Sarcoplasmic reticulum calcium leak contributes to arrhythmia but not to heart failure progression

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Belal A. Mohamed - , University of Göttingen, Deutsches Zentrum für Herz-Kreislaufforschung (DZHK), Mansoura University (Author)
  • Nico Hartmann - , University of Göttingen (Author)
  • Petros Tirilomis - , University of Göttingen (Author)
  • Karolina Sekeres - , University of Göttingen, TUD Dresden University of Technology (Author)
  • Wener Li - , Institute of Pharmacology and Toxicology, University Medical Center Göttingen, University of Göttingen, TUD Dresden University of Technology (Author)
  • Stefan Neef - , University of Regensburg (Author)
  • Claudia Richter - , University of Göttingen, Deutsches Zentrum für Herz-Kreislaufforschung (DZHK), Max Planck Institute for Dynamics and Self-Organization (Author)
  • Elisabeth M. Zeisberg - , University of Göttingen, Deutsches Zentrum für Herz-Kreislaufforschung (DZHK) (Author)
  • Lars Kattner - , Endotherm Life Science Molecules (Author)
  • Michael Didié - , Deutsches Zentrum für Herz-Kreislaufforschung (DZHK), University of Göttingen (Author)
  • Kaomei Guan - , Institute of Pharmacology and Toxicology, University Medical Center Göttingen, University of Göttingen, TUD Dresden University of Technology (Author)
  • Jan D. Schmitto - , Leibniz University Hannover (LUH) (Author)
  • Stephan E. Lehnart - , University of Göttingen, Deutsches Zentrum für Herz-Kreislaufforschung (DZHK) (Author)
  • Stefan Luther - , Deutsches Zentrum für Herz-Kreislaufforschung (DZHK), Max Planck Institute for Dynamics and Self-Organization, University of Göttingen (Author)
  • Niels Voigt - , Deutsches Zentrum für Herz-Kreislaufforschung (DZHK), University of Göttingen (Author)
  • Tim Seidler - , University of Göttingen, Deutsches Zentrum für Herz-Kreislaufforschung (DZHK) (Author)
  • Samuel Sossalla - , University of Göttingen, Deutsches Zentrum für Herz-Kreislaufforschung (DZHK), University of Regensburg (Author)
  • Gerd Hasenfuss - , University of Göttingen, Deutsches Zentrum für Herz-Kreislaufforschung (DZHK) (Author)
  • Karl Toischer - , University of Göttingen, Deutsches Zentrum für Herz-Kreislaufforschung (DZHK) (Author)

Abstract

Increased sarcoplasmic reticulum (SR) Ca2+ leak via the cardiac ryanodine receptor (RyR2) has been suggested to play a mechanistic role in the development of heart failure (HF) and cardiac arrhythmia. Mice treated with a selective RyR2 stabilizer, rycal S36, showed normalization of SR Ca2+ leak and improved survival in pressure overload (PO) and myocardial infarction (MI) models. The development of HF, measured by echocardiography and molecular markers, showed no difference in rycal S36- versus placebo-treated mice. Reduction of SR Ca2+ leak in the PO model by the rycal-unrelated RyR2 stabilizer dantrolene did not mitigate HF progression. Development of HF was not aggravated by increased SR Ca2+ leak due to RyR2 mutation (R2474S) in volume overload, an SR Ca2+ leak-independent HF model. Arrhythmia episodes were reduced by rycal S36 treatment in PO and MI mice in vivo and ex vivo in Langendorff-perfused hearts. Isolated cardiomyocytes from murine failing hearts and human ventricular failing and atrial nonfailing myocardium showed reductions in delayed afterdepolarizations, in spontaneous and induced Ca2+ waves, and in triggered activity in rycal S36 versus placebo cells, whereas the Ca2+ transient, SR Ca2+ load, SR Ca2+ adenosine triphosphatase function, and action potential duration were not affected. Rycal S36 treatment of human induced pluripotent stem cells isolated from a patient with catecholaminergic polymorphic ventricular tachycardia could rescue the leaky RyR2 receptor. These results suggest that SR Ca2+ leak does not primarily influence contractile HF progression, whereas rycal S36 treatment markedly reduces ventricular arrhythmias, thereby improving survival in mice.

Details

Original languageEnglish
Article numbereaan0724
JournalScience translational medicine
Volume10
Issue number458
Publication statusPublished - 12 Sept 2018
Peer-reviewedYes

External IDs

PubMed 30209242

Keywords

ASJC Scopus subject areas