Sparsely methylated mitochondrial cell free DNA released from cardiomyocytes contributes to systemic inflammatory response accompanied by atrial fibrillation

Sci Rep. 2021 Mar 18;11(1):5837. doi: 10.1038/s41598-021-85204-7.

Abstract

Systemic inflammation is assumed to be the consequence and the cause of atrial fibrillation (AF); however, the underlying mechanism remains unclear. We aimed to evaluate the level of cell-free DNA (cfDNA) in patients with AF and AF mimicking models, and to illuminate its impact on inflammation. Peripheral blood was obtained from 54 patients with AF and 104 non-AF controls, and cfDNA was extracted. We extracted total cfDNA from conditioned medium after rapid pacing to HL-1 cells. Nuclear and mitochondrial DNA were separately extracted and fragmented to simulate nuclear-cfDNA (n-cfDNA) and mitochondrial-cfDNA (mt-cfDNA). The AF group showed higher cfDNA concentration than the non-AF group (12.6 [9.0-17.1] vs. 8.1 [5.3-10.8] [ng/mL], p < 0.001). The copy numbers of n-cfDNA and mt-cfDNA were higher in AF groups than in non-AF groups; the difference of mt-cfDNA was particularly apparent (p = 0.011 and p < 0.001, respectively). Administration of total cfDNA and mt-cfDNA to macrophages significantly promoted IL-1β and IL-6 expression through TLR9, whereas n-cfDNA did not. Induction of cytokine expression by methylated mt-cfDNA was lower than that by unmethylated mt-cfDNA. Collectively, AF was associated with an increased cfDNA level, especially mt-cfDNA. Sparsely methylated mt-cfDNA released from cardiomyocytes may be involved in sterile systemic inflammation accompanied by AF.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Animals
  • Atrial Fibrillation / complications*
  • Atrial Fibrillation / genetics*
  • Biomarkers / metabolism
  • Cell-Free Nucleic Acids / metabolism*
  • DNA Methylation / genetics*
  • DNA, Mitochondrial / metabolism*
  • Disease Models, Animal
  • Disease Progression
  • Female
  • Humans
  • Incidence
  • Inflammation / complications
  • Inflammation / genetics
  • Interleukin-1beta / metabolism
  • Interleukin-6 / metabolism
  • Macrophages / metabolism
  • Male
  • Mice
  • Myocytes, Cardiac / metabolism*
  • ROC Curve
  • Systemic Inflammatory Response Syndrome / complications*
  • Systemic Inflammatory Response Syndrome / genetics*
  • Toll-Like Receptor 9 / metabolism

Substances

  • Biomarkers
  • Cell-Free Nucleic Acids
  • DNA, Mitochondrial
  • Interleukin-1beta
  • Interleukin-6
  • Toll-Like Receptor 9