Key result
This review summarizes the structural and functional changes in human ryanodine receptors (RyR1 and RyR2) caused by mutations, and their association with cardiac arrhythmias and myopathies.
Why the study?
Cardiac arrhythmias and other syndromes are associated with dysregulation of Ca2+ influx arising from RyR2 and RyR1 dysfunction caused by mutations in channel hot spots.
This review provides a comprehensive overview of the structural and functional consequences of RyR1 and RyR2 mutations, highlighting their critical role in the pathogenesis of life-threatening cardiac arrhythmias and myopathies.
Answers are grounded in this paper and cite their sources.
RyR mutations merit consideration in unexplained arrhythmias or myopathies; leaves open mutation-specific therapies pending prospective validation.
Cardiac arrhythmias are serious, life-threatening diseases associated with the dysregulation of Ca2+ influx into the cytoplasm of cardiomyocytes. This dysregulation often arises from dysfunction of ryanodine receptor 2 (RyR2), the principal Ca2+ release channel. Dysfunction of RyR1, the skeletal muscle isoform, also results in less severe, but also potentially life-threatening syndromes. The RYR2 and RYR1 genes have been found to harbor three main mutation “hot spots”, where mutations change the channel structure, its interdomain interface properties, its interactions with its binding partners, or its dynamics. In all cases, the result is a defective release of Ca2+ ions from the sarcoplasmic reticulum into the myocyte cytoplasm. Here, we provide an overview of the most frequent diseases resulting from mutations to RyR1 and RyR2, briefly review some of the recent experimental structural work on these two molecules, detail some of the computational work describing their dynamics, and summarize the known changes to the structure and function of these receptors with particular emphasis on their N-terminal, central, and channel domains.
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Bauerová‐Hlinková et al. (2020) conducted a review in Cardiac arrhythmias and myopathies associated with RyR1 and RyR2 mutations. This review summarizes the structural and functional changes in human ryanodine receptors (RyR1 and RyR2) caused by mutations, and their association with cardiac arrhythmias and myopathies.
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