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. 2012 Apr 14;4(6):495. doi: 10.4022/jafib.495

Table 1. Molecular bases of altered E-C Coupling in human AF (changes vs. sinus rhythm) [Modified from [16]].

Cell Size/Structure
Size Increased length and width (17)
Membrane capacitance Increased (24)
Sarcolemmal Ion Channels
INa No changes (15, 35) Steady-state inactivation shifted right (15) Slightly reduced current density (36) Late current increased (36)
ICaL Reduced current density by ~50% (5, 11, 12, 18, 40) No changes in voltage dependence of activation and inactivation (11)
If Increased mRNA levels (44)
Ito Reduced density -80% in the RA -45% in the LA (5, 12, 15, 24, 45-47)
IKur Reduced density -55% in the RA -45% in the LA (5, 24, 45, 47, 49) Unchanged (12, 15, 46)
IKs Increased 2-fold (24)
IK1 Upregulated +100% (5, 12, 13, 15, 45)
IK,ACh Increased basal current by receptor-independent, constitutively active component; increased (15) or reduced carbachol-activated current (13, 56, 57)
IKATP Decreased (60) Increased (61)
Ca+ and Na+ handling
INCX Upregulated (17, 18, 21, 34)
SERCA Reduced maximal pump rate (18) and protein expression (34)
PLN Enhanced PKA and CaMKII phosphorylation (34) Unaltered CaMKII-dependent phosphorylation (17)
RyR Increased phosphorylation at PKA and CaMKII sites (17, 18, 67) resulting in increased channel open probability (68) and SR Ca2= leak (17, 111)
INKA Unchanged function (65)
Ankyrin-B Downregulated (70)
Protein kinases and phosphatases
CaMKII Increased expression (32) and phosphorylation (17)
PKA Similar activity in cAF vs. sinus rhythm (34)
PP1, PP2A Higher activity (34)
Myofilaments Reduced maximum rate of tension generation and maximum active tension, reduced passive tension, and increase in myofilament Ca+ sensitivity (9) No changes in maximum force and passive force, reduced rate of tension redevelopment (71) Increased phosphorylation of cMyBP-C (9) Decreased phosphorylation of cMyBP-C (34) No changes in cTnI phosphorylation (9, 34)