Furthermore, we measured the density of dihydropyridine (DHP)-binding sites of the L-type Ca2+ channel using H-3-PN220-100 as radioligand. Results. - Surprisingly, the alpha(1C) and the beta(2)-subunit expression was not altered in atrial myocardium of AF patients. Also, the DHP-binding site density was unchanged. Conclusion. - The protein expression of the L-type Ca2+-channel subunits alpha(1C) or beta(2) is not reduced in atrial myocardium of AF patients. Therefore, the reduced I-CaL might be due to downregulation of other accessory subunits (alpha(2)delta), expression of aberrant subunits, changes in channel trafficking or alterations in channel function. (C) 2003 Elsevier Science Ltd. All rights reserved.