Leaky RyR2 trigger ventricular arrhythmias in Duchenne muscular dystrophy
Leaky RyR2 trigger ventricular arrhythmias in Duchenne muscular dystrophy
Patients with Duchenne muscular dystrophy (DMD) have a progressive dilated cardiomyopathy associated with fatal cardiac arrhythmias. Electrical and functional abnormalities have been attributed to cardiac fibrosis; however, electrical abnormalities may occur in the absence of overt cardiac histopathology. Here we show that structural and functional remodeling of the cardiac sarcoplasmic reticulum (SR) Ca 2+ release channel/ryanodine receptor (RyR2) occurs in the mdx mouse model of DMD. RyR2 from mdx hearts were S-nitrosylated and depleted of calstabin2 (FKBP12.6), resulting in “leaky” RyR2 channels and a diastolic SR Ca 2+ leak. Inhibiting the depletion of calstabin2 from the RyR2 complex with the Ca 2+ channel stabilizer S107 (“rycal”) inhibited the SR Ca 2+ leak, inhibited aberrant depolarization in isolated cardiomyocytes, and prevented arrhythmias in vivo. This suggests that diastolic SR Ca 2+ leak via RyR2 due to S-nitrosylation of the channel and calstabin2 depletion from the channel complex likely triggers cardiac arrhythmias. Normalization of the RyR2-mediated diastolic SR Ca 2+ leak prevents fatal sudden cardiac arrhythmias in DMD.
- Columbia University United States
- French Institute of Health and Medical Research France
- University of Montpellier France
- University of Montpellier France
- University Physicians United States
Male, Heart Ventricles, Arrhythmias, Cardiac, Ryanodine Receptor Calcium Release Channel, Mice, Inbred C57BL, Muscular Dystrophy, Duchenne, Tacrolimus Binding Proteins, Disease Models, Animal, Mice, Sarcoplasmic Reticulum, Mice, Inbred mdx, Animals, Calcium
Male, Heart Ventricles, Arrhythmias, Cardiac, Ryanodine Receptor Calcium Release Channel, Mice, Inbred C57BL, Muscular Dystrophy, Duchenne, Tacrolimus Binding Proteins, Disease Models, Animal, Mice, Sarcoplasmic Reticulum, Mice, Inbred mdx, Animals, Calcium
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