DNA damage-induced PARP1 activation confers cardiomyocyte dysfunction through NAD+ depletion in experimental atrial fibrillation

Nat Commun. 2019 Mar 21;10(1):1307. doi: 10.1038/s41467-019-09014-2.

Abstract

Atrial fibrillation (AF) is the most common clinical tachyarrhythmia with a strong tendency to progress in time. AF progression is driven by derailment of protein homeostasis, which ultimately causes contractile dysfunction of the atria. Here we report that tachypacing-induced functional loss of atrial cardiomyocytes is precipitated by excessive poly(ADP)-ribose polymerase 1 (PARP1) activation in response to oxidative DNA damage. PARP1-mediated synthesis of ADP-ribose chains in turn depletes nicotinamide adenine dinucleotide (NAD+), induces further DNA damage and contractile dysfunction. Accordingly, NAD+ replenishment or PARP1 depletion precludes functional loss. Moreover, inhibition of PARP1 protects against tachypacing-induced NAD+ depletion, oxidative stress, DNA damage and contractile dysfunction in atrial cardiomyocytes and Drosophila. Consistently, cardiomyocytes of persistent AF patients show significant DNA damage, which correlates with PARP1 activity. The findings uncover a mechanism by which tachypacing impairs cardiomyocyte function and implicates PARP1 as a possible therapeutic target that may preserve cardiomyocyte function in clinical AF.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Atrial Fibrillation / genetics
  • Atrial Fibrillation / metabolism*
  • Atrial Fibrillation / physiopathology
  • Atrial Fibrillation / prevention & control*
  • Benzimidazoles / pharmacology
  • Cells, Cultured
  • DNA Damage
  • Drosophila melanogaster / drug effects
  • Drosophila melanogaster / metabolism
  • Enzyme Activation / drug effects
  • Heart Atria / drug effects
  • Heart Atria / enzymology
  • Heart Atria / physiopathology
  • Humans
  • Larva / drug effects
  • Larva / metabolism
  • Mice
  • Models, Cardiovascular*
  • Myocardial Contraction / drug effects
  • Myocardial Contraction / physiology
  • Myocytes, Cardiac / enzymology*
  • Myocytes, Cardiac / pathology
  • NAD / metabolism*
  • Niacinamide / pharmacology
  • Oxidative Stress / drug effects
  • Pacemaker, Artificial / adverse effects
  • Phthalazines / pharmacology
  • Piperazines / pharmacology
  • Poly (ADP-Ribose) Polymerase-1 / genetics*
  • Poly (ADP-Ribose) Polymerase-1 / metabolism
  • Pupa / drug effects
  • Pupa / metabolism
  • Rats
  • Rats, Wistar

Substances

  • Benzimidazoles
  • Phthalazines
  • Piperazines
  • veliparib
  • NAD
  • Niacinamide
  • PARP1 protein, human
  • Poly (ADP-Ribose) Polymerase-1
  • olaparib