1. Stabilizing cardiac ryanodine receptor prevents the development of cardiac dysfunction and lethal arrhythmia in Ca2+/calmodulin-dependent protein kinase IIδc transgenic mice
- Author
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Tetsuro Oda, Shinichi Okuda, Masafumi Yano, Takayoshi Kato, Yoko Sufu-Shimizu, Takeshi Yamamoto, Hitoshi Uchinoumi, Shigehiko Nishimura, and Shigeki Kobayashi
- Subjects
0301 basic medicine ,Cardiac function curve ,medicine.medical_specialty ,Calmodulin ,Biophysics ,Biochemistry ,Ryanodine receptor 2 ,Dantrolene ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Ca2+/calmodulin-dependent protein kinase ,medicine ,Protein kinase A ,Molecular Biology ,biology ,Chemistry ,Ryanodine receptor ,Cell Biology ,musculoskeletal system ,medicine.disease ,030104 developmental biology ,Endocrinology ,030220 oncology & carcinogenesis ,Heart failure ,cardiovascular system ,biology.protein ,tissues ,medicine.drug - Abstract
Aims Ca2+/calmodulin-dependent protein kinase II (CaMKII) has been shown to induce aberrant Ca2+ release from the cardiac ryanodine receptor (RyR2) in various diseased hearts. However, the precise pathogenic mechanism remains to be elucidated. Here, we investigated the effect of dantrolene (DAN): a RyR2 stabilizer on local Ca2+ release, cardiac function, and lethal arrhythmia in CaMKIIδc transgenic (TG) mice. Methods and results The TG mice showed an increase in left ventricular end-diastolic diameter (LVEDD) and left ventricular end-systolic diameter (LVESD) with a reduction in LV fractional shortening (LVFS). The phosphorylation levels of Ser2814 in RyR2 and Thr287 in CaMKII increased in TG mice. In TG cardiomyocytes, peak cell shortening (CS) decreased, and the frequency of spontaneous Ca2+ transients (sCaTs) increased. Endogenous RyR2-associated calmodulin (CaM) markedly decreased in TG cardiomyocytes. After chronic DAN treatment for 1 month, LVESD (but not LVEDD) decreased with an increase in LVFS. In the chronic DAN-treated cardiomyocytes, CS increased, sCaTs decreased, and the endogenous CaM binding to RyR2 normally restored. The phosphorylation levels of Ser2814 in RyR2 and Thr287 in CaMKII remained elevated even after DAN treatment. Moreover, in TG mice, chronic DAN treatment prevented sustained ventricular tachycardia induced by epinephrine. Conclusions Defective association of CaM with RyR2 is most likely to be involved in the pathogenesis of CaMKII-mediated cardiac dysfunction and lethal arrhythmia.
- Published
- 2020