Key result
RyR stabilizer S107 cuts pacing-induced chaotic Ca2+ events ~80% in mouse hearts via Calstabin2.
Why the study?
Little progress has been made in imaging global Ca2+ events in intact mammalian hearts, and highly sensitive macroscopic imaging tools are required to investigate whole-heart arrhythmogenesis.
Absolute Event Rate: 20% vs 100%
Using a novel high-fidelity calcium indicator in intact mouse hearts, this study demonstrates that stabilizing the RyR complex prevents chaotic calcium dynamics and ventricular arrhythmias.
Does not yet inform clinical arrhythmia management; extends cardiomyocyte Ca2+ imaging to intact hearts and leaves open arrhythmogenesis mechanisms.
Optical imaging of intracellular calcium ions (Ca 2+ ) using Ca 2+ -sensitive dyes or genetically encoded Ca 2+ indicators (GECIs) offers high spatial and temporal resolution, and has revealed several critical mechanisms of Ca 2+ signaling in cardiomyocytes. However, little progress has been made in the imaging of global Ca 2+ events in intact mammalian hearts. To investigate the precise mechanisms of whole-heart arrhythmogenesis, highly sensitive macroscopic imaging tools are strictly required. Here, we utilized transgenic mice with cardiac-specific expression of GCaMPJ, an optimized high-fidelity Ca 2+ indicator without cardiotoxicity. This enhanced sensitivity enabled the macroscopic visualization of complex spiral and ripple Ca 2+ waves in intact hearts. Importantly, by deploying this advanced imaging platform in combination with genetic knockout and targeted protein degradation, we established the critical biological role of Calstabin in modulating Ca 2+ cycling in the intact heart. We further demonstrated that the pharmacological stabilization of the ryanodine receptor (RyR) complex prevents profound spatial discordance and ventricular arrhythmias involving chaotic Ca 2+ events.
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Liu et al. (2026) studied Ventricular arrhythmias. S107 vs. Vehicle was evaluated on Incidence of pacing-induced chaotic Ca2+ events. Pharmacological stabilization of the ryanodine receptor complex with S107 prevented pacing-induced chaotic Ca2+ events in intact mouse hearts, an effect that was completely abolished in Calstabin2-null mice.
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