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Updated: Jan 24, 2026

Monitoring Endoplasmic Reticulum Calcium Homeostasis Using a Gaussia Luciferase SERCaMP
Published on: September 6, 2015
Altered Intracellular Calcium Homeostasis and Arrhythmogenesis in the Aged Heart
Shanna Hamilton1,2, Dmitry Terentyev3,4
1Dorothy M. Davis Heart and Lung Research Institute, College of Medicine, The Ohio State University, Columbus, OH 43210, USA. shanna.hamilton@osumc.edu.
Insights
Aging hearts show reduced function and increased arrhythmia risk due to altered calcium handling. This review explores how changes in ryanodine receptors (RyR2) and SERCa2a contribute to cardiac dysfunction in older adults.
Area of Science:
- Cardiology
- Gerontology
- Molecular Biology
Background:
- Cardiac aging is characterized by impaired sympathetic response, reduced contractility, and higher arrhythmia risk.
- Age-related comorbidities like hypertension and atherosclerosis exacerbate cardiac dysfunction, leading to conditions such as atrial fibrillation and heart failure.
- Cellular mechanisms, including mitochondrial dysfunction, impaired excitation-contraction coupling, and disrupted calcium homeostasis, underpin age-related cardiac electrical and contractile abnormalities.
Purpose of the Study:
- To review the role of intracellular calcium cycling in cardiac arrhythmogenesis during aging.
- To examine how age-associated alterations in calcium-handling proteins, specifically ryanodine receptors (RyR2) and SERCa2a, contribute to cardiac dysfunction.
- To highlight the impact of post-translational modifications on RyR2 and SERCa2a activity in the aged heart.
Main Methods:
- Literature review focusing on cellular and molecular mechanisms of cardiac aging.
- Analysis of studies investigating calcium cycling proteins (RyR2, SERCa2a) in the context of aging and arrhythmias.
- Synthesis of information on post-translational modifications and their effects on calcium handling proteins.
Main Results:
- Aging disrupts the delicate balance of intracellular calcium (Ca2+) release and sequestration, primarily involving ryanodine receptors (RyR2) and SERCa2a.
- Aberrant Ca2+ cycling, influenced by changes in protein expression, accessory proteins, and post-translational modifications, is a key contributor to arrhythmogenesis in the aging heart.
- Dysregulation of RyR2 and SERCa2a function directly impacts cardiac contractility and electrical stability.
Conclusions:
- Altered intracellular calcium cycling via RyR2 and SERCa2a is a critical factor in the development of arrhythmias in the aged heart.
- Understanding these age-dependent changes in calcium handling is essential for developing targeted therapies to prevent sudden cardiac death in the elderly.
- Further research into the post-translational regulation of RyR2 and SERCa2a may reveal novel therapeutic strategies for age-related cardiac dysfunction.
Abstract:
Aging of the heart is associated with a blunted response to sympathetic stimulation, reduced contractility, and increased propensity for arrhythmias, with the risk of sudden cardiac death significantly increased in the elderly population. The altered cardiac structural and functional phenotype, as well as age-associated prevalent comorbidities including hypertension and atherosclerosis, predispose the heart to atrial fibrillation, heart failure, and ventricular tachyarrhythmias. At the cellular level, perturbations in mitochondrial function, excitation-contraction coupling, and calcium homeostasis contribute to this electrical and contractile dysfunction. Major determinants of cardiac contractility are the intracellular release of Ca2+ from the sarcoplasmic reticulum by the ryanodine receptors (RyR2), and the following sequestration of Ca2+ by the sarco/endoplasmic Ca2+-ATPase (SERCa2a). Activity of RyR2 and SERCa2a in myocytes is not only dependent on expression levels and interacting accessory proteins, but on fine-tuned regulation via post-translational modifications. In this paper, we review how aberrant changes in intracellular Ca2+ cycling via these proteins contributes to arrhythmogenesis in the aged heart.
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