Cellular Biology |
From the Department of Cardiology (C.H.G., S.A.R., B.M.A.B., N.L.T., E.V.C., C.J.H., F.A.L.), Wales Heart Research Institute, Cardiff University, UK; Department of Physiology (R.E.A.T.), University College London, UK; Institute of Membrane and Systems Biology (D.S.S.), University of Leeds, UK; Department of Haematology (C.P.), Cardiff University School of Medicine, UK; and Department of Biochemistry (W.C.C.), Louisiana State University, New Orleans.
Correspondence to Dr Christopher H. George, Department of Cardiology, Wales Heart Research Institute, School of Medicine, Cardiff University, Heath Park, Cardiff CF14 4XN, UK. E-mail georgech{at}cf.ac.uk
| Abstract |
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Key Words: ryanodine receptor Ca2+ alternative splicing cardiomyocyte apoptosis
| Introduction |
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Ryanodine receptors (RyRs) are enormous tetrameric channels that transduce an array of cellular inputs to elicit synchronous Ca2+ release from the SR to initiate muscle contraction and regulate numerous processes.1,2 The functional diversity of RyRs is reflected in the structural organization of the polypeptide as a series of contiguous functional domains.3 The human genes encoding RyR isoforms are some of the largest and most complex in the genome, comprising >100 exons. To date, 13 distinct splice variants have been identified in RyR isoforms cloned from mammalian and insect species (see Figure 1A and the online data supplement [Table I] at http://circres.ahajournals.org), reflecting the evolutionary importance of alternative splicing in RyR2 modulation. Ca2+ release channels formed from RyR1 subunits containing a developmentally regulated, disease-linked splice insertion exhibited distinct Ca2+-releasing profiles in skeletal myotubes,4 and a smooth-musclespecific deletion in RyR3 that did not form functional homotetrameric channels, inhibited Ca2+ release when expressed in heteromeric combination with RyR isoforms that lacked insertions5,6 (Figure 1A and supplemental Table I, variants b and k, respectively).
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Two alternatively spliced variants of the human cardiac RyR channel (RyR2) corresponding to a 30-bp insertion (encoding FAIDSLCGFG) and a 24-bp insertion (encoding VTGSQRSK) (variants n and d', respectively; Figure 1A and supplemental Table I) have been identified.7 However, their roles in cardiac development and cell signaling have remained a mystery. Here, we present the first functional characterization of human RyR2 splice variants and show that cellular architecture and Ca2+ signaling are profoundly modulated following their expression in HL-1 cardiomyocytes. Our data highlight an important role for the 24-bp insertion in protecting cardiomyocytes from stimulation-induced apoptosis and thus identify RyR2 alternative splicing as a key determinant of cardiomyocyte susceptibility to apoptosis. Furthermore, we show that the expression profiles of RyR2 splice variants exhibits distinct species-, tissue-, and developmentally specific regulation, and we evaluate the implications of our findings in the context of cardiac development and future therapeutic approaches to cardiac disease.
| Materials and Methods |
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HL-1 cardiomyocytes were cultured and transfected with recombinant RyR2 as described.8 Cells expressing eGFP-tagged RyR2 were selected by G418-sulfate resistance (500 µg/mL) and were isolated using fluorescent-activated cell sorting (FACS) based on eGFP intensity.9 FACS-enriched cells were used as the background for DsRed-tagged RyR2/ expression. The intracellular localization of recombinant RyR2 was visualized using eGFP or DsRed fluorescence,10 and pAb129 was used for immunodetection of endogenous and recombinant RyR2.8 Antibodies to eGFP, DsRed, calreticulin (an ER marker), and a Golgi matrix protein (GM130) are described in the online data supplement. Profiling the species, tissue, and developmental aspects of RyR2 splice variant expression are described in the online data supplement.
