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Publication : The cardiac ryanodine receptor, but not sarcoplasmic reticulum Ca<sup>2+</sup>-ATPase, is a major determinant of Ca<sup>2+</sup> alternans in intact mouse hearts.

First Author  Sun B Year  2018
Journal  J Biol Chem Volume  293
Issue  35 Pages  13650-13661
PubMed ID  29986885 Mgi Jnum  J:270136
Mgi Id  MGI:6220538 Doi  10.1074/jbc.RA118.003760
Citation  Sun B, et al. (2018) The cardiac ryanodine receptor, but not sarcoplasmic reticulum Ca(2+)-ATPase, is a major determinant of Ca(2+) alternans in intact mouse hearts. J Biol Chem 293(35):13650-13661
abstractText  Sarcoplasmic reticulum (SR) Ca(2+) cycling is governed by the cardiac ryanodine receptor (RyR2) and SR Ca(2+)-ATPase (SERCA2a). Abnormal SR Ca(2+) cycling is thought to be the primary cause of Ca(2+) alternans that can elicit ventricular arrhythmias and sudden cardiac arrest. Although alterations in either RyR2 or SERCA2a function are expected to affect SR Ca(2+) cycling, whether and to what extent altered RyR2 or SERCA2a function affects Ca(2+) alternans is unclear. Here, we employed a gain-of-function RyR2 variant (R4496C) and the phospholamban-knockout (PLB-KO) mouse model to assess the effect of genetically enhanced RyR2 or SERCA2a function on Ca(2+) alternans. Confocal Ca(2+) imaging revealed that RyR2-R4496C shortened SR Ca(2+) release refractoriness and markedly suppressed rapid pacing-induced Ca(2+) alternans. Interestingly, despite enhancing RyR2 function, intact RyR2-R4496C hearts exhibited no detectable spontaneous SR Ca(2+) release events during pacing. Unlike for RyR2, enhancing SERCA2a function by ablating PLB exerted a relatively minor effect on Ca(2+) alternans in intact hearts expressing RyR2 WT or a loss-of-function RyR2 variant, E4872Q, that promotes Ca(2+) alternans. Furthermore, partial SERCA2a inhibition with 3 mum 2,5-di-tert-butylhydroquinone (tBHQ) also had little impact on Ca(2+) alternans, whereas strong SERCA2a inhibition with 10 mum tBHQ markedly reduced the amplitude of Ca(2+) transients and suppressed Ca(2+) alternans in intact hearts. Our results demonstrate that enhanced RyR2 function suppresses Ca(2+) alternans in the absence of spontaneous Ca(2+) release and that RyR2, but not SERCA2a, is a key determinant of Ca(2+) alternans in intact working hearts, making RyR2 an important therapeutic target for cardiac alternans.
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