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Updated: May 21, 2026

Assessment of Sarcoplasmic Reticulum Calcium Reserve and Intracellular Diastolic Calcium Removal in Isolated Ventricular Cardiomyocytes
Published on: September 18, 2017
Carbonylation induces heterogeneity in cardiac ryanodine receptor function in diabetes mellitus
Chun Hong Shao1, Chengju Tian, Shouqiang Ouyang
1Department of Pharmacology and Experimental Neuroscience, University of Nebraska Medical Center, Omaha, Nebraska 68198-5800, USA.
Abstract:
Heart failure and arrhythmias occur at 3 to 5 times higher rates among individuals with diabetes mellitus, compared with age-matched, healthy individuals. Studies attribute these defects in part to alterations in the function of cardiac type 2 ryanodine receptors (RyR2s), the principal Ca(2+)-release channels on the internal sarcoplasmic reticulum (SR). To date, mechanisms underlying RyR2 dysregulation in diabetes remain poorly defined. A rat model of type 1 diabetes, in combination with echocardiography, in vivo and ex vivo hemodynamic studies, confocal microscopy, Western blotting, mass spectrometry, site-directed mutagenesis, and [(3)H]ryanodine binding, lipid bilayer, and transfection assays, was used to determine whether post-translational modification by reactive carbonyl species (RCS) represented a contributing cause. After 8 weeks of diabetes, spontaneous Ca(2+) release in ventricular myocytes increased ~5-fold. Evoked Ca(2+) release from the SR was nonuniform (dyssynchronous). Total RyR2 protein levels remained unchanged, but the ability to bind the Ca(2+)-dependent ligand [(3)H]ryanodine was significantly reduced. Western blotting and mass spectrometry revealed RCS adducts on select basic residues. Mutation of residues to delineate the physiochemical impact of carbonylation yielded channels with enhanced or reduced cytoplasmic Ca(2+) responsiveness. The prototype RCS methylglyoxal increased and then decreased the RyR2 open probability. Methylglyoxal also increased spontaneous Ca(2+) release and induced Ca(2+) waves in healthy myocytes. Treatment of diabetic rats with RCS scavengers normalized spontaneous and evoked Ca(2+) release from the SR, reduced carbonylation of RyR2s, and increased binding of [(3)H]ryanodine to RyR2s. From these data, we conclude that post-translational modification by RCS contributes to the heterogeneity in RyR2 activity that is seen in experimental diabetes.
Insights
Diabetes increases heart failure risk by altering cardiac ryanodine receptors (RyR2s). Reactive carbonyl species (RCS) modify RyR2s, causing abnormal calcium release and contributing to heart dysfunction in diabetes.
Area of Science:
- Cardiovascular Biology
- Diabetology
- Molecular Cardiology
Background:
- Diabetes mellitus significantly elevates risks for heart failure and arrhythmias.
- Cardiac type 2 ryanodine receptors (RyR2s), crucial for sarcoplasmic reticulum calcium release, are implicated in these diabetic cardiac complications.
- Mechanisms behind RyR2 dysfunction in diabetes are not fully understood.
Purpose of the Study:
- To investigate the role of post-translational modification by reactive carbonyl species (RCS) in RyR2 dysregulation in a rat model of type 1 diabetes.
- To elucidate the impact of RCS modification on RyR2 function and calcium handling in the diabetic heart.
Main Methods:
- Utilized a type 1 diabetes rat model, echocardiography, hemodynamic studies, confocal microscopy, Western blotting, mass spectrometry, site-directed mutagenesis, and radioligand binding assays.
- Assessed spontaneous and evoked calcium release in ventricular myocytes.
- Analyzed RyR2 protein levels, RCS adducts, and [(3)H]ryanodine binding.
Main Results:
- Diabetic rats exhibited a ~5-fold increase in spontaneous Ca(2+) release and dyssynchronous evoked Ca(2+) release.
- RyR2 protein levels were unchanged, but [(3)H]ryanodine binding was reduced, indicating functional alterations.
- Mass spectrometry identified RCS adducts on RyR2, and mutations confirmed the impact of carbonylation on channel function.
- Methylglyoxal exposure mimicked and exacerbated RyR2 dysfunction, including spontaneous Ca(2+) release and Ca(2+) waves.
- RCS scavenger treatment in diabetic rats normalized Ca(2+) release, reduced RyR2 carbonylation, and restored [(3)H]ryanodine binding.
Conclusions:
- Post-translational modification of RyR2 by reactive carbonyl species (RCS) is a significant contributor to RyR2 dysfunction in experimental diabetes.
- RCS-mediated modifications lead to aberrant calcium handling, promoting cardiac arrhythmias and heart failure in diabetic conditions.
- Targeting RCS modification of RyR2 may offer a therapeutic strategy for diabetic cardiomyopathy.
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