Ca2+ Imaging and Signal/Noise Analysis
Ca2+ release triggered by the acute addition of caffeine (10 mmol/L) or following tonic RyR2 activation by prolonged exposure to caffeine (1 mmol/L, 16 hours) was determined in single fluo3-loaded cells using confocal microscopy (RS2, Leica Microsystems).11 Analysis of the amplitude and temporal variability in resting and caffeine-activated Ca2+ fluxes in nuclear and cytoplasmic regions was performed as described (see the expanded Materials and Methods section in the online data supplement).9,11
Determination of Cell Viability and Mode of Cell Death
Cell viability, and the extent of apoptosis versus necrosis (where "necrosis" is used to describe a mode of cell death that is distinct from apoptosis12), was determined.11
Transcriptional and Protein Expression Analysis of Bcl-2
The levels of Bcl-2 mRNA transcripts in untreated cells or following their prolonged exposure to caffeine (1 mmol/L, 16 hours) were determined using quantitative PCR. The expression levels and phosphorylation status of the endogenous Bcl-2 protein was determined by immunoblotting. Detailed methods are included in the online data supplement.
| Results |
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11% of the total cell population) that exhibited a remarkably distinct intranuclear GA organization (INGA) that accounted for 12.1±4.3% of the total cellular GA content (Figure 2Cii). The different GA architecture in HL-1 populations did not affect cellular morphology (Figure 3), size (760±92 µm2 versus 830±118 µm2), viability (89±10% versus 86±15%), or nuclear size (132±24 µm2 versus 153±27 µm2), where data refer to INGA-negative versus INGA-positive HL-1 populations, respectively.
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Recombinant RyR2 containing the 24-bp insertion (RyR2/24 and RyR230/24) exhibited striking intranuclear distribution, localizing to fibrillar-like structures that were distinct from the NR, yet were indistinguishable from the INGA morphology identified using anti-GA antibodies (Figure 2B and 2C). Analysis of fluorescent signal intensity revealed that INGA-localized RyR2/+ and RyR2+/+ accounted for 9.3±3.6% and 11.4±4.6% of the total cellular content of recombinant RyR2, respectively, entirely consistent with the proportion of cellular GA that comprises INGA (11.3%). Costaining of GA and RyR2 splice variants revealed that INGA localization was restricted to RyR2/24 and RyR230/24 and that the number INGA-positive cells was increased by more than 4-fold following RyR2/24 and RyR230/24 expression (Figure 2D). Analysis of discrete FACS-isolated cell populations expressing different levels of eGFP-tagged RyR2 splice variants showed that the INGA localization of RyR2/24 and RyR230/24 was not an artifact of cellular overexpression (supplemental Figure II). Although RyR2/ and RyR230/ were found in the NR invaginations, we did not detect these variants in INGA-like structures, suggesting that the 24-bp insertion was a key determinant of RyR2 localization to this intranuclear compartment.
To further investigate these observations, we used the obligate tetramerization required for DsRed fluorescence.15 eGFP-tagged RyR2 splice variants and DsRed-tagged RyR2/ were coexpressed to equivalent levels (Figure 3A). eGFP-tagged RyR2/ and RyR230/ extensively colocalized with DsRed-tagged RyR2/ in the ER network, NR projections, and perinuclear regions (Figure 3B, arrowheads), but we did not detect these variants in INGA. Coexpression of eGFP-tagged RyR2/24 or RyR230/24 with DsRed-tagged RyR2/ also resulted in significant colocalization in extranuclear and NR compartments (Figure 3B). Importantly, we determined a striking intracellular segregation of RyR2 splice variants, because INGA localization was exclusively restricted to eGFP-tagged RyR2/24 and RyR230/24 and there was a marked absence of homotetrameric DsRed-tagged RyR2/ in this compartment (Figure 3B and 3C, "green only" intranuclear fluorescence). Moreover, the proportion of INGA-localized eGFP-tagged RyR2/24 and RyR230/24 in these coexpression experiments was similar to those in which these were the only variants expressed (RyR2/24, 11.9±2.8% and RyR230/24, 9.6±3.7% of the total cellular recombinant protein), indicating that coexpression of DsRed-tagged RyR2 did not inhibit the INGA localization of RyR2 containing the 24-bp splice insertion (Figure 3C). These data strongly suggested that although all RyR2 splice variants exhibited limited nuclear localization by virtue of NR invaginations (Figures 2B and 3
B), the 24-bp insertion was necessary for RyR2 localization in INGA, thereby conferring subcellular segregation of RyR2 variants.
