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  1. Article ; Online: Rap1 Small GTPase Regulates Vascular Endothelial-Cadherin-Mediated Endothelial Cell-Cell Junctions and Vascular Permeability.

    Yamamoto, Kiyotake / Takagi, Yuki / Ando, Koji / Fukuhara, Shigetomo

    Biological & pharmaceutical bulletin

    2021  Volume 44, Issue 10, Page(s) 1371–1379

    Abstract: The vascular permeability of the endothelium is finely controlled by vascular endothelial (VE)-cadherin-mediated endothelial cell-cell junctions. In the majority of normal adult tissues, endothelial cells in blood vessels maintain vascular permeability ... ...

    Abstract The vascular permeability of the endothelium is finely controlled by vascular endothelial (VE)-cadherin-mediated endothelial cell-cell junctions. In the majority of normal adult tissues, endothelial cells in blood vessels maintain vascular permeability at a relatively low level, while in response to inflammation, they limit vascular barrier function to induce plasma leakage and extravasation of immune cells as a defense mechanism. Thus, the dynamic but also simultaneously tight regulation of vascular permeability by endothelial cells is responsible for maintaining homeostasis and, as such, impairments of its underlying mechanisms result in hyperpermeability, leading to the development and progression of various diseases including coronavirus disease 2019 (COVID-19), a newly emerging infectious disease. Recently, increasing numbers of studies have been unveiling the important role of Rap1, a small guanosine 5'-triphosphatase (GTPase) belonging to the Ras superfamily, in the regulation of vascular permeability. Rap1 enhances VE-cadherin-mediated endothelial cell-cell junctions to potentiate vascular barrier functions via dynamic reorganization of the actin cytoskeleton. Importantly, Rap1 signaling activation reportedly improves vascular barrier function in animal models of various diseases associated with vascular hyperpermeability, suggesting that Rap1 might be an ideal target for drugs intended to prevent vascular barrier dysfunction. Here, we describe recent progress in understanding the mechanisms by which Rap1 potentiates VE-cadherin-mediated endothelial cell-cell adhesions and vascular barrier function. We also discuss how alterations in Rap1 signaling are related to vascular barrier dysfunction in diseases such as acute pulmonary injury and malignancies. In addition, we examine the possibility of Rap1 signaling as a target of drugs for treating diseases associated with vascular hyperpermeability.
    MeSH term(s) Animals ; Antigens, CD/metabolism ; Cadherins/metabolism ; Capillary Permeability ; Endothelial Cells/metabolism ; Endothelium, Vascular/metabolism ; Humans ; Intercellular Junctions/metabolism ; rap1 GTP-Binding Proteins/metabolism
    Chemical Substances Antigens, CD ; Cadherins ; cadherin 5 ; rap1 GTP-Binding Proteins (EC 3.6.5.2)
    Language English
    Publishing date 2021-09-30
    Publishing country Japan
    Document type Journal Article ; Review
    ZDB-ID 1150271-x
    ISSN 1347-5215 ; 0918-6158
    ISSN (online) 1347-5215
    ISSN 0918-6158
    DOI 10.1248/bpb.b21-00504
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Rap1 small GTPase is essential for maintaining pulmonary endothelial barrier function in mice.

    Yamamoto, Kiyotake / Watanabe-Takano, Haruko / Oguri-Nakamura, Eri / Matsuno, Hitomi / Horikami, Daiki / Ishii, Tomohiro / Ohashi, Ryuji / Kubota, Yoshiaki / Nishiyama, Koichi / Murata, Takahisa / Mochizuki, Naoki / Fukuhara, Shigetomo

    FASEB journal : official publication of the Federation of American Societies for Experimental Biology

    2024  Volume 37, Issue 12, Page(s) e23310

    Abstract: Vascular permeability is dynamically but tightly controlled by vascular endothelial (VE)-cadherin-mediated endothelial cell-cell junctions to maintain homeostasis. Thus, impairments of VE-cadherin-mediated cell adhesions lead to hyperpermeability, ... ...

