title: Enhanced store overload-induced Ca2+ release and channel sensitivity to luminal Ca2+ activation are common defects of RyR2 mutations linked to ventricular tachycardia and sudden death.
abstract: Ventricular tachycardia (VT) is the leading cause of sudden death, and the cardiac ryanodine receptor (RyR2) is emerging as an important focus in its pathogenesis. RyR2 mutations have been linked to VT and sudden death, but their precise impacts on channel function remain largely undefined and controversial. We have previously shown that several disease-linked RyR2 mutations in the C-terminal region enhance the sensitivity of the channel to activation by luminal Ca2+. Cells expressing these RyR2 mutants display an increased propensity for spontaneous Ca2+ release under conditions of store Ca2+ overload, a process we referred to as store overload-induced Ca2+ release (SOICR). To determine whether common defects exist in disease-linked RyR2 mutations, we characterized 6 more RyR2 mutations from different regions of the channel. Stable inducible HEK293 cell lines expressing Q4201R and I4867M from the C-terminal region, S2246L and R2474S from the central region, and R176Q(T2504M) and L433P from the N-terminal region were generated. All of these cell lines display an enhanced propensity for SOICR. HL-1 cardiac cells transfected with disease-linked RyR2 mutations also exhibit increased SOICR activity. Single channel analyses reveal that disease-linked RyR2 mutations primarily increase the channel sensitivity to luminal, but not to cytosolic, Ca2+ activation. Moreover, the Ca2+ dependence of [3H]ryanodine binding to RyR2 wild type and mutants is similar. In contrast to previous reports, we found no evidence that disease-linked RyR2 mutations alter the FKBP12.6-RyR2 interaction. Our data indicate that enhanced SOICR activity and luminal Ca2+ activation represent common defects of RyR2 mutations associated with VT and sudden death. A mechanistic model for CPVT/ARVD2 is proposed.
authors.affiliation: Department of Physiology and Biophysics, University of Calgary, Alberta, Canada.
authors.forename: Dawei
authors.initials: D
authors.lastname: Jiang
authors.forename: Ruiwu
authors.initials: R
authors.lastname: Wang
authors.forename: Bailong
authors.initials: B
authors.lastname: Xiao
authors.forename: Huihui
authors.initials: H
authors.lastname: Kong
authors.forename: Donald J
authors.initials: DJ
authors.lastname: Hunt
authors.forename: Philip
authors.initials: P
authors.lastname: Choi
authors.forename: Lin
authors.initials: L
authors.lastname: Zhang
authors.forename: S R Wayne
authors.initials: SR
authors.lastname: Chen
mesh_terms: D000818:Animals; D019571:Arrhythmogenic Right Ventricular Dysplasia / Q000209:etiology / Q000235:genetics; D002118:Calcium / Q000378:metabolism*; D002155:Calsequestrin / Q000235:genetics; D002460:Cell Line; D003600:Cytosol / Q000378:metabolism; D003645:Death, Sudden / Q000209:etiology*; D006801:Humans; D051379:Mice; D009154:Mutation; D009206:Myocardium / Q000378:metabolism*; D012433:Ryanodine / Q000378:metabolism; D019837:Ryanodine Receptor Calcium Release Channel / Q000737:chemistry / Q000235:genetics* / Q000502:physiology*; D017180:Tachycardia, Ventricular / Q000209:etiology* / Q000235:genetics*; D022021:Tacrolimus Binding Proteins / Q000502:physiology
chemical_list: C443109:CASQ2 protein, human; D002155:Calsequestrin; D019837:Ryanodine Receptor Calcium Release Channel; D012433:Ryanodine; D022021:Tacrolimus Binding Proteins; C403484:tacrolimus binding protein 1B; D002118:Calcium