Xiangya School of Medicine, Central South University, Changsha 410013.
Basic Medical School, Changsha Medical University, Changsha 410219.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2021 Aug 28;46(8):877-883. doi: 10.11817/j.issn.1672-7347.2021.200531.
Atrial fibrillation (AF), a common arrhythmia that usually occurs in patients with heart disease, is one of the leading causes for mortality and disability worldwide. Current drug therapy for AF patients lacks sufficient efficacy and has side effects. Radiofrequency ablation is more effective than traditional drug therapy, but this invasive procedure is associated with potential risks and postoperative recurrence, limiting the clinical benefits for AF patients. Therefore, it is necessary to expand our understanding about the underlying molecular mechanism of AF and to explore the new therapeutic strategies. Long noncoding RNA (lncRNA) is a set of noncoding RNA longer than 200 nucleotides. Growing evidence indicates that lncRNA is involved in numerous pathophysiological processes of AF, such as structural remodeling, electrical remodeling, renin-angiotensin system, abnormal calcium regulation, etc. In addition, lncRNA involved in structural remodeling and electrical remodeling has the potential to be a novel target for the diagnosis and treatment of AF, and lncRNA involved in autonomic nerve remodeling may bring new enlightenment for the prognosis and recurrence of AF.
心房颤动(AF)是一种常见的心律失常,通常发生在心脏病患者中,是全球死亡和残疾的主要原因之一。目前 AF 患者的药物治疗缺乏足够的疗效且有副作用。射频消融术比传统药物治疗更有效,但这种有创手术存在潜在风险和术后复发的可能,限制了 AF 患者的临床获益。因此,有必要深入了解 AF 的潜在分子机制,并探索新的治疗策略。长链非编码 RNA(lncRNA)是一组长度大于 200 个核苷酸的非编码 RNA。越来越多的证据表明,lncRNA 参与了 AF 的许多病理生理过程,如结构重塑、电重塑、肾素-血管紧张素系统、异常钙调节等。此外,参与结构重塑和电重塑的 lncRNA 有可能成为 AF 诊断和治疗的新靶点,而参与自主神经重塑的 lncRNA 可能为 AF 的预后和复发带来新的启示。