Related Experiment Video
Updated: May 8, 2026

Assessment of Sarcoplasmic Reticulum Calcium Reserve and Intracellular Diastolic Calcium Removal in Isolated Ventricular Cardiomyocytes
Published on: September 18, 2017
Mechanisms of altered Ca²⁺ handling in heart failure
1Division of Cardiovascular Medicine, Department of Internal Medicine, Cardiovascular Research Center, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
Insights
Defective intracellular calcium (Ca²⁺) handling causes heart failure dysfunction. Understanding these molecular mechanisms may lead to new heart failure therapies.
Area of Science:
- Cardiovascular Physiology
- Molecular Cardiology
- Heart Failure Pathophysiology
Background:
- Calcium (Ca²⁺) is vital for linking myocardial electrical activity to contraction.
- Heart failure is characterized by mechanical dysfunction and arrhythmias, often stemming from impaired intracellular Ca²⁺ homeostasis.
- Pathological changes in Ca²⁺-handling proteins contribute to heart failure.
Purpose of the Study:
- To review the molecular mechanisms underlying defective Ca²⁺ cycling in heart failure.
- To explore how this knowledge can inform novel therapeutic strategies for heart failure.
Main Methods:
- Literature review of molecular mechanisms in heart failure.
- Analysis of Ca²⁺ homeostasis and protein alterations.
- Exploration of potential therapeutic translations.
Main Results:
- Defective intracellular Ca²⁺ homeostasis is a key driver of contractile dysfunction and arrhythmias in heart failure.
- Altered expression and activity of Ca²⁺-related proteins are implicated.
- Fundamental insights into Ca²⁺ cycling pathways are emerging.
Conclusions:
- Molecular understanding of Ca²⁺ cycling defects offers potential for innovative heart failure treatments.
- Targeting Ca²⁺ pathways may address mechanical dysfunction and arrhythmias.
- Further research into Ca²⁺ homeostasis is crucial for therapeutic development.
Abstract:
Ca²⁺ plays a crucial role in connecting membrane excitability with contraction in myocardium. The hallmark features of heart failure are mechanical dysfunction and arrhythmias; defective intracellular Ca²⁺ homeostasis is a central cause of contractile dysfunction and arrhythmias in failing myocardium. Defective Ca²⁺ homeostasis in heart failure can result from pathological alteration in the expression and activity of an increasingly understood collection of Ca²⁺ homeostatic and structural proteins, ion channels, and enzymes. This review focuses on the molecular mechanisms of defective Ca²⁺ cycling in heart failure and considers how fundamental understanding of these pathways may translate into novel and innovative therapies.
Related Concept Videos
Pathophysiology of Heart Failure
Heart Failure II: Pathophysiology
Heart Failure I: Introduction
Imbalances in Cardiac Output
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send blood...
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
