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.

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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