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Publication : Impact of RyR2 potentiation on myocardial function.

First Author  Lascano E Year  2017
Journal  Am J Physiol Heart Circ Physiol Volume  312
Issue  6 Pages  H1105-H1109
PubMed ID  28389603 Mgi Jnum  J:243300
Mgi Id  MGI:5908069 Doi  10.1152/ajpheart.00855.2016
Citation  Lascano E, et al. (2017) Impact of RyR2 potentiation on myocardial function. Am J Physiol Heart Circ Physiol 312(6):H1105-H1109
abstractText  This perspective attempts to shed light on an old and not yet solved controversy in cardiac physiology, i.e., the impact of increasing ryanodine receptor (RyR)2 open probability on myocardial function. Based on an already proven myocyte model, it was shown that increasing RyR2 open probability results in a purely short-lived increase in Ca2+ transient amplitude, and, therefore, it does not increase cardiac contractility. However, potentiation of RyR2 activity permanently enhances fractional Ca2+ release, shifting the intracellular Ca2+ transient versus sarcoplasmic reticulum (SR) Ca2+ content curve to a new state of higher efficiency. This would allow the heart to maintain a given contractility despite a decrease in SR Ca2+ content, to enhance contractility if SR Ca2+ content is simultaneously preserved or to successfully counteract the effects of a negative inotropic intervention.NEW & NOTEWORTHY Increasing ryanodine receptor (RyR)2 open probability does not increase cardiac contractility. However, RyR2 potentiation shifts the intracellular Ca2+ transient-sarcoplasmic reticulum (SR) Ca2+ content relationship toward an enhanced efficiency state, which may contribute to a positive inotropic effect, preserve contractility despite decreased SR Ca2+ content, or successfully counteract the effects of a negative inotropic action.
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