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Functional Characterization of Endogenously Expressed Human RYR1 Variants
Published on: June 9, 2021
SERCA2a, phospholamban, sarcolipin, and ryanodine receptors gene expression in children with congenital heart defects
Simona Vittorini1, Simona Storti, Maria Serena Parri
1Molecular Cardiology and Genetics Laboratory, Institute of Clinical Physiology, National Research Council, G Pasquinucci Hospital, Massa, Italy. simona.vittorini@ifc.cnr.it
Insights
Children with Tetralogy of Fallot (TOF) show lower expression of phospholamban (PLN) and sarcolipin (SLN) genes. This suggests a mechanism to increase intracellular calcium in TOF patients, impacting heart function.
Area of Science:
- Cardiovascular Biology
- Molecular Cardiology
- Pediatric Heart Disease Research
Background:
- Conotruncal heart defects are associated with abnormal calcium handling in animal models.
- Sarcoplasmic reticulum Ca(2+) ATPase (SERCA), phospholamban (PLN), sarcolipin (SLN), and ryanodine receptors (RyRs) are critical for intracellular calcium regulation in the heart.
- Understanding gene expression of these proteins in human congenital heart disease is crucial for therapeutic insights.
Purpose of the Study:
- To investigate the gene expression of SERCA2a, PLN, SLN, and RyR2 in pediatric patients with Tetralogy of Fallot (TOF).
- To compare gene expression patterns in TOF patients with those having Ventricular Septal Defect (VSD) and Atrial Septal Defect (ASD).
Main Methods:
- Semiquantitative reverse transcription-polymerase chain reaction (RT-PCR) was used to assess gene expression.
- Atrial myocardium samples were analyzed from 23 pediatric patients with TOF, 10 with VSD, and 13 with ASD.
- Calsequestrin (CASQ) RNA served as the internal standard for normalization.
Main Results:
- Significantly lower expression of PLN and SLN genes was observed in patients with TOF compared to controls.
- No significant differences in SERCA2a and RyR2 gene expression were found between TOF and VSD groups.
- These findings indicate altered calcium regulatory protein expression in TOF.
Conclusions:
- The reduced expression of PLN and SLN in TOF patients may represent a compensatory mechanism.
- This mechanism likely aims to enhance intracellular calcium (Ca2+) availability and cardiac contractility in TOF.
- Further research is needed to elucidate the full implications of these molecular changes in pediatric heart defects.
Abstract:
In animal models of conotruncal heart defects, an abnormal calcium sensitivity of the contractile apparatus and a depressed L-type calcium current have been described. Sarcoplasmic reticulum (SR) Ca(2+) ATPase (SERCA) is a membrane protein that catalyzes the ATP-dependent transport of Ca(2+) from the cytosol to the SR. The activity of SERCA is inhibited by phospholamban (PLN) and sarcolipin (SLN), and all these proteins participate in maintaining the normal intracellular calcium handling. Ryanodine receptors (RyRs) are the major SR calcium-release channels required for excitation-contraction coupling in skeletal and cardiac muscle. Our objective was to evaluate SERCA2a (i.e., the SERCA cardiac isoform), PLN, SLN, and RyR2 (i.e., the RyR isoform enriched in the heart) gene expression in myocardial tissue of patients affected by tetralogy of Fallot (TOF), a conotruncal heart defect. The gene expression of target genes was assessed semiquantitatively by RT-PCR using the calsequestrin (CASQ, a housekeeping gene) RNA as internal standard in the atrial myocardium of 23 pediatric patients undergoing surgical correction of TOF, in 10 age-matched patients with ventricular septal defect (VSD) and in 13 age-matched children with atrial septal defect (ASD). We observed a significantly lower expression of PLN and SLN in TOF patients, while there was no difference between the expression of SERCA2a and RyR2 in TOF and VSD. These data suggest a complex mechanism aimed to enhance the intracellular Ca(2+) reserve in children affected by tetralogy of Fallot.
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