Remodeling of ryanodine receptor complex causes “leaky” channels: a molecular mechanism for decreased exercise capacity

AM Bellinger, S Reiken, M Dura… - Proceedings of the …, 2008 - National Acad Sciences
AM Bellinger, S Reiken, M Dura, PW Murphy, SX Deng, DW Landry, D Nieman, SE Lehnart
Proceedings of the National Academy of Sciences, 2008National Acad Sciences
During exercise, defects in calcium (Ca2+) release have been proposed to impair muscle
function. Here, we show that during exercise in mice and humans, the major Ca2+ release
channel required for excitation–contraction coupling (ECC) in skeletal muscle, the ryanodine
receptor (RyR1), is progressively PKA-hyperphosphorylated, S-nitrosylated, and depleted of
the phosphodiesterase PDE4D3 and the RyR1 stabilizing subunit calstabin1 (FKBP12),
resulting in “leaky” channels that cause decreased exercise tolerance in mice. Mice with …
During exercise, defects in calcium (Ca2+) release have been proposed to impair muscle function. Here, we show that during exercise in mice and humans, the major Ca2+ release channel required for excitation–contraction coupling (ECC) in skeletal muscle, the ryanodine receptor (RyR1), is progressively PKA-hyperphosphorylated, S-nitrosylated, and depleted of the phosphodiesterase PDE4D3 and the RyR1 stabilizing subunit calstabin1 (FKBP12), resulting in “leaky” channels that cause decreased exercise tolerance in mice. Mice with skeletal muscle-specific calstabin1 deletion or PDE4D deficiency exhibited significantly impaired exercise capacity. A small molecule (S107) that prevents depletion of calstabin1 from the RyR1 complex improved force generation and exercise capacity, reduced Ca2+-dependent neutral protease calpain activity and plasma creatine kinase levels. Taken together, these data suggest a possible mechanism by which Ca2+ leak via calstabin1-depleted RyR1 channels leads to defective Ca2+ signaling, muscle damage, and impaired exercise capacity.
National Acad Sciences