Ablation of triadin causes loss of cardiac Ca2+ release units, impaired excitation–contraction coupling, and cardiac arrhythmias

N Chopra, T Yang, P Asghari… - Proceedings of the …, 2009 - National Acad Sciences
N Chopra, T Yang, P Asghari, ED Moore, S Huke, B Akin, RA Cattolica, CF Perez, T Hlaing…
Proceedings of the National Academy of Sciences, 2009National Acad Sciences
Heart muscle excitation–contraction (EC) coupling is governed by Ca2+ release units
(CRUs) whereby Ca2+ influx via L-type Ca2+ channels (Cav1. 2) triggers Ca2+ release from
juxtaposed Ca2+ release channels (RyR2) located in junctional sarcoplasmic reticulum
(jSR). Although studies suggest that the jSR protein triadin anchors cardiac calsequestrin
(Casq2) to RyR2, its contribution to EC coupling remains unclear. Here, we identify the role
of triadin using mice with ablation of the Trdn gene (Trdn−/−). The structure and protein …
Heart muscle excitation–contraction (E-C) coupling is governed by Ca2+ release units (CRUs) whereby Ca2+ influx via L-type Ca2+ channels (Cav1.2) triggers Ca2+ release from juxtaposed Ca2+ release channels (RyR2) located in junctional sarcoplasmic reticulum (jSR). Although studies suggest that the jSR protein triadin anchors cardiac calsequestrin (Casq2) to RyR2, its contribution to E-C coupling remains unclear. Here, we identify the role of triadin using mice with ablation of the Trdn gene (Trdn−/−). The structure and protein composition of the cardiac CRU is significantly altered in Trdn−/− hearts. jSR proteins (RyR2, Casq2, junctin, and junctophilin 1 and 2) are significantly reduced in Trdn−/− hearts, whereas Cav1.2 and SERCA2a remain unchanged. Electron microscopy shows fragmentation and an overall 50% reduction in the contacts between jSR and T-tubules. Immunolabeling experiments show reduced colocalization of Cav1.2 with RyR2 and substantial Casq2 labeling outside of the jSR in Trdn−/− myocytes. CRU function is impaired in Trdn−/− myocytes, with reduced SR Ca2+ release and impaired negative feedback of SR Ca2+ release on Cav1.2 Ca2+ currents (ICa). Uninhibited Ca2+ influx via ICa likely contributes to Ca2+ overload and results in spontaneous SR Ca2+ releases upon β-adrenergic receptor stimulation with isoproterenol in Trdn−/− myocytes, and ventricular arrhythmias in Trdn−/− mice. We conclude that triadin is critically important for maintaining the structural and functional integrity of the cardiac CRU; triadin loss and the resulting alterations in CRU structure and protein composition impairs E-C coupling and renders hearts susceptible to ventricular arrhythmias.
National Acad Sciences