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  2. RhoA/ROCK1 aggravates transverse aortic constriction-induced atrial fibrillation by enhancing NF-κBp65/CCL2 signaling pathway

RhoA/ROCK1 aggravates transverse aortic constriction-induced atrial fibrillation by enhancing NF-κBp65/CCL2 signaling pathway

  • Cell Signal. 2026 Feb:138:112275. doi: 10.1016/j.cellsig.2025.112275.
Mingzhi Wan 1 Yao Li 2 Nana Qin 3 Zijun Zhou 4 Boxuan Sun 4 Bo Xing 5 Yiwen Wang 2 Jinfeng Duan 1 Yuting Huang 4 Liming Yu 6 Huishan Wang 7
Affiliations

Affiliations

  • 1 State Key Laboratory of Frigid Zone Cardiovascular Disease, Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, 83 Wenhua Road, Shenyang, Liaoning 110016, China; China Medical University, Shenyang, Liaoning 110122, China.
  • 2 State Key Laboratory of Frigid Zone Cardiovascular Disease, Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, 83 Wenhua Road, Shenyang, Liaoning 110016, China; Medicine and Biological Information Engineering, Northeastern University, Shenyang, Liaoning 110819, China.
  • 3 State Key Laboratory of Frigid Zone Cardiovascular Disease, Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, 83 Wenhua Road, Shenyang, Liaoning 110016, China; Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning 110847, China.
  • 4 State Key Laboratory of Frigid Zone Cardiovascular Disease, Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, 83 Wenhua Road, Shenyang, Liaoning 110016, China.
  • 5 State Key Laboratory of Frigid Zone Cardiovascular Disease, Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, 83 Wenhua Road, Shenyang, Liaoning 110016, China; Shenyang Pharmaceutical University, Shenyang, Liaoning 110016, China.
  • 6 State Key Laboratory of Frigid Zone Cardiovascular Disease, Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, 83 Wenhua Road, Shenyang, Liaoning 110016, China. Electronic address: [email protected].
  • 7 State Key Laboratory of Frigid Zone Cardiovascular Disease, Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, 83 Wenhua Road, Shenyang, Liaoning 110016, China. Electronic address: [email protected].
Abstract

Atrial fibrillation (AF) is closely associated with atrial electrical and structural remodeling, yet effective pharmacological treatment strategies remain limited. The Ras homolog gene family member A (RhoA) and its downstream effector rho-kinase 1 (ROCK1) act as central regulators of cytoskeletal dynamics and inflammatory signaling. However, the mechanism of the RhoA/ROCK1 signaling pathway in atrial inflammation and AF pathogenesis is poorly understood. In this study, we demonstrate that activation of RhoA/ROCK1 signaling exacerbates atrial inflammation and remodeling, consequently increasing susceptibility to AF. Fasudil-mediated inhibition of RhoA/ROCK1 significantly attenuated atrial fibrosis, inflammation, and AF inducibility by suppressing the nuclear factor kappa-B p65 (NF-κBp65)/chemokine C-C-Motif ligand 2 (CCL2) signaling pathway. Restoring NF-κBp65 expression abolished these protective effects, establishing a causal relationship between RhoA/ROCK1 activation and NF-κB-mediated inflammation. Our results thus identify RhoA/ROCK1 as a critical mediator of pressure overload-induced AF and point to the RhoA/ROCK1-NF-κB/CCL2 axis as a promising therapeutic target for AF.

Keywords

Atrial fibrillation; Atrial inflammation; Atrial remodeling; Ras homolog gene family member a; Rho-associated kinase 1.

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