RyR2 Splice Variants Modulate Cardiomyocyte Ca2+ Signaling and Susceptibility to Apoptosis
Using caffeine as a quasiphysiological activator of Ca2+-dependent RyR2 Ca2+ release, we investigated the role of differential cellular localization of RyR2 splice variants on cardiomyocyte Ca2+ signaling. Cytoplasmic and nuclear Ca2+ levels were comparable in nonstimulated cells expressing all RyR2 variants (Figure 4C), but only cells expressing RyR2 containing the 30-bp or 24-bp exons exhibited suppressed cytoplasmic Ca2+ transients in response to acute caffeine stimulation (Figure 4B and 4C), possibly reflecting reduced Ca2+ release from the ER and the perinuclear GA. In contrast, nuclear Ca2+ mobilization (comprising Ca2+ release from the NE, NR, and inward diffusion of Ca2+ from the cytosol) was markedly augmented only in RyR2/24 and RyR230/24 cells (Figure 4B and 4C). The amplitude of caffeine-evoked cytoplasmic and nuclear Ca2+ mobilization was not an index of the cellular Ca2+ content because the total cellular Ca2+ mobilization in response to thapsigargin-mediated (5µmol/L) ER depletion was equivalent in each cell type (RyR230/, 104±18%; RyR2/24, 97±11%; and RyR230/24, 93±16%; normalized to RyR2/, 100%). We did not determine the potential effects of RyR2 splice variant expression on discrete cytoplasmic and nuclear Ca2+ storage and/or availability. Consequently, the altered caffeine-induced nuclear and cytoplasmic Ca2+ mobilization in cells expressing RyR2 containing 30-bp or 24-bp insertions were probably attributable to factors other than cellular Ca2+ content (see Discussion).
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Analysis of the temporal aspects of caffeine-evoked Ca2+ mobilization revealed that the rate of cytoplasmic Ca2+ increase following caffeine addition was comparable in cells expressing all RyR2 variants, although RyR2/24 and RyR230/24 exhibited a significantly faster recovery of resting cytoplasmic Ca2+ levels (Figure 4C). In contrast, the augmented nuclear Ca2+ transients mediated by RyR2/24 and RyR230/24 (Figure 4B and 4C) exhibited more rapid rise times and recovery to basal levels than cytoplasmic Ca2+ transients (Figure 4C).
Normal cardiomyocyte function occurs against a background of large cytoplasmic Ca2+ fluctuations, and normal cell phenotype is maintained following acute caffeine-induced Ca2+ mobilization.8 However, small but persistent perturbations in Ca2+ homeostasis arising from chronic exposure to caffeine (1 mmol/L) promoted cardiomyocyte dysfunction.16 Thus, we investigated the functional impact of RyR2 splice variants on cellular Ca2+ signaling and phenotype in response to prolonged exposure to caffeine (1 mmol/L). Under nonstimulated conditions, nuclear and cytoplasmic Ca2+ amplitude variation (Ca2+"flux") was suppressed in all cells expressing RyR2 containing 30+ and 24+ insertions when compared with that occurring in cells expressing RyR2/ (Figure 5A and 5B), indicating that reduced basal Ca2+ fluxes were independent of the distinct subcellular localization of RyR230/, RyR2/24, and RyR230/24 (Figure 2). The reduced Ca2+ fluxes were probably caused by altered basal activity of RyR2 splice variants, because a comparable reduction in the magnitude of Ca2+ flux through RyR2/ channels was achieved following ryanodine inhibition (Figure 5A and 5B). However, tonic activation of RyR2 following prolonged caffeine exposure (1 mmol/L, 16 hours), manifested as persistently increased nuclear and cytoplasmic Ca2+ fluxes in RyR2/ and RyR230/ cells (Figure 5A and 5C). In contrast, caffeine-triggered Ca2+ fluxes were significantly reduced in RyR2/24 and RyR230/24 cells (Figure 5A and 5C)
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We next investigated the phenotypic consequences of differential suppression of Ca2+ fluxes by distinct RyR2 splice variants. The extent of cell death (occurring via necrosis and apoptosis) within HL-1 populations is typically 8% to 10%, and this is not affected by the expression of RyR2/ or other splice variants (Figure 6A). However, the reduced "resting" nuclear and cytoplasmic Ca2+ flux in nonstimulated cardiomyocytes expressing RyR2 containing 30-bp or 24-bp insertions was associated with a significant reduction in the basal levels of apoptosis (Figure 6A and 6B). Apoptosis was markedly increased in caffeine-activated cells expressing RyR2/ (Figure 6A). Notably, although RyR230/ reduced nuclear and cytoplasmic Ca2+ fluxes in nonstimulated cells, and reduced the basal levels of apoptosis (Figure 6A), RyR230/ did not protect cells from apoptosis following prolonged caffeine exposure (Figure 6A). In contrast, apoptosis was dramatically reduced in cells expressing RyR2/24 and RyR230/24 following caffeine stimulation (Figure 6A). Thus our data reveal a clear link between the magnitude of RyR2-dependent nuclear and cytoplasmic Ca2+ fluxes and the extent of apoptosis (Figure 6B), a finding that was reinforced by the pronounced anti-apoptotic effects of channel inhibition using ryanodine (Figures 5C and 6