    Abstract Vascular permeability is dynamically but tightly controlled by vascular endothelial (VE)-cadherin-mediated endothelial cell-cell junctions to maintain homeostasis. Thus, impairments of VE-cadherin-mediated cell adhesions lead to hyperpermeability, promoting the development and progression of various disease processes. Notably, the lungs are a highly vulnerable organ wherein pulmonary inflammation and infection result in vascular leakage. Herein, we showed that Rap1, a small GTPase, plays an essential role for maintaining pulmonary endothelial barrier function in mice. Endothelial cell-specific Rap1a/Rap1b double knockout mice exhibited severe pulmonary edema. They also showed vascular leakage in the hearts, but not in the brains. En face analyses of the pulmonary arteries and 3D-immunofluorescence analyses of the lungs revealed that Rap1 potentiates VE-cadherin-mediated endothelial cell-cell junctions through dynamic actin cytoskeleton reorganization. Rap1 inhibits formation of cytoplasmic actin bundles perpendicularly binding VE-cadherin adhesions through inhibition of a Rho-ROCK pathway-induced activation of cytoplasmic nonmuscle myosin II (NM-II). Simultaneously, Rap1 induces junctional NM-II activation to create circumferential actin bundles, which anchor and stabilize VE-cadherin at cell-cell junctions. We also showed that the mice carrying only one allele of either Rap1a or Rap1b out of the two Rap1 genes are more vulnerable to lipopolysaccharide (LPS)-induced pulmonary vascular leakage than wild-type mice, while activation of Rap1 by administration of 007, an activator for Epac, attenuates LPS-induced increase in pulmonary endothelial permeability in wild-type mice. Thus, we demonstrate that Rap1 plays an essential role for maintaining pulmonary endothelial barrier functions under physiological conditions and provides protection against inflammation-induced pulmonary vascular leakage.
    MeSH term(s) Animals ; Mice ; Actins/metabolism ; Cadherins/metabolism ; Capillary Permeability ; Cell Adhesion/physiology ; Endothelium, Vascular/metabolism ; Lipopolysaccharides/metabolism ; Lung/metabolism ; rap1 GTP-Binding Proteins/genetics ; rap1 GTP-Binding Proteins/metabolism
    Chemical Substances Actins ; Cadherins ; Lipopolysaccharides ; rap1 GTP-Binding Proteins (EC 3.6.5.2) ; rap1A protein, mouse ; Rap1b protein, mouse (EC 3.6.1.-)
    Language English
    Publishing date 2024-01-01
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639186-2
    ISSN 1530-6860 ; 0892-6638
    ISSN (online) 1530-6860
    ISSN 0892-6638
    DOI 10.1096/fj.202300830RR
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Protocol for analysis of integrin-mediated cell adhesion of lateral plate mesoderm cells isolated from zebrafish embryos.

    Rho, Seung-Sik / Oguri-Nakamura, Eri / Ando, Koji / Yamamoto, Kiyotake / Takagi, Yuki / Fukuhara, Shigetomo

    STAR protocols

    2021  Volume 2, Issue 2, Page(s) 100428

    Abstract: Lateral plate mesoderm (LPM) cells differentiate into various cell types including endothelial and hematopoietic cells. In zebrafish embryos, LPM cells migrate toward the midline along the ventral surfaces of somites during which their cell fate ... ...

    Abstract Lateral plate mesoderm (LPM) cells differentiate into various cell types including endothelial and hematopoietic cells. In zebrafish embryos, LPM cells migrate toward the midline along the ventral surfaces of somites during which their cell fate specification depends upon efficient integrin-mediated cell adhesion and migration. Herein, we present a protocol for analysis of integrin-mediated cell adhesion of LPM cells isolated from zebrafish embryos. This allows the study of the molecular mechanisms underlying integrin activation required for LPM cell fate specification. For complete details on the use and execution of this protocol, please refer to Rho et al. (2019).
    MeSH term(s) Animals ; Cell Adhesion/physiology ; Cells, Cultured ; Cytological Techniques/methods ; Embryo, Nonmammalian/cytology ; Integrins/metabolism ; Mesoderm/cytology ; Zebrafish
    Chemical Substances Integrins
    Language English
    Publishing date 2021-03-31
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2666-1667
    ISSN (online) 2666-1667
    DOI 10.1016/j.xpro.2021.100428
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Protocol for analysis of integrin-mediated cell adhesion of lateral plate mesoderm cells isolated from zebrafish embryos

    Seung-Sik Rho / Eri Oguri-Nakamura / Koji Ando / Kiyotake Yamamoto / Yuki Takagi / Shigetomo Fukuhara

    STAR Protocols, Vol 2, Iss 2, Pp 100428- (2021)

    2021  

    Abstract: Summary: Lateral plate mesoderm (LPM) cells differentiate into various cell types including endothelial and hematopoietic cells. In zebrafish embryos, LPM cells migrate toward the midline along the ventral surfaces of somites during which their cell fate ...

