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2014 ; 114
(8
): 1320-7; discussion 1327
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Role of RyR2 phosphorylation in heart failure and arrhythmias: protein kinase
A-mediated hyperphosphorylation of the ryanodine receptor at serine 2808 does not
alter cardiac contractility or cause heart failure and arrhythmias
#MMPMID24723657
Houser SR
Circ Res
2014[Apr]; 114
(8
): 1320-7; discussion 1327
PMID24723657
show ga
This Controversies in Research article discusses the hypothesis that protein
kinase A (PKA)-mediated phosphorylation of the Ryanodine Receptor (RyR) at a
single serine (RyRS2808) is essential for normal sympathetic regulation of
cardiac myocyte contractility and is responsible for the disturbed Ca(2+)
regulation that underlies depressed contractility in heart failure. Studies
supporting this hypothesis have associated hyperphosphorylation of RyRS2808 and
heart failure progression in animals and humans and have shown that a
phosphorylation defective RyR mutant mouse (RyRS2808A) does not respond normally
to sympathetic agonists and does not exhibit heart failure symptoms after
myocardial infarction. Studies to confirm and extend these ideas have failed to
support the original data. Experiments from many different laboratories have
convincingly shown that PKA-mediated RyRS2808 phosphorylation does not play any
significant role in the normal sympathetic regulation of sarcoplasmic reticulum
Ca2+ release or cardiac contractility. Hearts and myocytes from RyRS2808A mice
have been shown to respond normally to sympathetic agonists, and to increase
Ca(2+) influx, Ca(2+) transients, and Ca(2+) efflux. Although the RyR is involved
in heart failure-related Ca(2+) disturbances, this results from Ca(2+)-calmodulin
kinase II and reactive oxygen species-mediated regulation rather than by RyR2808
phosphorylation. Also, a new study has shown that RyRS2808A mice are not
protected from myocardial infarction. Collectively, there is now a clear
consensus in the published literature showing that dysregulated RyRs contribute
to the altered Ca(2+) regulatory phenotype of the failing heart, but PKA-mediated
phosphorylation of RyRS2808 has little or no role in these alterations.
|Animals
[MESH]
|Arrhythmias, Cardiac/etiology/*metabolism
[MESH]
|Calcium/metabolism
[MESH]
|Cyclic AMP-Dependent Protein Kinases/*metabolism
[MESH]