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Updated: Aug 25, 2026

Assessment of Sarcoplasmic Reticulum Calcium Reserve and Intracellular Diastolic Calcium Removal in Isolated Ventricular Cardiomyocytes
Published on: September 18, 2017
Ca2+/calmodulin-dependent protein kinase II phosphorylation regulates the cardiac ryanodine receptor
Xander H T Wehrens1, Stephan E Lehnart, Steven R Reiken
1Department of Physiology and Cellular Biophysics, Columbia University College of Physicians and Surgeons, 630 W 168th St, P&S 9-401, Box 65, New York, NY 10032, USA.
Abstract:
The cardiac ryanodine receptor (RyR2)/calcium release channel on the sarcoplasmic reticulum is required for muscle excitation-contraction coupling. Using site-directed mutagenesis, we identified the specific Ca2+/calmodulin-dependent protein kinase II (CaMKII) phosphorylation site on recombinant RyR2, distinct from the site for protein kinase A (PKA) that mediates the "fight-or-flight" stress response. CaMKII phosphorylation increased RyR2 Ca2+ sensitivity and open probability. CaMKII was activated at increased heart rates, which may contribute to enhanced Ca2+-induced Ca2+ release. Moreover, rate-dependent CaMKII phosphorylation of RyR2 was defective in heart failure. CaMKII-mediated phosphorylation of RyR2 may contribute to the enhanced contractility observed at higher heart rates. The full text of this article is available online at http://circres.ahajournals.org.
Insights
Calcium/calmodulin-dependent protein kinase II (CaMKII) phosphorylation of the cardiac ryanodine receptor (RyR2) enhances calcium sensitivity. This CaMKII-RyR2 interaction is impaired in heart failure, impacting cardiac contractility.
Area of Science:
- Cardiovascular Physiology
- Molecular Cardiology
- Biochemistry
Background:
- The cardiac ryanodine receptor (RyR2) is crucial for excitation-contraction coupling in muscle.
- Protein kinase A (PKA) phosphorylation of RyR2 mediates the stress response.
- The role of Ca2+/calmodulin-dependent protein kinase II (CaMKII) in RyR2 regulation is less understood.
Purpose of the Study:
- To identify the specific CaMKII phosphorylation site on RyR2.
- To investigate the functional consequences of CaMKII phosphorylation on RyR2.
- To examine the role of CaMKII-RyR2 interaction in heart failure.
Main Methods:
- Site-directed mutagenesis of recombinant RyR2.
- Biochemical assays to assess RyR2 phosphorylation and activity.
- Studies on RyR2 function at varying heart rates and in heart failure models.
Main Results:
- A distinct CaMKII phosphorylation site on RyR2 was identified, separate from the PKA site.
- CaMKII phosphorylation increased RyR2 Ca2+ sensitivity and open probability.
- CaMKII activation at higher heart rates enhanced Ca2+-induced Ca2+ release, but this was defective in heart failure.
Conclusions:
- CaMKII phosphorylation of RyR2 enhances its activity and may contribute to increased contractility at higher heart rates.
- Impaired rate-dependent CaMKII phosphorylation of RyR2 in heart failure suggests a role in cardiac dysfunction.
- Targeting CaMKII-RyR2 interaction could be a therapeutic strategy for heart failure.
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