MicroRNA-26 governs profibrillatory inward-rectifier potassium current changes in atrial fibrillation

J Clin Invest. 2013 May;123(5):1939-51. doi: 10.1172/JCI62185. Epub 2013 Apr 1.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Atrial Fibrillation / metabolism*
  • Binding Sites
  • Cells, Cultured
  • Dogs
  • Down-Regulation
  • Female
  • Gene Expression Regulation*
  • Humans
  • Male
  • Mice
  • Mice, Inbred C57BL
  • MicroRNAs / metabolism*
  • Mutation
  • Myocytes, Cardiac / cytology
  • NFATC Transcription Factors / metabolism
  • Potassium / chemistry
  • Potassium Channels, Inwardly Rectifying / metabolism*
  • Rats
  • Transcription, Genetic

Substances

  • KCNJ2 protein, human
  • KCNJ2 protein, rat
  • Kir2.1 channel
  • MIRN26 microRNA, rat
  • MIRN26A microRNA, human
  • MicroRNAs
  • Mirn26 microRNA, mouse
  • NFATC Transcription Factors
  • Potassium Channels, Inwardly Rectifying
  • Potassium