循環するBリンパ球におけるライアノジン受容体カルシウム漏れが心不全のバイオマーカーとして
Alexander Kushnir1,2, Gaetano Santulli1, Steven R Reiken1
1Department of Physiology and Cellular Biophysics, Clyde and Helen Wu Center for Molecular Cardiology, Columbia University College of Physicians and Surgeons, New York (A.K., G.S., S.R.R., A.R.M.).
Circulation
|March 30, 2018
まとめ
閉塞性心不全 (CHF) は,Bリンパ球内のRyR1チャネルが漏れ,細胞内Ca2+の漏れを示唆する. このBリンパ球の漏れを測定することで,CHF治療の効果をモニタリングするための新しいバイオマーカーが提供されます.
科学分野:
- 心臓病科
- 生物化学
- 細胞生物学
背景:
- 閉塞性心不全 (CHF) の管理には,病気のモニタリングのためのバイオマーカーが必要です.
- 心臓発作におけるカテキオラミンの増加は心臓のライアノジン受容体を改造し,Ca2+の漏れと収縮性の低下を引き起こします.
- このCa2+漏れは RyR1経由で骨格筋にも影響を及ぼし,弱さに寄与する.
研究 の 目的:
- 細胞内Ca2+処理欠陥の代替体としてBリンパ球を調査する.
- CHF患者および動物モデルにおけるRyR1チャネル機能とCa2+漏れを評価する.
- Bリンパ球のCa2+漏れが,CHF治療のバイオマーカーとしての可能性を調査する.
主な方法:
- ヒトのCHF患者,左心房アシスト装置を持つCHF患者,および対照群の血液を採取した.
- S107で治療された不血性CHFのマウスと野生型の対照から採取した血液.
- Bリンパ球におけるRyR1マクロ分子複合体とRyR1媒介のCa2+漏れを,免疫ステーリングとフローサイトメトリを用いて評価した.
主要な成果:
- ヒトとマウスのCHFBリンパ球は,RyR1が改造され,エンドプラズマ網膜のCa2+貯蔵量が減少し,慢性的なCa2+漏れを示した.
- このCa2+の漏れは,循環中のカテキオラミンのレベルと相関しています.
- マウスでは,S107による治療によりCa2+の漏れが著しく減少したが,ヒトのLVADに対する反応は異質であった.
結論:
- CHFのBリンパ球は改造され,RyR1チャネルが漏れ,Ca2+貯蔵量が減少し,慢性的な細胞内Ca2+漏れを反映しています.
- RyR1媒介によるBリンパ球のCa2+漏洩のフロー細胞測定は,細胞内Ca2+処理と交感負荷の代替として機能する.
- これは,薬理学的および機械的なCHF治療に対する応答をモニタリングするための新しいバイオマーカーを提供します.
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