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. Author manuscript; available in PMC: 2015 May 8.
Published in final edited form as: Heart Rhythm. 2014 Nov 18;12(1):e5–e29. doi: 10.1016/j.hrthm.2014.11.011

Table 1. Pathways that might be targeted to advance AF prevention and treatment.

Pathway Candidate approaches
Atrial ectopy Calcium-dependent calmodulin kinase II (CaMKII) inhibitors
Suppression of atrial myocyte oxidant production
Selective late sodium channel blockers
Modulation of ryanodine receptor oxidation/phosphorylation
Atrial fibrosis Inhibition of renin–angiotensin II–aldosterone, endothelin-1 and transforming growth factor-β signaling pathways
Modulation of fibroblast ion channels
Anti-inflammatory/antioxidant/antifibrotic drugs to attenuate fibroblast activation, proliferation and extracellular matrix accumulation
miRNA targeting of profibrotic signaling pathways
Proteostasis/microtubule modulation Modulation of heat shock protein/chaperone abundance
Modulation of proteosome activity
Suppression of atrial amyloid production/aggregation
Modulation of microtubule stability/subcellular targeting