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Assessment of Sarcoplasmic Reticulum Calcium Reserve and Intracellular Diastolic Calcium Removal in Isolated Ventricular Cardiomyocytes
Published on: September 18, 2017
Molecular mechanisms of reduced sarcoplasmic reticulum Ca(2+) uptake in human failing left ventricular myocardium
Sudhish Mishra1, Ramesh C Gupta, Nivedita Tiwari
1Department of Medicine, Division of Cardiovascular Medicine, Henry Ford Heart and Vascular Institute, Detroit, Michigan, USA
Insights
Heart failure involves reduced sarcoplasmic reticulum Ca(2+) uptake. This study identifies reduced Ca(2+)-ATPase and phospholamban (PLB) phosphorylation as key contributors, suggesting new therapeutic targets for heart failure.
Area of Science:
- Cardiology
- Molecular Biology
- Biochemistry
Background:
- Idiopathic dilated cardiomyopathy leads to heart failure with impaired sarcoplasmic reticulum Ca(2+) uptake.
- The specific mechanisms underlying this Ca(2+) uptake abnormality remain unclear.
Purpose of the Study:
- To investigate the molecular mechanisms responsible for decreased sarcoplasmic reticulum Ca(2+) uptake in failing human hearts.
- To compare protein expression and enzyme activities in failing hearts versus non-failing controls.
Main Methods:
- Left ventricular tissue from 7 failing hearts (idiopathic dilated cardiomyopathy) and 5 control hearts were analyzed.
- Levels of sarcoplasmic reticulum proteins (Ca(2+)-ATPase, phospholamban [PLB], calsequestrin) and their phosphorylation states were measured.
- Activities of Ca(2+)-calmodulin-dependent protein kinase and protein phosphatase were determined, alongside Ca(2+) uptake kinetics.
Main Results:
- Failing hearts showed reduced maximal velocity and affinity for Ca(2+) uptake.
- This correlated with decreased Ca(2+)-ATPase, PLB, and serine-16 phosphorylated PLB expression.
- Protein phosphatase activity was significantly increased in failing hearts.
Conclusions:
- Impaired Ca(2+) uptake velocity is linked to reduced Ca(2+)-ATPase expression.
- Reduced affinity is associated with a lower Ca(2+)-ATPase to PLB ratio and decreased serine-16 PLB phosphorylation.
- Increased protein phosphatase activity may contribute to reduced PLB phosphorylation, suggesting therapeutic potential in targeting phosphatases or enhancing Ca(2+) uptake.
Background:
Human failing heart due to idiopathic dilated cardiomyopathy is associated with decreased sarcoplasmic reticulum Ca(2+) uptake. However, it is unknown as to which mechanism leads to this abnormality.
Methods:
Immunodetectable sarcoplasmic reticulum proteins (phospholamban [PLB], phosphorylated PLB at serine-16 or threonine-17, calsequestrin and Ca(2+)-ATPase levels), the activities of Ca(2+)-calmodulin-dependent protein kinase and protein phosphatase and Ca(2+) uptake at varying Ca(2+) concentrations were determined in left ventricular specimens from the same 7 failing hearts (ejection fraction 20 +/- 2%) due to idiopathic dilated cardiomyopathy and 5 non-failing explanted control donor hearts.
Results:
In failing hearts, compared with control donors, decreased maximal velocity and affinity of Ca(2+) uptake for Ca(2+) were found to be associated with reduced expression levels of Ca(2+)-adenosine triphosphatase (ATPase), PLB and phosphorylated PLB at serine-16, but not of calsequestrin and phosphorylated PLB at threonine-17. In contrast, protein phosphatase activity increased significantly and the activity and protein expression level of the delta isoform of Ca(2+)-calmodulin-dependent protein kinase remained unchanged in failing hearts compared with control donors.
Conclusions:
The impaired maximal velocity of sarcoplasmic reticulum Ca(2+) uptake may be due in part to reduced protein expression level of Ca(2+)-ATPase, whereas the reduced affinity may be due in part to the reduced ratio of Ca(2+)-ATPase to PLB and reduced PLB phosphorylation at serine-16 in failing hearts. The latter abnormality may be due in part to increased protein phosphatase activity. These results suggest that selective enhancement of Ca(2+) uptake into the sarcoplasmic reticulum by pharmaceutical agents, or by molecular tools that inhibit phosphatase activity, would be a valuable therapeutic approach for treating, or at least retarding, the process of heart failure.
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