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Assessment of Sarcoplasmic Reticulum Calcium Reserve and Intracellular Diastolic Calcium Removal in Isolated Ventricular Cardiomyocytes
Published on: September 18, 2017
Loss of cardiomyocyte CYB5R3 impairs redox equilibrium and causes sudden cardiac death
Nolan T Carew1,2, Heidi M Schmidt1,2, Shuai Yuan1
1Heart, Lung, Blood and Vascular Medicine Institute.
Cytochrome b5 reductase 3 (CYB5R3) is vital for heart cell function. Its absence in male mice causes sudden cardiac death, linked to oxidative stress and genetic variants in Black individuals with heart failure.
Area of Science:
- Cardiology
- Molecular Biology
- Genetics
Background:
- Sudden cardiac death (SCD) in heart failure (HF) is linked to redox signaling imbalance in cardiomyocytes.
- The precise mechanisms of redox homeostasis in heart cells remain unclear.
Purpose of the Study:
- To investigate the role of cytochrome b5 reductase 3 (CYB5R3) in cardiomyocyte function and its connection to SCD.
- To identify potential genetic biomarkers for HF risk.
Main Methods:
- Generated a cardiomyocyte-specific CYB5R3-knockout mouse model (CYB5R3-KO).
- Analyzed cardiac function, electrophysiology, and molecular changes in KO mice.
- Examined the association of a CYB5R3 genetic variant (rs1800457) with event-free survival in patients with heart failure with reduced ejection fraction (HFrEF).
Main Results:
- CYB5R3 deletion in male adult cardiomyocytes caused cardiac hypertrophy, bradycardia, and SCD.
- CYB5R3-KO hearts exhibited calcium mishandling, ventricular fibrillation, reduced ATP, increased oxidative stress, and hemoprotein dysregulation.
- The CYB5R3 T117S variant correlated with ~20% decreased event-free survival in Black individuals with HFrEF.
Conclusions:
- CYB5R3 is essential for maintaining cardiomyocyte redox balance and function.
- CYB5R3 deficiency contributes to SCD through cardiac dysfunction and oxidative stress.
- The CYB5R3 T117S variant may serve as a genetic risk marker for HFrEF in individuals of African ancestry.
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