Is sex a critical factor for treating #AtrialFibrillation?❤️‍🩹

New #CardiovascularResearch study examines #SexDifferences in calcium handling & therapies in patients with #AFib
academic.oup.com/cardiovascres/…

Our tweetorial explains the findings⬇️👩‍🏫

@ESC_Journals @escardio #EPeeps (1/9)
#Atrial #myocytes were isolated from patients with & without #AtrialFibrillation

Sex differences in #risk factors & therapies were considered in the analysis (2/9)
To explore #SexDifferences in the mechanisms of #Afib, calcium handling was examined & calcium handling proteins investigated (3/9)
Stumbling out of the gate

Males with #Afib had reduced #calcium current density & a delayed decay, but not females (4/9)
Sparking the fire 🔥

#Calcium spark frequency & density were higher in females compared to males with #AFib

Sparks were not the result of increased SR loading
(5/9)
Increased calcium sparks may be driven by higher ryanodine receptor phosphorylation at S2808 in females with #Afib (6/9)
Inward NaCa exchanger currents were higher & more frequent in females with #AFib, compared to males

These disturbances were not due to differences in NaCa exchanger expression (7/9)
Does #Afib require a tailored fix? 🪡

A2A receptor antagonism & #betablockers had more pronounced effects on females with #AFib (8/9)
Key #SexDifferences identified in #AFib:

❤️⬇️ L-type calcium current density in males
❤️⬆️ ryanodine receptor phosphorylation, calcium sparks, & inward NaCa exchanger currents in females

The results support #SexSpecific therapies to manage #Afib (9/9)

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More from @CVR_TomaszGuzik

Jul 3, 2020
Endothelial-derived microvesicles play a pathogenic role in vascular #inflammation, causing #endothelial barrier dysfunction by impairing adherens junctions and activating #neutrophils

More here: bit.ly/3g1FpH7
#Cardiotwitter #CardiovascularResearch

#Tweetorial below! Image
#Microvesicles (MV) are formed from the outward blebbing of the plasma membrane and carry a diverse cargo that regulate multiple processes.

During #inflammation these are produced by activated endothelial cells and released into the #circulation. TEM image of plasma MVs: (2/8) Image
In this study the authors investigated whether endothelial-derived MVs (EC-MVs) contribute to #vascular dysfunction during inflammation.

The authors used an animal model of #sepsis (CLP) and found that this increased EC-MV production (3/8) Image
Read 8 tweets

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