Molecular Basis and Regulation of Ca2+ Release Termination and its Role in Cardiomyopathies

Date
2017
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Abstract
It is known that sarcoplasmic reticulum (SR) Ca2+ release in cardiac muscle is initiated via cardiac ryanodine receptor (RyR2) through a mechanism called Ca2+-induced Ca2+ release. However, how the SR Ca2+ release is terminated is undetermined. The objective of the current study is to understand the molecular basis and regulation of RyR2-mediated Ca2+ release termination and its role in the pathogenesis of cardiac diseases. Based on recent 3D structural analyses, the NH2-terminal region of RyR2 interacts with the channel domain via the central domain and undergoes dynamic conformational changes during channel gating. It has also been discovered that the NH2-terminal region consists of three distinct domains. HEK293 cell studies on domain deletions and disease mutations demonstrate that the different domains play different roles in RyR2 function. The NH2-terminal region is a major determinant of Ca2+ release activation and termination. Enhanced luminal Ca2+ activation of RyR2 has been linked to catecholaminergic polymorphic ventricular tachycardia (CPVT). However, in addition to CPVT, many RyR2 mutations can also cause cardiomyopathies. Knock-in mouse models harboring cardiomyopathy- associated RyR2 mutations have been generated to investigate the causal mechanisms of cardiomyopathies. The exon-3 deletion mouse model exhibited markedly reduced RyR2 expression level and no characteristic phenotype. The RyR2-R420W mouse model showed enhanced susceptibility to CPVT and altered cytosolic Ca2+ transient properties, suggesting that the abnormal cytosolic Ca2+ transient may be a key factor in the pathogenesis of cardiomyopathies. Calmodulin (CaM) is a regulatory protein that binds and inhibits RyR2 in the presence of cytosolic Ca2+. The inhibitory effect depends on the affinity of CaM for Ca2+ and RyR2. CaM mutations affecting either aspect may result in aberrant regulation of RyR2 activity, hence abnormal Ca2+ release termination. Indeed, arrhythmogenic mutations and most newly discovered CaM variants delayed Ca2+ release termination while others enhanced it, indicating that CaM is a major modulator of RyR2-mediated Ca2+ release termination. Overall, Ca2+ release termination is an intrinsic property of RyR2 that can be regulated by modulators such as CaM. Altered Ca2+ release termination is critically involved in the pathogenesis of cardiac diseases.
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Keywords
Biology--Cell, Biology--Molecular, Physiology, Pharmacology
Citation
Liu, Y. (2017). Molecular Basis and Regulation of Ca2+ Release Termination and its Role in Cardiomyopathies (Doctoral thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. doi:10.11575/PRISM/26981