Circulation Research. 2002;91:1015-1022
Published online before print October 24, 2002, doi: 10.1161/01.RES.0000043663.08689.05
Published online before print October 24, 2002, doi: 10.1161/01.RES.0000043663.08689.05
© 2002 American Heart Association, Inc.
Cellular Biology |
Abnormal Ca2+ Release, but Normal Ryanodine Receptors, in Canine and Human Heart Failure
From the Department of Physiology (M.T.J., A.J.L., E.F.F., H.H.V.), Medicine (M.R.W.), and Surgery (R.A.H.), University of Wisconsin Medical School, Madison, Wis. Present address for M.T.J. is the Department of Anesthesiology, Medical College of Wisconsin, Milwaukee, Wis.
Correspondence to Héctor H. Valdivia, MD, PhD, University of Wisconsin, 1300 University Ave, Madison, WI 53706. E-mail valdivia{at}physiology.wisc.edu
Sarcoplasmic reticulum (SR) Ca2+ transport proteins, especially ryanodine receptors (RyR) and their accessory protein FKBP12.6, have been implicated as major players in the pathogenesis of heart failure (HF), but their role remain controversial. We used the tachycardia-induced canine model of HF and human failing hearts to investigate the density and major functional properties of RyRs, SERCA2a, and phospholamban (PLB), the main proteins regulating SR Ca2+ transport. Intracellular Ca2+ is likely to play a role in the contractile dysfunction of HF because the amplitude and kinetics of the [Ca2+]i transient were reduced in HF. Ca2+ uptake assays showed 44±8% reduction of Vmax in canine HF, and Western blots demonstrated that this reduction was due to decreased SERCA2a and PLB levels. Human HF showed a 30±5% reduction in SERCA2a, but PLB was unchanged. RyRs from canine and human HF displayed no major structural or functional differences compared with control. The Po of RyRs was the same for control and HF over the range of pCa 7 to 4. Subconductance states, which predominate in FKBP12.6-stripped RyRs, were equally frequent in control and HF channels. An antibody that recognizes phosphorylated RyRs yields equal intensity for control and HF channels. Further, phosphorylation of RyRs by PKA did not appear to change the RyR/FKBP12.6 association, suggesting minor ß-adrenergic stimulation of Ca2+ release through this mechanism. These results support a role for SR in the pathogenesis of HF, with abnormal Ca2+ uptake, more than Ca2+ release, contributing to the depressed and slow Ca2+ transient characteristic of HF.
Key Words: heart failure • ryanodine receptor • sarcoplasmic reticulum • protein kinase A
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