    Abstract Summary: Lateral plate mesoderm (LPM) cells differentiate into various cell types including endothelial and hematopoietic cells. In zebrafish embryos, LPM cells migrate toward the midline along the ventral surfaces of somites during which their cell fate specification depends upon efficient integrin-mediated cell adhesion and migration. Herein, we present a protocol for analysis of integrin-mediated cell adhesion of LPM cells isolated from zebrafish embryos. This allows the study of the molecular mechanisms underlying integrin activation required for LPM cell fate specification.For complete details on the use and execution of this protocol, please refer to Rho et al. (2019).
    Keywords Cell Biology ; Cell culture ; Cell isolation ; Microscopy ; Model Organisms ; Science (General) ; Q1-390
    Language English
    Publishing date 2021-06-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Protein kinase C-δ signaling regulates glucagon secretion from pancreatic islets.

    Yamamoto, Kiyotake / Mizuguchi, Hiroyuki / Tokashiki, Natsumi / Kobayashi, Makoto / Tamaki, Motoyuki / Sato, Youichi / Fukui, Hiroyuki / Yamauchi, Aiko

    The journal of medical investigation : JMI

    2017  Volume 64, Issue 1.2, Page(s) 122–128

    Abstract: Accumulating evidence supports the "glucagonocentric hypothesis", in which antecedent α-cell failure and inhibition of glucagon secretion are responsible for diabetes progression. Protein kinase C (PKC) is involved in glucagon secretion from α-cells, ... ...

    Abstract Accumulating evidence supports the "glucagonocentric hypothesis", in which antecedent α-cell failure and inhibition of glucagon secretion are responsible for diabetes progression. Protein kinase C (PKC) is involved in glucagon secretion from α-cells, although which PKC isozyme is involved and the mechanism underlying this PKC-regulated glucagon secretion remains unknown. Here, the involvement of PKCδ in the onset and progression of diabetes was elucidated. Immunofluorescence studies revealed that PKCδ was expressed and activated in α-cells of STZ-induced diabetic model mice. Phorbol 12-myristate 13-acetate (PMA) stimulation significantly augmented glucagon secretion from isolated islets. Pre-treatment with quercetin and rottlerin, PKCδ signaling inhibitors, significantly suppressed the PMA-induced elevation of glucagon secretion. While Go6976, a Ca
    MeSH term(s) Animals ; Diabetes Mellitus, Experimental/etiology ; Diabetes Mellitus, Experimental/physiopathology ; Disease Progression ; Glucagon/secretion ; Humans ; In Vitro Techniques ; Islets of Langerhans/drug effects ; Islets of Langerhans/enzymology ; Islets of Langerhans/secretion ; Male ; Mice ; Mice, Inbred C57BL ; Phosphorylation/drug effects ; Protein Kinase C-delta/antagonists & inhibitors ; Protein Kinase C-delta/chemistry ; Protein Kinase C-delta/metabolism ; Quercetin/pharmacology ; Signal Transduction/drug effects ; Tetradecanoylphorbol Acetate/pharmacology
    Chemical Substances Glucagon (9007-92-5) ; Quercetin (9IKM0I5T1E) ; Prkcd protein, mouse (EC 2.7.1.-) ; Protein Kinase C-delta (EC 2.7.11.13) ; Tetradecanoylphorbol Acetate (NI40JAQ945)
    Language English
    Publishing date 2017
    Publishing country Japan
    Document type Journal Article
    ZDB-ID 1435233-3
    ISSN 1349-6867 ; 1343-1420
    ISSN (online) 1349-6867
    ISSN 1343-1420
    DOI 10.2152/jmi.64.122
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: An inhibitor of the adipogenic differentiation of 3T3-L1 cells, yoshinone A, and its analogs, isolated from the marine cyanobacterium Leptolyngbya sp

    Inuzuka, Toshiyasu / Arihiro Iwasaki / Daisuke Uemura / Keita Yamamoto / Kiyotake Suenaga / Osamu Ohno / Yoshinori Kawazoe

    Tetrahedron letters. 2014 Dec. 03, v. 55, no. 49

    2014  

    Abstract: Three novel compounds, yoshinones A, B1, and B2, were isolated from the marine cyanobacterium Leptolyngbya sp., and their structures were elucidated by NMR spectral analysis. Yoshinone A, but not yoshinone B1 or B2, inhibited the differentiation of 3T3- ... ...

