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Updated: May 16, 2026

Isolation of Human Atrial Myocytes for Simultaneous Measurements of Ca2+ Transients and Membrane Currents
Published on: July 3, 2013
Regulation of cardiac ATP-sensitive potassium channel surface expression by calcium/calmodulin-dependent protein
Ana Sierra1, Zhiyong Zhu, Nicolas Sapay
1Department of Internal Medicine, University of Iowa, Carver College of Medicine, Iowa City, Iowa 52242, USA.
Abstract:
Cardiac ATP-sensitive potassium (K(ATP)) channels are key sensors and effectors of the metabolic status of cardiomyocytes. Alteration in their expression impacts their effectiveness in maintaining cellular energy homeostasis and resistance to injury. We sought to determine how activation of calcium/calmodulin-dependent protein kinase II (CaMKII), a central regulator of calcium signaling, translates into reduced membrane expression and current capacity of cardiac K(ATP) channels. We used real-time monitoring of K(ATP) channel current density, immunohistochemistry, and biotinylation studies in isolated hearts and cardiomyocytes from wild-type and transgenic mice as well as HEK cells expressing wild-type and mutant K(ATP) channel subunits to track the dynamics of K(ATP) channel surface expression. Results showed that activation of CaMKII triggered dynamin-dependent internalization of K(ATP) channels. This process required phosphorylation of threonine at 180 and 224 and an intact (330)YSKF(333) endocytosis motif of the K(ATP) channel Kir6.2 pore-forming subunit. A molecular model of the μ2 subunit of the endocytosis adaptor protein, AP2, complexed with Kir6.2 predicted that μ2 docks by interaction with (330)YSKF(333) and Thr-180 on one and Thr-224 on the adjacent Kir6.2 subunit. Phosphorylation of Thr-180 and Thr-224 would favor interactions with the corresponding arginine- and lysine-rich loops on μ2. We concluded that calcium-dependent activation of CaMKII results in phosphorylation of Kir6.2, which promotes endocytosis of cardiac K(ATP) channel subunits. This mechanism couples the surface expression of cardiac K(ATP) channels with calcium signaling and reveals new targets to improve cardiac energy efficiency and stress resistance.
Insights
Calcium/calmodulin-dependent protein kinase II (CaMKII) activation reduces cardiac ATP-sensitive potassium (K(ATP)) channels by promoting their internalization. This phosphorylation-dependent process impacts channel function and cardiac energy homeostasis.
Area of Science:
- Cardiovascular Biology
- Cellular Physiology
- Molecular Cardiology
Background:
- Cardiac ATP-sensitive potassium (K(ATP)) channels are crucial for cardiomyocyte energy balance and injury resistance.
- Their membrane expression is vital for function, but regulation by signaling pathways remains incompletely understood.
Purpose of the Study:
- To investigate how calcium/calmodulin-dependent protein kinase II (CaMKII) activation affects cardiac K(ATP) channel surface expression and function.
- To elucidate the molecular mechanisms linking CaMKII signaling to K(ATP) channel regulation.
Main Methods:
- Real-time monitoring of K(ATP) channel current density in isolated hearts and cardiomyocytes.
- Immunohistochemistry and biotinylation studies in wild-type and transgenic mice, and HEK cells.
- Molecular modeling to predict protein-protein interactions.
Main Results:
- CaMKII activation induced dynamin-dependent internalization of K(ATP) channels.
- This process required phosphorylation of specific threonine residues (180 and 224) on the Kir6.2 subunit and an intact YSKF motif.
- Molecular modeling suggested a direct interaction between phosphorylated Kir6.2 and the AP2 endocytosis adaptor protein.
Conclusions:
- Calcium-dependent CaMKII activation phosphorylates Kir6.2, promoting cardiac K(ATP) channel endocytosis.
- This mechanism links CaMKII signaling to K(ATP) channel surface expression, impacting cardiac energy homeostasis.
- Identified phosphorylation sites and endocytosis motifs offer potential therapeutic targets for improving cardiac stress resistance.
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