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Publication : Prolonged β-adrenergic stimulation disperses ryanodine receptor clusters in cardiomyocytes and has implications for heart failure.

First Author  Shen X Year  2022
Journal  Elife Volume  11
PubMed ID  35913125 Mgi Jnum  J:344111
Mgi Id  MGI:7332458 Doi  10.7554/eLife.77725
Citation  Shen X, et al. (2022) Prolonged beta-adrenergic stimulation disperses ryanodine receptor clusters in cardiomyocytes and has implications for heart failure. Elife 11:e77725
abstractText  Ryanodine receptors (RyRs) exhibit dynamic arrangements in cardiomyocytes, and we previously showed that 'dispersion' of RyR clusters disrupts Ca(2+) homeostasis during heart failure (HF) (Kolstad et al., eLife, 2018). Here, we investigated whether prolonged beta-adrenergic stimulation, a hallmark of HF, promotes RyR cluster dispersion and examined the underlying mechanisms. We observed that treatment of healthy rat cardiomyocytes with isoproterenol for 1 hr triggered progressive fragmentation of RyR clusters. Pharmacological inhibition of Ca(2+)/calmodulin-dependent protein kinase II (CaMKII) reversed these effects, while cluster dispersion was reproduced by specific activation of CaMKII, and in mice with constitutively active Ser2814-RyR. A similar role of protein kinase A (PKA) in promoting RyR cluster fragmentation was established by employing PKA activation or inhibition. Progressive cluster dispersion was linked to declining Ca(2+) spark fidelity and magnitude, and slowed release kinetics from Ca(2+) propagation between more numerous RyR clusters. In healthy cells, this served to dampen the stimulatory actions of beta-adrenergic stimulation over the longer term and protect against pro-arrhythmic Ca(2+) waves. However, during HF, RyR dispersion was linked to impaired Ca(2+) release. Thus, RyR localization and function are intimately linked via channel phosphorylation by both CaMKII and PKA, which, while finely tuned in healthy cardiomyocytes, underlies impaired cardiac function during pathology.
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