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Updated: Mar 20, 2026

Isolation of Human Atrial Myocytes for Simultaneous Measurements of Ca2+ Transients and Membrane Currents
Published on: July 3, 2013
Inhibition of Rac1 reduces store overload-induced calcium release and protects against ventricular arrhythmia
Lili Zhang1,2, Xiangru Lu2, Le Gui2,3
1Institute of Pathology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Abstract:
Rac1 is a small GTPase and plays key roles in multiple cellular processes including the production of reactive oxygen species (ROS). However, whether Rac1 activation during myocardial ischaemia and reperfusion (I/R) contributes to arrhythmogenesis is not fully understood. We aimed to study the effects of Rac1 inhibition on store overload-induced Ca(2+) release (SOICR) and ventricular arrhythmia during myocardial I/R. Adult Rac1(f/f) and cardiac-specific Rac1 knockdown (Rac1(ckd) ) mice were subjected to myocardial I/R and their electrocardiograms (ECGs) were monitored for ventricular arrhythmia. Myocardial Rac1 activity was increased and ventricular arrhythmia was induced during I/R in Rac1(f/f) mice. Remarkably, I/R-induced ventricular arrhythmia was significantly decreased in Rac1(ckd) compared to Rac1(f/f) mice. Furthermore, treatment with Rac1 inhibitor NSC23766 decreased I/R-induced ventricular arrhythmia. Ca(2+) imaging analysis showed that in response to a 6 mM external Ca(2+) concentration challenge, SOICR was induced with characteristic spontaneous intracellular Ca(2+) waves in Rac1(f/f) cardiomyocytes. Notably, SOICR was diminished by pharmacological and genetic inhibition of Rac1 in adult cardiomyocytes. Moreover, I/R-induced ROS production and ryanodine receptor 2 (RyR2) oxidation were significantly inhibited in the myocardium of Rac1(ckd) mice. We conclude that Rac1 activation induces ventricular arrhythmia during myocardial I/R. Inhibition of Rac1 suppresses SOICR and protects against ventricular arrhythmia. Blockade of Rac1 activation may represent a new paradigm for the treatment of cardiac arrhythmia in ischaemic heart disease.
Insights
Rac1 activation contributes to cardiac arrhythmia during myocardial ischemia and reperfusion (I/R). Inhibiting Rac1 reduces arrhythmia and protects the heart by suppressing store overload-induced Ca2+ release (SOICR).
Area of Science:
- Cardiovascular Biology
- Molecular Cardiology
- Cellular Signaling
Background:
- Rac1, a small GTPase, is involved in cellular processes like reactive oxygen species (ROS) production.
- The role of Rac1 activation in myocardial ischemia and reperfusion (I/R)-induced cardiac arrhythmia remains unclear.
Purpose of the Study:
- To investigate the impact of Rac1 inhibition on store overload-induced Ca2+ release (SOICR) and ventricular arrhythmia during myocardial I/R.
- To explore Rac1's contribution to arrhythmogenesis in the context of I/R injury.
Main Methods:
- Utilized adult Rac1(f/f) and cardiac-specific Rac1 knockdown (Rac1(ckd)) mice subjected to myocardial I/R.
- Monitored ventricular arrhythmia via electrocardiograms (ECGs) and performed Ca2+ imaging in cardiomyocytes.
- Assessed Rac1 activity, ROS production, and ryanodine receptor 2 (RyR2) oxidation.
Main Results:
- Myocardial Rac1 activity and ventricular arrhythmia increased during I/R in wild-type mice.
- Rac1 inhibition (genetic or pharmacological with NSC23766) significantly reduced I/R-induced ventricular arrhythmia.
- Rac1 inhibition diminished SOICR in cardiomyocytes and decreased I/R-induced ROS production and RyR2 oxidation.
Conclusions:
- Rac1 activation promotes ventricular arrhythmia during myocardial I/R.
- Inhibition of Rac1 suppresses SOICR and offers protection against ventricular arrhythmia.
- Blocking Rac1 activation presents a potential therapeutic strategy for cardiac arrhythmias in ischemic heart disease.
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