Accelerated development of pressure overload–induced cardiac hypertrophy and dysfunction in an RyR2-R176Q knockin mouse model

RJ van Oort, JL Respress, N Li, C Reynolds… - …, 2010 - Am Heart Assoc
RJ van Oort, JL Respress, N Li, C Reynolds, AC De Almeida, DG Skapura, LJ De Windt
Hypertension, 2010Am Heart Assoc
In response to chronic hypertension, the heart compensates by hypertrophic growth, which
frequently progresses to heart failure. Although intracellular calcium (Ca2+) has a central
role in hypertrophic signaling pathways, the Ca2+ source for activating these pathways
remains elusive. We hypothesized that pathological sarcoplasmic reticulum Ca2+ leak
through defective cardiac intracellular Ca2+ release channels/ryanodine receptors (RyR2)
accelerates heart failure development by stimulating Ca2+-dependent hypertrophic …
In response to chronic hypertension, the heart compensates by hypertrophic growth, which frequently progresses to heart failure. Although intracellular calcium (Ca2+) has a central role in hypertrophic signaling pathways, the Ca2+ source for activating these pathways remains elusive. We hypothesized that pathological sarcoplasmic reticulum Ca2+ leak through defective cardiac intracellular Ca2+ release channels/ryanodine receptors (RyR2) accelerates heart failure development by stimulating Ca2+-dependent hypertrophic signaling. Mice heterozygous for the gain-of-function mutation R176Q/+ in RyR2 and wild-type mice were subjected to transverse aortic constriction. Cardiac function was significantly lower, and cardiac dimensions were larger at 8 weeks after transverse aortic constriction in R176Q/+ compared with wild-type mice. R176Q/+ mice displayed an enhanced hypertrophic response compared with wild-type mice as assessed by heart weight:body weight ratios and cardiomyocyte cross-sectional areas after transverse aortic constriction. Quantitative PCR revealed increased transcriptional activation of cardiac stress genes in R176Q/+ mice after transverse aortic constriction. Moreover, pressure overload resulted in an increased sarcoplasmic reticulum Ca2+ leak, associated with higher expression levels of the exon 4 splice form of regulator of calcineurin 1, and a decrease in nuclear factor of activated T-cells phosphorylation in R176Q/+ mice compared with wild-type mice. Taken together, our results suggest that RyR2-dependent sarcoplasmic reticulum Ca2+ leak activates the prohypertrophic calcineurin/nuclear factor of activated T-cells pathway under conditions of pressure overload.
Am Heart Assoc