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These data established a clear functional consequence of 24-bp exon insertion, namely a markedly reduced caffeine-induced Ca2+ flux that was innately linked to a reduced apoptotic propensity. Because the Bcl-2 family of proteins have been shown to be involved in the signaling of apoptosis following agonist-triggered RyR2-dependent Ca2+ release,17 we investigated whether the antiapoptotic effects of 24-bp splice insertion following prolonged caffeine exposure was linked to alterations in the expression or posttranslational modification of Bcl-2. We did not detect significant changes in Bcl-2 transcription or in the cellular levels of Bcl-2 protein in cells expressing RyR2 splice variants (Figure 7A and 7B). However, we determined significantly increased levels of Bcl-2 phosphorylation in RyR2/24 and RyR230/24 cells. These data suggest that the protection from apoptosis conferred by expression of RyR2 containing the 24-bp splice insertion may be linked to an alteration in the phosphorylation status of Bcl-2.
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RyR2 Alternative Splicing Exhibits Developmental Regulation and Tissue and Species Specificity
We determined the species, tissue, and developmental profile of RyR2 alternative splicing. In human cardiac tissue, we identified pronounced developmental regulation of 30-bpcontaining mRNA transcripts, and this insertion was far more abundant in embryonic heart (>90%) than in adult heart tissue, where it accounted for <20% of the total RyR2 (Figure 7A). The disparate relative abundance of the 30-bp insertion in human and mouse embryos strongly indicated a species-dependent regulation of this variant in developing mammalian heart (Figure 7C and 7D). We did not detect the 30-bp insertion in mRNA transcripts derived from adult rat, rabbit, and mouse hearts, and thus the exclusive detection of this variant in adult human heart may represent an intriguing feature of human cardiac regulation (Figure 7D). RyR2 is also the predominant isoform in brain, and, in stark, contrast to its profile in adult heart, the 30-bp insertion was abundant in adult human hippocampus, suggesting that, in humans, alternative splicing of the 30-bp exon exhibits tissue-specific regulation (Figure 7B). In contrast, mRNA transcripts containing the 24-bp splice variant were detected at comparable levels in all species investigated (
15% to 25% of total RyR2) (Figure 7D), and we found no evidence of its developmental regulation (Figure 7C). Our screening strategy did not resolve the abundance of RyR2 containing both 30-bp and 24-bp insertions (RyR230/24) in mammalian tissues, although our functional characterization suggests that channels formed from RyR230/24 are indistinguishable from those of RyR2/24.
| Discussion |
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The present study provides evidence that RyR2 splice variants fundamentally contribute to shaping nuclear and cytoplasmic events, a significant finding given that spatially distinct Ca2+ release events underpin altered gene transcription.24 Consequently, our data suggest that the precise control of cardiomyocyte Ca2+ handling via differential RyR2 splice variant expression may play an important role in modulating diverse aspects of cardiac cell signaling, rather than in simply controlling the mechanics of heart muscle contraction. We do not yet know the precise basis for the differential Ca2+ release mediated by the distinct RyR2 splice variants, although we interpret our results to suggest that cell-compartmentspecific regulation by currently unknown nuclear and/or cytoplasmic factors (including the relative contribution of ER-, NR-, GA-, and INGA-derived Ca2+ sources, the differences in subcellular architecture, and differential nuclear and cytoplasmic proteinprotein interactions) may contribute to the distinct Ca2+ modulation.
