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Updated: Jun 13, 2026

Assessment of Sarcoplasmic Reticulum Calcium Reserve and Intracellular Diastolic Calcium Removal in Isolated Ventricular Cardiomyocytes
Published on: September 18, 2017
Dissociation of calmodulin from cardiac ryanodine receptor causes aberrant Ca(2+) release in heart failure
Makoto Ono1, Masafumi Yano, Akihiro Hino
1Department of Medicine and Clinical Science, Division of Cardiology, Yamaguchi University Graduate School of Medicine, 1-1-1 Minamikogushi, Ube, Yamaguchi 755-8505, Japan.
Aims:
Calmodulin (CaM) is well known to modulate the channel function of the cardiac ryanodine receptor (RyR2). However, the possible role of CaM on the aberrant Ca(2+) release in diseased hearts remains unclear. In this study, we investigated the state of RyR2-bound CaM and channel dysfunctions in pacing-induced failing hearts.
Methods And Results:
The characteristics of CaM binding to RyR2 and the role of CaM on the aberrant Ca(2+) release were assessed in normal and failing canine hearts. The affinity of CaM binding to RyR2 was lower in failing sarcoplasmic reticulum (SR) than in normal SR. Addition of FK506, which dissociates FKBP12.6 from RyR2, to normal SR reduced the CaM-binding affinity. Dantrolene restored a normal level of the CaM-binding affinity in either FK506-treated (normal) SR or failing SR, suggesting that the defective inter-domain interaction between the N-terminal domain and the central domain of RyR2 (the therapeutic target of dantrolene) is involved in the reduction of the CaM-binding affinity in failing hearts. In saponin-permeabilized cardiomyocytes, the frequency of spontaneous Ca(2+) sparks was much more increased in failing cardiomyocytes than in normal cardiomyocytes, whereas the addition of a high concentration of CaM attenuated the aberrant increase of Ca(2+) sparks.
Conclusion:
The defective inter-domain interaction between N-terminal and central domains within RyR2 reduces the binding affinity of CaM to RyR2, thereby causing the spontaneous Ca(2+) release events in failing hearts. Correction of the defective CaM binding may be a new strategy to protect against the aberrant Ca(2+) release in heart failure.
Insights
Calmodulin binding to cardiac ryanodine receptors (RyR2) is reduced in failing hearts, leading to abnormal calcium release. Restoring this calmodulin binding may protect against heart failure.
Area of Science:
- Cardiovascular Physiology
- Molecular Cardiology
- Calcium Signaling
Background:
- Calmodulin (CaM) regulates cardiac ryanodine receptor (RyR2) function.
- The role of CaM in aberrant calcium release in heart failure is not fully understood.
Purpose of the Study:
- Investigate CaM binding to RyR2 in pacing-induced failing hearts.
- Assess CaM's role in aberrant calcium release and RyR2 channel dysfunction.
Main Methods:
- Assessed CaM binding affinity to RyR2 in normal and failing canine hearts.
- Utilized FK506 and dantrolene to probe RyR2 inter-domain interactions.
- Measured spontaneous calcium sparks in cardiomyocytes.
Main Results:
- CaM binding affinity to RyR2 was lower in failing hearts.
- Defective RyR2 inter-domain interaction, targeted by dantrolene, correlated with reduced CaM binding.
- Increased spontaneous Ca(2+) sparks in failing cardiomyocytes were attenuated by high CaM concentrations.
Conclusions:
- Defective RyR2 inter-domain interaction reduces CaM binding, causing spontaneous calcium release in heart failure.
- Correcting defective CaM binding presents a potential therapeutic strategy for heart failure.
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