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Orphaned ryanodine receptors in the failing heart
Journal article   Open access   Peer reviewed

Orphaned ryanodine receptors in the failing heart

Long-Sheng Song, Eric A Sobie, Stacey McCulle, W J Lederer, C William Balke and Heping Cheng
Proceedings of the National Academy of Sciences - PNAS, Vol.103(11), pp.4305-4310
03/14/2006
DOI: 10.1073/pnas.0509324103
PMCID: PMC1449688
PMID: 16537526
url
https://doi.org/10.1073/pnas.0509324103View
Published (Version of record) Open Access

Abstract

Heart muscle is characterized by a regular array of proteins and structures that form a repeating functional unit identified as the sarcomere. This regular structure enables tight coupling between electrical activity and Ca(2+) signaling. In heart failure, multiple cellular defects develop, including reduced contractility, altered Ca(2+) signaling, and arrhythmias; however, the underlying causes of these defects are not well understood. Here, in ventricular myocytes from spontaneously hypertensive rats that develop heart failure, we identify fundamental changes in Ca(2+) signaling that are related to restructuring of the spatial organization of the cells. Myocytes display both a reduced ability to trigger sarcoplasmic reticulum Ca(2+) release and increased spatial dispersion of the transverse tubules (TTs). Remodeled TTs in cells from failing hearts no longer exist in the regularly organized structures found in normal heart cells, instead moving within the sarcomere away from the Z-line structures and leaving behind the sarcoplasmic reticulum Ca(2+) release channels, the ryanodine receptors (RyRs). These orphaned RyRs appear to be responsible for the dyssynchronous Ca(2+) sparks that have been linked to blunted contractility and, probably, Ca(2+)-dependent arrhythmias in diverse models of heart failure. We conclude that the increased spatial dispersion of the TTs and orphaned RyRs lead to the loss of local control and Ca(2+) instability in heart failure.
Rats, Inbred SHR Models, Cardiovascular Rats Rats, Inbred WKY Ryanodine Receptor Calcium Release Channel - metabolism Heart Failure - metabolism Heart Failure - pathology Myocytes, Cardiac - pathology Phenotype Animals Myocytes, Cardiac - metabolism Calcium Signaling Disease Models, Animal

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