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Isolation of Human Atrial Myocytes for Simultaneous Measurements of Ca2+ Transients and Membrane Currents
Published on: July 3, 2013
Ankyrin-B reduction enhances Ca spark-mediated SR Ca release promoting cardiac myocyte arrhythmic activity
Emmanuel Camors1, Peter J Mohler, Donald M Bers
1Department of Pharmacology, University of California, Davis, CA 95616-8636, USA.
Insights
Reduced Ankyrin-B (AnkB) function in heart cells increases calcium sparks and waves, raising the risk of arrhythmias. This occurs due to altered ion transport and coordinated RyR openings, not increased total SR calcium leak.
Area of Science:
- Cardiology
- Molecular Biology
- Electrophysiology
Background:
- Ankyrin-B (AnkB) loss-of-function is linked to human ventricular arrhythmias and sudden cardiac death.
- AnkB deficiency in cardiac myocytes affects key ion transporters like Na/Ca exchanger (NCX) and Na/K-ATPase (NKA), impacting intracellular sodium ([Na](i)) and calcium ([Ca](i)) regulation.
- Understanding AnkB's role in cardiac calcium handling is crucial for preventing arrhythmias.
Purpose of the Study:
- To investigate the effects of AnkB reduction on cardiac intracellular sodium ([Na](i)), calcium ([Ca](i)), and sarcoplasmic reticulum (SR) calcium release.
- To determine the mechanisms underlying altered calcium handling and its contribution to arrhythmogenesis in AnkB-deficient myocytes.
Main Methods:
- Comparison of cardiac myocytes from AnkB heterozygous (AnkB(+/-)) and wild-type (WT) mice.
- Measurement of intracellular ion concentrations, calcium transients, SR calcium content, and SR calcium leak.
- Analysis of spontaneous calcium sparks (CaSpF) and ryanodine receptor (RyR) activity in intact and permeabilized myocytes.
Main Results:
- AnkB(+/-) myocytes exhibited reduced NCX and NKA transport function but maintained normal [Na](i) and diastolic [Ca](i).
- Larger Ca transients, increased SR Ca content, and enhanced fractional SR Ca release were observed in AnkB(+/-) myocytes.
- AnkB(+/-) myocytes showed a significantly higher frequency of spontaneous diastolic Ca sparks (CaSpF) due to more coordinated RyR openings, despite unaffected total SR Ca leak.
Conclusions:
- AnkB reduction alters cardiac ion transport, leading to increased coupled RyR openings and more frequent Ca sparks and waves.
- This altered calcium dynamics, specifically the bias towards Ca sparks, enhances the propensity for pro-arrhythmic events in AnkB(+/-) mice.
- The findings highlight a novel mechanism by which AnkB deficiency promotes triggered arrhythmias through localized RyR regulation.
Abstract:
Ankyrin-B (AnkB) loss-of-function may cause ventricular arrhythmias and sudden cardiac death in humans. Cardiac myocytes from AnkB heterozygous mice (AnkB(+/-)) show reduced expression and altered localization of Na/Ca exchanger (NCX) and Na/K-ATPase (NKA), key players in regulating [Na](i) and [Ca](i). Here we investigate how AnkB reduction affects cardiac [Na](i), [Ca](i) and SR Ca release. We found reduced NCX and NKA transport function but unaltered [Na](i) and diastolic [Ca](i) in myocytes from AnkB(+/-) vs. wild-type (WT) mice. Ca transients, SR Ca content and fractional SR Ca release were larger in AnkB(+/-) myocytes. The frequency of spontaneous, diastolic Ca sparks (CaSpF) was significantly higher in intact myocytes from AnkB(+/-) vs. WT myocytes (with and without isoproterenol), even when normalized for SR Ca load. However, total ryanodine receptor (RyR)-mediated SR Ca leak (tetracaine-sensitive) was not different between groups. Thus, in AnkB(+/-) mice SR Ca leak is biased towards more Ca sparks (vs. smaller release events), suggesting more coordinated openings of RyRs in a cluster. This is due to local cytosolic RyR regulation, rather than intrinsic RyR differences, since CaSpF was similar in saponin-permeabilized myocytes from WT and AnkB(+/-) mice. The more coordinated RyRs openings resulted in an increased propensity of pro-arrhythmic Ca waves in AnkB(+/-) myocytes. In conclusion, AnkB reduction alters cardiac Na and Ca transport and enhances the coupled RyR openings, resulting in more frequent Ca sparks and waves although the total SR Ca leak is unaffected. This could enhance the propensity for triggered arrhythmias in AnkB(+/-) mice.
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