Accelerated development of pressure overload-induced cardiac hypertrophy and dysfunction in an RyR2-R176Q knockin

Ralph J van Oort1, Jonathan L Respress, Na Li

  • 1Department of Molecular Physiology and Biophysics, Baylor College of Medicine, 1 Baylor Plaza, BCM 335, Houston, TX 77030, USA.

Insights

Pathological calcium leak from the sarcoplasmic reticulum via defective ryanodine receptors (RyR2) accelerates heart failure. This leak activates prohypertrophic signaling pathways, worsening cardiac function under pressure overload.

Area of Science:

  • Cardiovascular Biology
  • Molecular Cardiology
  • Heart Failure Pathophysiology

Background:

  • Chronic hypertension induces cardiac hypertrophy, a precursor to heart failure.
  • Intracellular calcium (Ca(2+)) is crucial for hypertrophic signaling, but its source remains unclear.

Purpose of the Study:

  • To investigate if sarcoplasmic reticulum Ca(2+) leak through defective ryanodine receptors (RyR2) accelerates heart failure.
  • To determine the role of RyR2-dependent Ca(2+) leak in activating hypertrophic signaling pathways.

Main Methods:

  • Utilized mice with a gain-of-function RyR2 mutation (R176Q/+) and wild-type controls subjected to transverse aortic constriction.
  • Assessed cardiac function, dimensions, hypertrophy markers (heart weight:body weight, cardiomyocyte size), and gene expression (stress genes, regulator of calcineurin 1).
  • Measured sarcoplasmic reticulum Ca(2+) leak and nuclear factor of activated T-cells (NFAT) phosphorylation.

Main Results:

  • R176Q/+ mice showed significantly impaired cardiac function and increased cardiac dimensions post-constriction.
  • Enhanced cardiac hypertrophy and increased expression of cardiac stress genes were observed in R176Q/+ mice.
  • Pressure overload led to increased sarcoplasmic reticulum Ca(2+) leak, elevated regulator of calcineurin 1 (RCAN1) exon 4 expression, and decreased NFAT phosphorylation in R176Q/+ mice.

Conclusions:

  • RyR2-dependent sarcoplasmic reticulum Ca(2+) leak contributes to accelerated heart failure development.
  • This leak activates the prohypertrophic calcineurin/NFAT signaling pathway during pressure overload.
  • Defective RyR2 function represents a potential therapeutic target for heart failure.

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