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[RyR-bound FKBP12.6 and the modulation]
1Department of Cardiovascular Medicine, Yamaguchi University, School of Medicine.
Insights
Heart failure involves abnormal calcium handling. PKA hyperphosphorylation of the ryanodine receptor (RyR) disrupts FKBP12.6 binding, causing calcium leaks and dysfunction.
Area of Science:
- Cardiovascular Physiology
- Molecular Cardiology
- Heart Failure Pathogenesis
Context:
- Cardiac dysfunction in heart failure is often linked to reduced sarcoplasmic reticulum (SR) Ca(2+)-ATPase activity.
- Recent findings suggest a novel mechanism involving the ryanodine receptor (RyR) and its associated protein FKBP12.6.
Purpose:
- To elucidate a novel mechanism contributing to cardiac dysfunction in heart failure.
- To investigate the role of PKA hyperphosphorylation of RyR and FKBP12.6 dissociation in cardiac calcium handling.
Summary:
- PKA hyperphosphorylation of RyR leads to FKBP12.6 dissociation, altering RyR single-channel properties and promoting abnormal calcium leak.
- This aberrant calcium leak through RyR may cause calcium overload, contributing to both diastolic and systolic dysfunction in heart failure.
Impact:
- Identifies a new molecular pathway contributing to heart failure pathogenesis.
- Provides potential targets for therapeutic interventions aimed at restoring normal calcium handling and improving cardiac function.
Abstract:
In the pathogenesis of cardiac dysfunction in heart failure, a decrease in the activity of the sarcoplasmic reticulum (SR) Ca(2+) -ATPase is believed to be a major determinant. Recently, a novel mechanism of cardiac dysfunction in heart failure has been reported on the basis of the following findings:1) PKA hyperphosphorylation of RyR causes a dissociation of FKBP12.6 from RyR, resulting in the abnormal single-channel properties (increased Ca(2+) sensitivity for activation and elevated channel activity associated with destabilization of RyR (Marx et al, Cell 101:365, 2000), 2) a prominent abnormal Ca(2+) leak occurs through RyR, following a partial loss of RyR-bound FKBP12.6 and the resultant conformational change in RyR (Yano M et al, Circulation 102:2131, 2000). This abnormal Ca(2+) leak might possibly cause Ca(2+) overload and consequent diastolic dysfunction, as well as systolic dysfunction.
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