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Updated: Aug 21, 2026

Isolation of Human Atrial Myocytes for Simultaneous Measurements of Ca2+ Transients and Membrane Currents
Published on: July 3, 2013
Diabetes decreases mRNA levels of calcium-release channels in human atrial appendage
Sahika Guner1, Ebru Arioglu, Aydin Tay
1Department of Pharmacology, Faculty of Pharmacy, University of Ankara, Tandogan 06100 Ankara, Turkey.
Abstract:
Patients with chronic diabetes mellitus usually develop reductions in rate and force of cardiac contractions. Since calcium-release channels (ryanodine receptors (RyRs) and inositol 1,4,5-trisphosphate receptors (IP(3)Rs)) play integral roles in effecting these processes, we rationalize that alterations in their expression may underlie these defects. To test this hypothesis, right atrial appendages were obtained from diabetic (65.0 +/- 4.5 years) and nondiabetic (56.2 +/- 2.6 years) patients undergoing coronary arterial by-pass grafting and reverse transcription-polymerase chain reactions were used to compare steady state levels of mRNA encoding the three major isoforms of RyRs and IP(3)Rs. In this study we did not detect either RyR1 or RyR3 in human atrial appendage. When compared with nondiabetic patients, mRNA encoding RyR2 from diabetic patients decreased by 74.2 +/- 6.2% (p < 0.01). Diabetes also significantly decreased steady-state levels of mRNA encoding the IP(3)Rs in human atrial appendage. IP(3)R1 decreased by 24.2 +/- 4.6%, IP(3)R2 decreased by 63.0 +/- 4.6% and IP(3)R3 decreased by 55.5 +/- 6.5%. Since a reduction in steady-state mRNA is usually indicative of a decrease in protein levels, these data suggest that the decrease in chronotropy and inotropy seen in chronic diabetic patients may be due in part to a decrease in expression of calcium-release channels.
Insights
Diabetic patients show reduced heart contraction rates and forces. This study found decreased expression of calcium-release channels, specifically RyR2 and IP3Rs, in diabetic hearts, potentially explaining these cardiac defects.
Area of Science:
- Cardiovascular Physiology
- Molecular Biology
- Endocrinology
Background:
- Chronic diabetes mellitus is associated with impaired cardiac contractility (reduced rate and force).
- Calcium-release channels, including ryanodine receptors (RyRs) and inositol 1,4,5-trisphosphate receptors (IP3Rs), are critical for cardiac contraction.
- Alterations in the expression of these channels may contribute to diabetic cardiomyopathy.
Purpose of the Study:
- To investigate the hypothesis that altered expression of RyRs and IP3Rs underlies cardiac dysfunction in chronic diabetes mellitus.
- To compare the mRNA expression levels of RyR and IP3R isoforms in atrial appendages from diabetic and non-diabetic patients.
Main Methods:
- Right atrial appendages were obtained from diabetic and non-diabetic patients undergoing coronary artery bypass grafting.
- Reverse transcription-polymerase chain reaction (RT-PCR) was employed to quantify steady-state mRNA levels of RyR and IP3R isoforms.
Main Results:
- RyR1 and RyR3 mRNA were not detected in human atrial appendages.
- Diabetic patients exhibited a significant decrease in RyR2 mRNA expression (74.2% reduction) compared to non-diabetic controls.
- Significant reductions in IP3R1 (24.2%), IP3R2 (63.0%), and IP3R3 (55.5%) mRNA levels were observed in diabetic patients.
Conclusions:
- The findings suggest that decreased expression of RyR2 and IP3Rs in the heart contributes to the impaired cardiac contractility observed in chronic diabetes mellitus.
- Reduced steady-state mRNA levels likely indicate a corresponding decrease in protein expression, impacting calcium handling and cardiac function.
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