We reveal a strong link between reduced RyR2-dependent Ca2+ fluxes following 24-bp insertion and the protection from caffeine-induced apoptosis (Figures 5 and 6
). This important finding is entirely consistent with the reduced channel activity determined in some 1,4,5-trisphosphate receptor and RyR3 splice variants,5,25 although further work is needed to conclusively determine whether the INGA localization of the 24-bpcontaining splice variant is a critical determinant of the observed antiapoptotic effects. Importantly, our data show that the suppression of caffeine-evoked Ca2+ fluxes mediated by RyR2 containing the 24-bp splice insertion was associated with altered Bcl-2 phosphorylation. This new evidence indicates that the interplay between Ca2+ flux, Bcl-2 phosphorylation, and apoptosis can be modulated by the specific expression of distinct RyR2 splice variants. The precise mechanisms through which Bcl-2 family proteins transduce RyR2-dependent Ca2+ fluxes in apoptotic signaling remain to be determined, and one should consider that caffeine-evoked apoptosis may be attributable to other mechanisms, in addition to perturbations in Ca2+ fluxes, including the activation of a number of cAMP-dependent pathways.
Although we show that developmentally regulated RyR2 splicing occurs in human heart (Figure 7), the relative abundances of 30-bp and 24-bp insertions identified in embryonic and adult transcripts do not provide an accurate insight into the channel subunit stoichiometry occurring in vivo. The adult human heart is a highly heterogeneous tissue composed of numerous cell types tailored for specialized function. It is possible that the 2 RyR2 splice variants can be coexpressed in the same cells, or differentially distributed in distinct cell types within the myocardium.26 Furthermore, we do not know the precise stoichiometric arrangement of the RyR2 tetramers generated in our experiments, although the approximate 4-fold overexpression of recombinant RyR2 would predict that most recombinant RyR2 channels exist in homotetrameric combination. Notably, the 24-bp insertion appeared to be "dominant," because the functional characteristics of RyR2 containing both 24- and 30-bp splice insertions were indistinguishable from RyR2 containing only the 24-bp insertion.
The Therapeutic Potential of Manipulating Cardiac Phenotype by Alternative Splicing
During development, cell-specific regulatory pathways dictate the intrinsic susceptibility of the cells to die. Embryonic human hearts were characterized by very high levels of 30-bpcontaining transcripts, splice variants that do not protect cells from increased Ca2+ fluxes and apoptosis. The abundance of this variant in embryonic heart (Figure 8) may limit the incorporation of antiapoptotic RyR2 containing the 24-bp insertion into functional tetramers, and we speculate that the high levels of RyR2 containing the 30-bp splice insertion may indirectly confer apoptotic susceptibility during cardiac development. Apoptosis is a critical determinant of embryonic myocardial architecture, but it may also be important in normal adult heart remodeling.27 The long-term adaptive value of apoptosis in the adult myocardium, and its place as a target for therapeutic intervention, remains to be determined. The adult heart can be repaired by gene-based reprogramming of embryonic signaling patterns,28 and thus our demonstration that cardiomyocyte Ca2+ signaling and phenotype can be fine-tuned by the expression of functionally distinct RyR2 splice variants potentially represents a novel approach to future cardiac therapies.
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Limitations of Study
We have not succeeded in generating antibodies that specifically recognize the distinct RyR2 splice variants, and it is not currently possible to investigate the developmental profiles and intracellular localization of these variants in native cardiac tissue, or primary cell cultures at the protein level. Accordingly, at the present time, a functional characterization of RyR2 splice variants is restricted to heterologous expression systems. Despite this, HL-1 cardiomyocytes retain the contractile and phenotypic properties of adult cardiomyocytes29 and express recombinant RyR2 that, in our hands, is indistinguishable from the endogenous protein.8,9 Thus HL-1 cells represent the best heterologous system currently available for evaluating the role of RyR2 splice variants in cardiomyocyte Ca2+ signaling. Analysis of HL-1derived mRNA transcripts (at passage nos. 37, 55, and 87) showed that endogenous RyR2 lacked the 30- and 24-bp insertions (0/18 and 0/25 transcripts, respectively), and although this is entirely consistent with the progressive loss of RyR1 splice insertions during skeletal myotube culture,4 HL-1 cells may not reflect the RyR2 splicing events that occur in the myocardium in vivo.
| Acknowledgments |
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This work was supported by the British Heart Foundation (FS/2000020, BS/04/002, PG/98169), the Royal Society (2004/R2), the Medical Research Council, and the European Union (LSHM-CT-2005-018802).
Disclosures
None.
| Footnotes |
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