Genetic inhibition of PKA phosphorylation of RyR2 prevents dystrophic cardiomyopathy

Proc Natl Acad Sci U S A. 2010 Jul 20;107(29):13165-70. doi: 10.1073/pnas.1004509107. Epub 2010 Jul 6.

Abstract

Aberrant intracellular Ca(2+) regulation is believed to contribute to the development of cardiomyopathy in Duchenne muscular dystrophy. Here, we tested whether inhibition of protein kinase A (PKA) phosphorylation of ryanodine receptor type 2 (RyR2) prevents dystrophic cardiomyopathy by reducing SR Ca(2+) leak in the mdx mouse model of Duchenne muscular dystrophy. mdx mice were crossed with RyR2-S2808A mice, in which PKA phosphorylation site S2808 on RyR2 is inactivated by alanine substitution. Compared with mdx mice that developed age-dependent heart failure, mdx-S2808A mice exhibited improved fractional shortening and reduced cardiac dilation. Whereas application of isoproterenol severely depressed cardiac contractility and caused 95% mortality in mdx mice, contractility was preserved with only 19% mortality in mdx-S2808A mice. SR Ca(2+) leak was greater in ventricular myocytes from mdx than mdx-S2808A mice. Myocytes from mdx mice had a higher incidence of isoproterenol-induced diastolic Ca(2+) release events than myocytes from mdx-S2808A mice. Thus, inhibition of PKA phosphorylation of RyR2 reduced SR Ca(2+) leak and attenuated cardiomyopathy in mdx mice, suggesting that enhanced PKA phosphorylation of RyR2 at S2808 contributes to abnormal Ca(2+) homeostasis associated with dystrophic cardiomyopathy.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aging / pathology
  • Animals
  • Calcium / metabolism
  • Cardiomyopathies / complications
  • Cardiomyopathies / enzymology
  • Cardiomyopathies / pathology
  • Cardiomyopathies / prevention & control*
  • Cyclic AMP-Dependent Protein Kinases / antagonists & inhibitors*
  • Cyclic AMP-Dependent Protein Kinases / metabolism
  • Death, Sudden / prevention & control
  • Fibrosis
  • Heart Failure / complications
  • Heart Failure / pathology
  • Heart Failure / prevention & control
  • Intracellular Space / metabolism
  • Isoproterenol
  • Mice
  • Mice, Inbred mdx
  • Mutation / genetics
  • Myocardium / metabolism
  • Myocardium / pathology
  • Myocytes, Cardiac / metabolism
  • Myocytes, Cardiac / pathology
  • Phosphorylation
  • Phosphoserine / metabolism
  • Ryanodine Receptor Calcium Release Channel / metabolism*
  • Sarcolemma / metabolism
  • Sarcolemma / pathology

Substances

  • Ryanodine Receptor Calcium Release Channel
  • Phosphoserine
  • Cyclic AMP-Dependent Protein Kinases
  • Isoproterenol
  • Calcium