    Abstract Three novel compounds, yoshinones A, B1, and B2, were isolated from the marine cyanobacterium Leptolyngbya sp., and their structures were elucidated by NMR spectral analysis. Yoshinone A, but not yoshinone B1 or B2, inhibited the differentiation of 3T3-L1 cells into adipocytes. In addition, yoshinone A did not exhibit cytotoxicity, suggesting that yoshinone A may be useful in studies on the treatment of obesity.
    Keywords adipocytes ; adipogenesis ; chemical reactions ; chemical structure ; cytotoxicity ; Leptolyngbya ; nuclear magnetic resonance spectroscopy ; obesity ; organic compounds ; spectral analysis
    Language English
    Dates of publication 2014-1203
    Size p. 6711-6714.
    Publishing place Elsevier Ltd
    Document type Article
    ZDB-ID 204287-3
    ISSN 1873-3581 ; 0040-4039
    ISSN (online) 1873-3581
    ISSN 0040-4039
    DOI 10.1016/j.tetlet.2014.10.032
    Database NAL-Catalogue (AGRICOLA)

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  7. Article ; Online: IFPA meeting 2018 workshop report II: Abnormally invasive placenta; inflammation and infection; preeclampsia; gestational trophoblastic disease and drug delivery.

    Albrecht, Christiane / Chamley, Larry / Charnock-Jones, D Stephen / Collins, Sally / Fujiwara, Hiroshi / Golos, Thaddeus / Grayo, Solene / Hannan, Natalie / Harris, Lynda / Ichizuka, Kiyotake / Illsley, Nicholas P / Iwashita, Mitsutoshi / Kallol, Sampada / Al-Khan, Abdulla / Lash, Gendie / Nagamatsu, Takeshi / Nakashima, Akitoshi / Niimi, Kaoru / Nomoto, Masataka /
    Redman, Christopher / Saito, Shigeru / Tanimura, Kenji / Tomi, Masatoshi / Usui, Hirokazu / Vatish, Manu / Wolfe, Bryce / Yamamoto, Eiko / O'Tierney-Ginn, Perrie

    Placenta

    2019  Volume 84, Page(s) 9–13

    Abstract: Workshops are an important part of the IFPA annual meeting as they allow for discussion of specialized topics. At IFPA meeting 2018 there were nine themed workshops, five of which are summarised in this report. These workshops discussed new perspectives ... ...

    Abstract Workshops are an important part of the IFPA annual meeting as they allow for discussion of specialized topics. At IFPA meeting 2018 there were nine themed workshops, five of which are summarised in this report. These workshops discussed new perspectives and knowledge in the following areas of research: 1) preeclampsia; 2) abnormally invasive placenta; 3) placental infection; 4) gestational trophoblastic disease; 4) drug delivery to treat placental dysfunction.
    MeSH term(s) Animals ; Biomedical Research/organization & administration ; Biomedical Research/trends ; Drug Delivery Systems/methods ; Education/organization & administration ; Education/standards ; Female ; Gestational Trophoblastic Disease/drug therapy ; Gestational Trophoblastic Disease/etiology ; Gestational Trophoblastic Disease/pathology ; Gynecology/organization & administration ; Gynecology/standards ; Gynecology/trends ; History, 21st Century ; Humans ; Inflammation/drug therapy ; Inflammation/etiology ; Inflammation/pathology ; Japan ; Obstetrics/organization & administration ; Obstetrics/standards ; Obstetrics/trends ; Placenta/drug effects ; Placenta/metabolism ; Placenta Diseases/drug therapy ; Placenta Diseases/etiology ; Placenta Diseases/pathology ; Pre-Eclampsia/drug therapy ; Pre-Eclampsia/etiology ; Pre-Eclampsia/pathology ; Pregnancy ; Pregnancy Complications, Infectious/drug therapy ; Pregnancy Complications, Infectious/etiology ; Pregnancy Complications, Infectious/pathology ; Societies, Medical/organization & administration
    Language English
    Publishing date 2019-02-12
    Publishing country Netherlands
    Document type Historical Article ; Journal Article ; Review
    ZDB-ID 603951-0
    ISSN 1532-3102 ; 0143-4004
    ISSN (online) 1532-3102
    ISSN 0143-4004
    DOI 10.1016/j.placenta.2019.02.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Isolation and identification of potent allelopathic substances in rattail fescue

    Kato-Noguchi, Hisashi / Yamamoto, Madoka / Tamura, Kazuya / Teruya, Toshiaki / Suenaga, Kiyotake / Fujii, Yoshiharu

    Plant growth regulation. 2010 Mar., v. 60, no. 2

    2010  

    Abstract: Aqueous methanol extracts of rattail fescue (Vulpia myuros) inhibited the growth of roots and shoots of cress (Lepidium sativum), lettuce (Lactuca sativa), alfalfa (Medicago sativa), timothy (Phleum pratense), Digitaria sanguinalis and Lolium multiflorum. ...

