Modest Reductions of Cardiac Calsequestrin Increase Sarcoplasmic Reticulum Ca2+ Leak Independent of Luminal Ca2+ and Trigger Ventricular Arrhythmias in …

N Chopra, PJ Kannankeril, T Yang, T Hlaing… - Circulation …, 2007 - Am Heart Assoc
N Chopra, PJ Kannankeril, T Yang, T Hlaing, I Holinstat, K Ettensohn, K Pfeifer, B Akin…
Circulation research, 2007Am Heart Assoc
Cardiac calsequestrin–null mice (Casq2−/−) display catecholaminergic ventricular
tachycardia akin to humans with CASQ2 mutations. However, the specific contribution of
Casq2 deficiency to the arrhythmia phenotype is difficult to assess because Casq2−/− mice
also show significant reductions in the sarcoplasmic reticulum (SR) proteins junctin and
triadin-1 and increased SR volume. Furthermore, it remains unknown whether Casq2
regulates SR Ca2+ release directly or indirectly by buffering SR luminal Ca2+. To address …
Cardiac calsequestrin–null mice (Casq2−/−) display catecholaminergic ventricular tachycardia akin to humans with CASQ2 mutations. However, the specific contribution of Casq2 deficiency to the arrhythmia phenotype is difficult to assess because Casq2−/− mice also show significant reductions in the sarcoplasmic reticulum (SR) proteins junctin and triadin-1 and increased SR volume. Furthermore, it remains unknown whether Casq2 regulates SR Ca2+ release directly or indirectly by buffering SR luminal Ca2+. To address both questions, we examined heterozygous (Casq2+/−) mice, which have a 25% reduction in Casq2 but no significant decrease in other SR proteins. Casq2+/− mice (n=35) challenged with isoproterenol displayed 3-fold higher rates of ventricular ectopy than Casq2+/+ mice (n=31; P<0.05). Programmed stimulation induced significantly more ventricular tachycardia in Casq2+/− mice than in Casq2+/+ mice. Field-stimulated Ca2+ transients, cell shortening, L-type Ca2+ current, and SR volume were not significantly different in Casq2+/− and Casq2+/+ myocytes. However, in the presence of isoproterenol, SR Ca2+ leak was significantly increased in Casq2+/− myocytes (Casq2+/− 0.18±0.02 Fratio versus Casq2+/+ 0.11±0.01 Fratio, n=57, 60; P<0.01), resulting in a significantly higher rate of spontaneous SR Ca2+ releases and triggered beats. SR luminal Ca2+ measured using Mag-Fura-2 was not altered by Casq2 reduction. As a result, the relationship between SR Ca2+ leak and SR luminal Ca2+ was significantly different between Casq2+/− and Casq2+/+ myocytes (P<0.01). Thus, even modest reductions in Casq2 increase SR Ca2+ leak and cause ventricular tachycardia susceptibility under stress. The underlying mechanism is likely the direct regulation of SR Ca2+ release channels by Casq2 rather than altered luminal Ca2+.
Am Heart Assoc