Mitochondrial dysfunction as a central hub linking Na+/Ca2+ homeostasis and inflammation in ischemic arrhythmias: therapeutic implications

Ventricular arrhythmia is the primary cause of sudden cardiac death in patients with myocardial infarction (MI). Myocardial inflammation and Na+/Ca2+ imbalance are the main triggering factors for life-threatening tachyarrhythmias after MI, which induce ion channel dysfunction, intracellular environm...

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Main Authors: Siyu Sun, Zhanrui Zhang, Yuxi Li, Hui Zhang, Huige Guo, Guohui Chen, Pei Wei, Fei Lin, Guoan Zhao
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Cardiovascular Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2025.1506501/full
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author Siyu Sun
Zhanrui Zhang
Yuxi Li
Hui Zhang
Huige Guo
Guohui Chen
Pei Wei
Fei Lin
Guoan Zhao
author_facet Siyu Sun
Zhanrui Zhang
Yuxi Li
Hui Zhang
Huige Guo
Guohui Chen
Pei Wei
Fei Lin
Guoan Zhao
author_sort Siyu Sun
collection DOAJ
description Ventricular arrhythmia is the primary cause of sudden cardiac death in patients with myocardial infarction (MI). Myocardial inflammation and Na+/Ca2+ imbalance are the main triggering factors for life-threatening tachyarrhythmias after MI, which induce ion channel dysfunction, intracellular environment imbalance, tissue damage, and other alterations, subsequently resulting in modifications in cardiac conduction velocity and pathways. Subsequent adverse fibrotic remodeling provides a substrate for ventricular tachyarrhythmia (VT). Mitochondria, as the intersection site of these pathophysiological changes and the center of Na+/Ca2+ homeostasis and inflammatory crosstalk, may be key sites for the occurrence and development of ischemic arrhythmia. This review briefly outlines the roles of inflammation, Na+/Ca2+ homeostasis, and mitochondria in the damage, repair, and structural remodeling of infarcted hearts, in which these three are interconnected to provide a large number of substrates for VT.
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publishDate 2025-08-01
publisher Frontiers Media S.A.
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series Frontiers in Cardiovascular Medicine
spelling doaj-art-bc03bf2faa1645b882d34261ac92069c2025-08-20T03:03:46ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-08-011210.3389/fcvm.2025.15065011506501Mitochondrial dysfunction as a central hub linking Na+/Ca2+ homeostasis and inflammation in ischemic arrhythmias: therapeutic implicationsSiyu SunZhanrui ZhangYuxi LiHui ZhangHuige GuoGuohui ChenPei WeiFei LinGuoan ZhaoVentricular arrhythmia is the primary cause of sudden cardiac death in patients with myocardial infarction (MI). Myocardial inflammation and Na+/Ca2+ imbalance are the main triggering factors for life-threatening tachyarrhythmias after MI, which induce ion channel dysfunction, intracellular environment imbalance, tissue damage, and other alterations, subsequently resulting in modifications in cardiac conduction velocity and pathways. Subsequent adverse fibrotic remodeling provides a substrate for ventricular tachyarrhythmia (VT). Mitochondria, as the intersection site of these pathophysiological changes and the center of Na+/Ca2+ homeostasis and inflammatory crosstalk, may be key sites for the occurrence and development of ischemic arrhythmia. This review briefly outlines the roles of inflammation, Na+/Ca2+ homeostasis, and mitochondria in the damage, repair, and structural remodeling of infarcted hearts, in which these three are interconnected to provide a large number of substrates for VT.https://www.frontiersin.org/articles/10.3389/fcvm.2025.1506501/fullmyocardial infarctionventricular arrhythmiamitochondrialinflammationNa+/Ca2+ homeostasisfibrosis
spellingShingle Siyu Sun
Zhanrui Zhang
Yuxi Li
Hui Zhang
Huige Guo
Guohui Chen
Pei Wei
Fei Lin
Guoan Zhao
Mitochondrial dysfunction as a central hub linking Na+/Ca2+ homeostasis and inflammation in ischemic arrhythmias: therapeutic implications
Frontiers in Cardiovascular Medicine
myocardial infarction
ventricular arrhythmia
mitochondrial
inflammation
Na+/Ca2+ homeostasis
fibrosis
title Mitochondrial dysfunction as a central hub linking Na+/Ca2+ homeostasis and inflammation in ischemic arrhythmias: therapeutic implications
title_full Mitochondrial dysfunction as a central hub linking Na+/Ca2+ homeostasis and inflammation in ischemic arrhythmias: therapeutic implications
title_fullStr Mitochondrial dysfunction as a central hub linking Na+/Ca2+ homeostasis and inflammation in ischemic arrhythmias: therapeutic implications
title_full_unstemmed Mitochondrial dysfunction as a central hub linking Na+/Ca2+ homeostasis and inflammation in ischemic arrhythmias: therapeutic implications
title_short Mitochondrial dysfunction as a central hub linking Na+/Ca2+ homeostasis and inflammation in ischemic arrhythmias: therapeutic implications
title_sort mitochondrial dysfunction as a central hub linking na ca2 homeostasis and inflammation in ischemic arrhythmias therapeutic implications
topic myocardial infarction
ventricular arrhythmia
mitochondrial
inflammation
Na+/Ca2+ homeostasis
fibrosis
url https://www.frontiersin.org/articles/10.3389/fcvm.2025.1506501/full
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