Arrhythmias & electrophysiology

Autoimmune Atrial Fibrillation

CirculationPublished Mechanistic study

Authors' conclusion

To our knowledge, this is the first report of an autoimmune pathogenesis of AF with direct evidence of Kir3.4 autoantibody-mediated AF.

Study context

Population
Patients with unexplained atrial fibrillation (AF)
Participants
37 / 14 / 37
Comparison
Patients with unexplained AF vs age- and sex-matched controls
  • Pre-existent AFn = 37
  • Incident AFn = 14
  • Controlsn = 37reference
Outcome
Autoantibodies targeting cardiac ion channels underlying unexplained AF
Methodological detailscase-control screening, age- and sex-matched controls, in vitro patch clamp, mouse immunization model
  • Case-control screening
  • Age- and sex-matched controls
  • In vitro patch clamp
  • Mouse immunization model

Main finding

As reported in the abstract

Kir3.4-immunized mice: increased susceptibility to AF (fold)

2.8

Original publication

Autoimmune Atrial Fibrillation. Circulation. Published 4 July 2023. doi:10.1161/circulationaha.122.062776

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