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Updated: May 10, 2026

Dual-Dye Optical Mapping of Hearts from RyR2R2474S Knock-In Mice of Catecholaminergic Polymorphic Ventricular Tachycardia
Published on: December 22, 2023
Decreased RyR2 refractoriness determines myocardial synchronization of aberrant Ca2+ release in a genetic model of
Lucia Brunello1, Jessica L Slabaugh, Przemyslaw B Radwanski
1D. Davis Heart and Lung Research Institute, College of Medicine, The Ohio State University, Columbus, OH 43210, USA.
Abstract:
Dysregulated intracellular Ca(2+) signaling is implicated in a variety of cardiac arrhythmias, including catecholaminergic polymorphic ventricular tachycardia. Spontaneous diastolic Ca(2+) release (DCR) can induce arrhythmogenic plasma membrane depolarizations, although the mechanism responsible for DCR synchronization among adjacent myocytes required for ectopic activity remains unclear. We investigated the synchronization mechanism(s) of DCR underlying untimely action potentials and diastolic contractions (DCs) in a catecholaminergic polymorphic ventricular tachycardia mouse model with a mutation in cardiac calsequestrin. We used a combination of different approaches including single ryanodine receptor channel recording, optical imaging (Ca(2+) and membrane potential), and contractile force measurements in ventricular myocytes and intact cardiac muscles. We demonstrate that DCR occurs in a temporally and spatially uniform manner in both myocytes and intact myocardial tissue isolated from cardiac calsequestrin mutation mice. Such synchronized DCR events give rise to triggered electrical activity that results in synchronous DCs in the myocardium. Importantly, we establish that synchronization of DCR is a result of a combination of abbreviated ryanodine receptor channel refractoriness and the preceding synchronous stimulated Ca(2+) release/reuptake dynamics. Our study reveals how aberrant DCR events can become synchronized in the intact myocardium, leading to triggered activity and the resultant DCs in the settings of a cardiac rhythm disorder.
Insights
Synchronized calcium release in heart cells causes dangerous arrhythmias like catecholaminergic polymorphic ventricular tachycardia. This study reveals how these calcium events become synchronized, leading to triggered heart activity.
Area of Science:
- Cardiovascular Physiology
- Molecular Cardiology
- Cardiac Electrophysiology
Background:
- Dysregulated intracellular calcium (Ca2+) signaling is a key factor in cardiac arrhythmias, particularly catecholaminergic polymorphic ventricular tachycardia.
- Spontaneous diastolic calcium release (DCR) can trigger arrhythmogenic events, but the mechanisms synchronizing DCR among myocytes are not fully understood.
Purpose of the Study:
- To investigate the synchronization mechanisms of DCR that lead to untimely action potentials and diastolic contractions (DCs) in a mouse model of catecholaminergic polymorphic ventricular tachycardia.
- To elucidate how aberrant DCR events become synchronized in the intact myocardium.
Main Methods:
- Utilized single ryanodine receptor channel recording.
- Employed optical imaging for Ca2+ and membrane potential analysis.
- Performed contractile force measurements in ventricular myocytes and intact cardiac muscles.
Main Results:
- Demonstrated temporally and spatially uniform DCR in myocytes and myocardial tissue from a cardiac calsequestrin mutation mouse model.
- Showed that synchronized DCR events induce triggered electrical activity and synchronous DCs.
- Established that abbreviated ryanodine receptor channel refractoriness and preceding synchronous Ca2+ release/reuptake dynamics drive DCR synchronization.
Conclusions:
- Aberrant DCR events can synchronize within the intact myocardium.
- This synchronization leads to triggered activity and diastolic contractions in cardiac rhythm disorders.
- Understanding these mechanisms is crucial for developing treatments for catecholaminergic polymorphic ventricular tachycardia and related arrhythmias.
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