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Updated: Aug 14, 2026

Assessment of Sarcoplasmic Reticulum Calcium Reserve and Intracellular Diastolic Calcium Removal in Isolated Ventricular Cardiomyocytes
Published on: September 18, 2017
Reduced sarcoplasmic reticulum Ca2+ -ATPase activity and dephosphorylated phospholamban contribute to contractile
Holger M Nef1, Helge Möllmann, Woitek Skwara
1Department of Cardiology, Kerckhoff Heart Centre, Benekestr. 2-8, Bad Nauheim 61231, Germany.
Insights
Human hibernating myocardium involves impaired calcium handling, specifically reduced SERCA2a activity due to phospholamban (PLN) dysfunction. This leads to decreased cardiac contractility, which is reversible after revascularization.
Area of Science:
- Cardiology
- Molecular Biology
- Biochemistry
Background:
- Human hibernating myocardium (HHM) exhibits reversible contractile dysfunction due to chronic ischemia.
- Disturbed calcium homeostasis is a key factor in reduced cardiac function in heart diseases.
Purpose of the Study:
- Investigate calcium-handling proteins in HHM.
- Determine the role of SERCA2a and PLN in HHM contractile dysfunction.
Main Methods:
- Analyzed myocardial biopsies from 12 HHM patients using immunohistochemistry and electron microscopy.
- Quantified SERCA2a, PLN, phosphorylated PLN, NCX, and RyR2 levels via RT-PCR and Western-blotting.
- Measured SERCA2a activity using an enzyme-coupled assay.
Main Results:
- Maximal SERCA2a activity was significantly reduced in HHM (424.5 U) compared to controls (609.0 U).
- Increased PLN mRNA and protein levels resulted in a higher PLN:SERCA2a ratio.
- Phosphorylation of PLN at Ser16 and Thr17 was significantly decreased in HHM.
Conclusions:
- Decreased SERCA2a activity, caused by impaired PLN phosphorylation, contributes to HHM contractile dysfunction.
- An elevated PLN/SERCA2a ratio reduces SERCA2a's calcium affinity, impacting cardiac function.
- Functional recovery after revascularization suggests these molecular changes are reversible.
Abstract:
Human hibernating myocardium (HHM) is characterized by reversible contractile dysfunction during chronic ischemia. A disturbed calcium-homeostasis is a decisive factor for reduced functional capacity in heart diseases. We therefore investigated calcium-handling proteins in HHM. In 12 patients suffering from multi-vessel coronary artery disease and contractile dysfunction with indication for bypass surgery, HHM was detected preoperatively by thallium scintigraphy, radionuclide ventriculography and dobutamine echocardiography. Transmural biopsies of these regions were taken and analyzed by immunohistochemistry and electron microscopy. Furthermore, SR-calcium ATPase (SERCA2a), phospholamban (PLN), the phosphorylated forms of PLN (PLN-Ser16, PLN-Thr17) as well as sodium-calcium exchanger (NCX) and ryanodine receptor (RyR2) were investigated by RT-PCR and Western-blotting. Additionally, SERCA2a activity was measured by an enzyme-coupled assay. In all patients complete functional recovery could be documented 3 months after revascularization by repeating all preoperative investigations. In HHM maximal SERCA2a activity was significantly reduced (HHM: 424.5 +/- 33.9, control: 609.0 +/- 48.5 nmol ATP mg protein(-1) min(-1), p
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