Key result
Right ventricular failure disrupts nanoscale RyR2 clustering and dysregulates calcium spark generation.
p-value: p=0.014
This study maps spontaneous calcium sparks to individual RyR2 channels, revealing that nanoscale structural fragmentation of RyR2 clusters in heart failure leads to highly heterogeneous and uncoupled calcium release.
May implicate RyR2 fragmentation in RV calcium dysregulation; hypothesis-generating for cluster-targeted therapies in human HF.
Rapid release of calcium from internal stores via ryanodine receptors (RyRs) is one of the fastest types of cytoplasmic second messenger signalling in excitable cells. In the heart, rapid summation of the elementary events of calcium release, 'calcium sparks', determine the contraction of the myocardium. We adapted a correlative super-resolution microscopy protocol to correlate sub-plasmalemmal spontaneous calcium sparks in rat right ventricular myocytes with the local nanoscale RyR2 positions. This revealed a steep relationship between the integral of a calcium spark and the sum of the local RyR2s. Segmentation of recurring spark sites showed evidence of repeated and triggered saltatory activation of multiple local RyR2 clusters. In myocytes taken from failing right ventricles, RyR2 clusters themselves showed a dissipated morphology and fragmented (smaller) clusters. They also featured greater heterogeneity in both the spark properties and the relationship between the integral of the calcium spark and the local ensemble of RyR2s. While fragmented (smaller) RyR2 clusters were rarely observed directly underlying the larger sparks or the recurring spark sites, local interrogation of the channel-to-channel distances confirmed a clear link between the positions of each calcium spark and the tight, non-random clustering of the local RyR2 in both healthy and failing ventricles.
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Hurley et al. (2023) studied Right ventricular failure (n=12). Monocrotaline-induced right ventricular failure vs. Age and sex-matched healthy controls (saline) was evaluated on Heterogeneity in the ratio between recorded spark mass and locally counted RyR2 (p=0.014). Failing right ventricular myocytes exhibited fragmented RyR2 clusters and greater heterogeneity in the ratio of calcium spark mass to local RyR2 count compared to healthy controls.
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