    Abstract Aqueous methanol extracts of rattail fescue (Vulpia myuros) inhibited the growth of roots and shoots of cress (Lepidium sativum), lettuce (Lactuca sativa), alfalfa (Medicago sativa), timothy (Phleum pratense), Digitaria sanguinalis and Lolium multiflorum. Increasing the extract concentration increased the inhibition, suggesting that rattail fescue may have growth inhibitory substances and possess allelopathic potential. The aqueous methanol extract of rattail fescue was purified and two main inhibitory substances were isolated and identified by spectral data as (−)-3-hydroxy-β-ionone and (+)-3-oxo-α-ionol. Both substances inhibited root and shoot growth of cress at concentrations greater than 0.3 μM. The concentrations required for 50% growth inhibition on root and shoot growth of cress, lettuce, alfalfa, timothy, D. sanguinalis and L. multiflorum were 2.7-19.7 μM for (−)-3-hydroxy-β-ionone, and 2.1-34.5 μM for (+)-3-oxo-α-ionol. The concentration of (−)-3-hydroxy-β-ionone and (+)-3-oxo-α-ionol, respectively, in rattail fescue was 7.8 and 3.7 μg g⁻¹ fresh weight. Considering the endogenous level and the inhibitory activity, (−)-3-hydroxy-β-ionone and (+)-3-oxo-α-ionol may work as allelopathic substances in rattail fescue through the growth inhibition of neighboring plant species.
    Keywords Digitaria sanguinalis ; Lactuca sativa ; Lepidium sativum ; Lolium multiflorum ; Medicago sativa ; Phleum pratense ; Vulpia myuros ; alfalfa ; allelochemicals ; lettuce ; methanol ; root growth ; roots ; shoots ; spectral analysis
    Language English
    Dates of publication 2010-03
    Size p. 127-131.
    Publisher Springer Netherlands
    Publishing place Dordrecht
    Document type Article
    ZDB-ID 843025-1
    ISSN 1573-5087 ; 0167-6903
    ISSN (online) 1573-5087
    ISSN 0167-6903
    DOI 10.1007/s10725-009-9428-2
    Database NAL-Catalogue (AGRICOLA)

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  9. Article ; Online: The incidence and clinical significance of non-isolation of the pulmonary vein carina after encircling ipsilateral pulmonary veins isolation for paroxysmal atrial fibrillation: a pitfall of the double-Lasso technique.

    Takigawa, Masateru / Yamada, Takumi / Yoshida, Yukihiko / Ishikawa, Kiyotake / Aoyama, Yutaka / Yamamoto, Takashi / Inoue, Natsuo / Tatematsu, Yasushi / Nanasato, Mamoru / Kato, Kazuo / Tsuboi, Naoya / Hirayama, Haruo

    Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology

    2013  Volume 15, Issue 1, Page(s) 33–40

    Abstract: Aims: Encircling ipsilateral pulmonary veins (PVs) isolation (EIPVsI) with the double-Lasso technique has proven to be effective to cure atrial fibrillation (AF). However, in this technique, PV mapping with circular catheters may miss a non-isolation of ...

