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pubmed-article:10208307pubmed:abstractTextAtrial fibrillation (AFib) is a frequent complication of coronary artery bypass grafting (CABG). Its cause, however, is unknown. As the adrenergic system is involved in some types of AFib, we hypothesized that a change in guanine nucleotide-binding protein (G protein) expression plays a role in the development of post-CABG AFib. In 28 patients undergoing CABG surgery, the G(s alpha)/G(i alpha) ratio (stimulatory/inhibitory G protein alpha) at the protein (Western blotting) and mRNA (reverse transcription polymerase chain reaction) levels was measured before and after surgery. As a suitable test system allowing multiple analysis mononuclear leukocytes (MNL) were chosen. The perioperative change of the G(s alpha)/G(i alpha) ratio of protein and mRNA was significantly different in patients who subsequently developed AFib (eight patients) and in patients who did not (20 patients; P<0.01 and <0.001, respectively). On average, the protein G(s alpha)/G(i alpha) ratio decreased from 1.79+/-1.13 (mean+/-SD) to 1.32+/-0.69 in patients without AFib (P=0.1, n.s.) whereas a significant increase from 0.86+/-0.44 to 1.62+/-0.65 (P<0.01) was observed in patients subsequently developing AFib. The mRNA G(s alpha)/G(i alpha) ratio decreased significantly from 0.53+/-0.24 to 0.36+/-0.11 in patients without AFib (P<0.01) whereas a significant increase from 0.31+/-0.14 to 0.47+/-0.13 was observed in those who subsequently developed AFib (P<0.05). These results indicate that an increase of the G(s alpha)/G(i alpha) ratio in MNL is associated with AFib after CABG surgery and possibly may be used as a prognostic indicator of this complication.lld:pubmed
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pubmed-article:10208307pubmed:pagination204-11lld:pubmed
pubmed-article:10208307pubmed:dateRevised2006-11-15lld:pubmed
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pubmed-article:10208307pubmed:articleTitleAtrial fibrillation after coronary artery bypass surgery: association with changes in G protein levels in mononuclear leukocytes.lld:pubmed
pubmed-article:10208307pubmed:affiliationDepartment of Clinical Pathology, Robert Bosch Krankenhaus, Stuttgart, Germany.lld:pubmed
pubmed-article:10208307pubmed:publicationTypeJournal Articlelld:pubmed
pubmed-article:10208307pubmed:publicationTypeResearch Support, Non-U.S. Gov'tlld:pubmed