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Updated: May 12, 2026

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Published on: September 18, 2017
A Memory Molecule, Ca(2+)/Calmodulin-Dependent Protein Kinase II and Redox Stress; Key Factors for Arrhythmias in a
1Department of Pediatrics, Sanggye Paik Hospital, College of Medicine, Inje University, Seoul, Korea.
Insights
Calcium/calmodulin-dependent protein kinase II (CaMKII) is implicated in heart failure arrhythmias. This enzyme senses intracellular calcium and redox stress, leading to electrical instability and potential sudden cardiac death.
Area of Science:
- Cardiology
- Molecular Biology
- Biochemistry
Background:
- Arrhythmias are common in cardiac diseases like ischemic heart disease and cardiomyopathy.
- They can worsen heart failure and cause sudden cardiac death.
- Redox stress and calcium overload are key triggers for arrhythmias in failing hearts.
Purpose of the Study:
- To review the role of Ca(2+)/calmodulin-dependent protein kinase II (CaMKII) in heart failure-related arrhythmias.
- To elucidate the structural and functional properties of CaMKII.
- To summarize experimental findings on CaMKII interactions with redox stress and ion channels.
Main Methods:
- Literature review of studies on CaMKII, redox stress, and ion channels in cardiac disease.
- Analysis of CaMKII's mechanism of activation and sustained function.
- Synthesis of evidence linking CaMKII to arrhythmogenic processes.
Main Results:
- CaMKII acts as a central player in heart failure arrhythmias.
- CaMKII senses intracellular calcium and redox stress.
- Sustained CaMKII activation, via autophosphorylation or oxidation, contributes to electrical instability.
Conclusions:
- CaMKII's unique "memory" property enables sustained activation.
- CaMKII links redox stress and calcium dysregulation to ion channel dysfunction.
- CaMKII is a potential therapeutic target for preventing arrhythmias in diseased hearts.
Abstract:
Arrhythmias can develop in various cardiac diseases, such as ischemic heart disease, cardiomyopathy and congenital heart disease. It can also contribute to the aggravation of heart failure and sudden cardiac death. Redox stress and Ca(2+) overload are thought to be the important triggering factors in the generation of arrhythmias in failing myocardium. From recent studies, it appears evident that Ca(2+)/calmodulin-dependent protein kinase II (CaMKII) plays a central role in the arrhythmogenic processes in heart failure by sensing intracellular Ca(2+) and redox stress, affecting individual ion channels and thereby leading to electrical instability in the heart. CaMKII, a multifunctional serine/threonine kinase, is an abundant molecule in the neuron and the heart. It has a specific property as "a memory molecule" such that the binding of calcified calmodulin (Ca(2+)/CaM) to the regulatory domain on CaMKII initially activates this enzyme. Further, it allows autophosphorylation of T287 or oxidation of M281/282 in the regulatory domain, resulting in sustained activation of CaMKII even after the dissociation of Ca(2+)/CaM. This review provides the understanding of both the structural and functional properties of CaMKII, the experimental findings of the interactions between CaMKII, redox stress and individual ion channels, and the evidences proving the potential participation of CaMKII and oxidative stress in the diverse arrhythmogenic processes in a diseased heart.
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