    Abstract Aims: Encircling ipsilateral pulmonary veins (PVs) isolation (EIPVsI) with the double-Lasso technique has proven to be effective to cure atrial fibrillation (AF). However, in this technique, PV mapping with circular catheters may miss a non-isolation of the PV carina. The purpose of this study was to reveal the incidence and clinical significance of a non-isolation of the PV carina after EIPVsI.
    Methods and results: We studied 81 consecutive paroxysmal AF patients (age 61 ± 12 years, 56 men), in whom EIPVsI was successfully performed in one encircling line with the endpoint of the demonstration of bidirectional conduction block between the PVs and left atrium (LA) with the double-Lasso technique. After a successful EIPVsI, pacing from the PV carina was performed and it captured the LA in 17 (21.0%) patients. During a mean follow-up period of 19 ± 13 months, AF recurred in 13 (16.0%) patients. A multivariate Cox proportional analysis revealed that a non-isolation of the PV carina after the EIPVsI was a significant predictor (hazard ratio = 3.91, 95% confidence interval = 1.13-14.16, P = 0.03) of AF recurrence.
    Conclusions: Pulmonary vein mapping with the double-Lasso technique did miss the non-isolation of the PV carina after a successful EIPVsI, which was an independent predictor of AF recurrence after the EIPVsI. Pacing from the PV carina may be required to confirm the electrical isolation of the PV carina after EIPVsI with the double-Lasso technique.
    MeSH term(s) Atrial Fibrillation/epidemiology ; Atrial Fibrillation/prevention & control ; Atrial Fibrillation/surgery ; Body Surface Potential Mapping/methods ; Body Surface Potential Mapping/statistics & numerical data ; Catheter Ablation/statistics & numerical data ; Female ; Heart Conduction System/surgery ; Humans ; Incidence ; Japan/epidemiology ; Male ; Middle Aged ; Postoperative Complications/epidemiology ; Proportional Hazards Models ; Pulmonary Veins/surgery ; Risk Factors ; Secondary Prevention ; Treatment Failure ; Treatment Outcome
    Language English
    Publishing date 2013-01
    Publishing country England
    Document type Controlled Clinical Trial ; Journal Article
    ZDB-ID 1449879-0
    ISSN 1532-2092 ; 1099-5129
    ISSN (online) 1532-2092
    ISSN 1099-5129
    DOI 10.1093/europace/eus243
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Patterns of pulmonary vein potential disappearance during encircling ipsilateral pulmonary vein isolation can predict recurrence of atrial fibrillation.

    Takigawa, Masateru / Yamada, Takumi / Yoshida, Yukihiko / Ishikawa, Kiyotake / Aoyama, Yutaka / Yamamoto, Takashi / Inoue, Natsuo / Tatematsu, Yasushi / Nanasato, Mamoru / Kato, Kazuo / Tsuboi, Naoya / Hirayama, Haruo

    Circulation journal : official journal of the Japanese Circulation Society

    2013  Volume 78, Issue 3, Page(s) 601–609

    Abstract: Background: The relationship between pulmonary vein (PV) potential (PVP) disappearance patterns during encircling ipsilateral pulmonary vein isolation (EIPVI) of atrial fibrillation (AF), and outcome was examined.: Methods and results: A total of 352 ...

    Abstract Background: The relationship between pulmonary vein (PV) potential (PVP) disappearance patterns during encircling ipsilateral pulmonary vein isolation (EIPVI) of atrial fibrillation (AF), and outcome was examined.
    Methods and results: A total of 352 consecutive AF patients (age, 61±12 years; 269 men, 76.4%; paroxysmal AF, n=239; persistent AF, n=73; and long-standing persistent AF, n=40) who underwent initial AF ablation were studied. After EIPVI with a double Lasso technique, pacing was performed from the PV carina to confirm isolation of the carina. PVP disappearance patterns were classified into 3 types: A, both superior and inferior PVP disappeared simultaneously; B, superior and inferior PVP disappeared separately; and C, additional RF applications were required inside the encircling lesions to eliminate the PVP after creating anatomical encircling lesions. The relationship between these patterns and outcome was examined. Six groups were defined according to the combination of right and left ipsilateral PVP disappearance patterns. The incidence of A-A, A-B, B-B, A-C, B-C, and C-C was 7.1%, 14.2%, 16.2%, 15.3%, 27.3%, and 19.9%, respectively. AF recurrence-free rate at 2 years for these 6 groups was 96%, 81%, 78%, 64%, 64%, and 59%, respectively (P<0.02). The incidence of a carina isolation was 153/154 (99.4%) for type A, 221/259 (85.3%) for type B, and 145/290 (50.0%) for type C.
    Conclusions: PVP disappearance pattern during EIPVI was significantly associated with the incidence of residual PV carina conduction and AF recurrence.
    MeSH term(s) Aged ; Atrial Fibrillation/pathology ; Atrial Fibrillation/physiopathology ; Atrial Fibrillation/surgery ; Female ; Humans ; Male ; Middle Aged ; Pulmonary Veins/pathology ; Pulmonary Veins/physiopathology ; Retrospective Studies
    Language English
    Publishing date 2013-12-21
    Publishing country Japan
    Document type Clinical Trial ; Journal Article
    ZDB-ID 2068090-9
    ISSN 1347-4820 ; 1346-9843
    ISSN (online) 1347-4820
    ISSN 1346-9843
    DOI 10.1253/circj.cj-13-0767
    Database MEDical Literature Analysis and Retrieval System OnLINE

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