Frequency-dependent acceleration of relaxation in the heart depends on CaMKII, but not phospholamban
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Updated: Sep 29, 2026

Assessment of Myofilament Ca2+ Sensitivity Underlying Cardiac Excitation-contraction Coupling
Published on: August 1, 2016
Jaime DeSantiago1, Lars S Maier, Donald M Bers
1Department of Physiology, Stritch School of Medicine, Loyola University Chicago, 2160 South First Avenue, Maywood, IL 60153, USA.
Insights
Frequency-dependent acceleration of relaxation (FDAR) enhances ventricular filling at higher heart rates. This study shows FDAR primarily involves CaMKII-dependent SR Ca transport, independent of phospholamban.
Area of Science:
- Cardiology
- Molecular Physiology
- Biophysics
Background:
- Frequency-dependent acceleration of relaxation (FDAR) improves diastolic filling during increased heart rates.
- The precise molecular mechanisms underlying FDAR remain incompletely understood.
- FDAR is observable in intact cardiac tissues and isolated cardiac cells.
Purpose of the Study:
- To investigate the role of Ca/calmodulin-dependent protein kinase II (CaMKII) in FDAR.
- To determine if phospholamban is essential for FDAR.
- To elucidate the contribution of sarcoplasmic reticulum (SR) Ca transport to FDAR.
Main Methods:
- Experiments utilized isolated ventricular muscle and myocytes from wild-type and phospholamban knockout mice, as well as rat ventricular myocytes.
- Measurements included isometric twitch force, unloaded shortening, and intracellular calcium transients.
- CaMKII activity was inhibited using KN-93 and autocamtide-2 related inhibitory peptide (AIP) across a range of stimulation frequencies (0.2-8Hz).
Main Results:
- FDAR of twitch force was observed in both wild-type and phospholamban knockout mouse muscles and was significantly reduced by KN-93.
- In phospholamban knockout myocytes, FDAR of contractions correlated with FDAR of calcium transients, both inhibited by KN-93.
- Autocamtide-2 related inhibitory peptide (AIP) also inhibited FDAR of contraction and calcium transients in rat ventricular myocytes.
Conclusions:
- FDAR is primarily mediated by CaMKII-dependent stimulation of SR Ca transport.
- Phospholamban is not required for the FDAR mechanism.
- CaMKII plays a crucial role in regulating SR Ca handling to facilitate rapid relaxation.
Abstract:
Frequency-dependent acceleration of relaxation (FDAR) is an intrinsic physiological mechanism, which allows more rapid ventricular diastolic filling at higher heart rates. FDAR is also observed in isolated myocardial trabeculae and cardiac myocytes, but its mechanism is still poorly understood. We tested the hypothesis that FDAR results mainly from Ca/calmodulin-dependent protein kinase II (CaMKII) dependent stimulation of sarcoplasmic reticulum (SR) Ca transport, but does not require phospholamban. Experiments were performed at 23 or 35 degrees C in isolated ventricular muscle and single myocytes from wild-type (WT) and phospholamban knockout (PLB-KO) mice and rat ventricular myocytes. Isometric twitch force of muscles and unloaded shortening and Ca transients in myocytes were measured ([Ca](o)=1mM) in the absence and presence of CaMKII inhibitors (1 microM KN-93 or 20 microM autocamtide-2 related inhibitory peptide, AIP). Stimulation frequency was altered over a wide range (0.2-8Hz) and post-rest vs steady state twitches were also compared. In both WT and PLB-KO mouse muscles FDAR of twitch force was prominent, but was largely suppressed by KN-93. FDAR of twitch contractions was associated with FDAR of Ca transients in PLB-KO myocytes, and both were inhibited by KN-93. Similarly, a different CaMKII inhibitor (AIP) inhibited FDAR of contraction and Ca transients in rat ventricular myocytes. We conclude that FDAR results mainly from CaMKII-dependent stimulation of SR Ca transport, but does not require phospholamban.
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