Key result
Wild-type calmodulin shows higher Ca2+ affinity and cooperativity than isolated lobes during channel inactivation.
Why the study?
A detailed kinetic model of calmodulin-mediated Ca2+-dependent inactivation in L-type calcium channels was lacking due to experimental challenges in uncoupling channel gating from Ca2+ entry.
This study provides a quantitative 16-state bilobal mathematical model of calmodulin-mediated Ca2+-dependent inactivation in cardiac CaV1.2 channels, demonstrating that positive cooperativity between the N- and C-lobes of calmodulin is essential for normal channel inactivation and explaining how single-lobe calmodulinopathy mutations (such as D130G) severely impair CDI to cause long-QT syndrome.
Stronger wild-type affinity via cooperativity supports bilobal CDI models; leaves open translation to calmodulinopathy therapies.
L-type calcium channels (LTCCs) are critical elements of normal cardiac function, playing a major role in orchestrating cardiac electrical activity and initiating downstream signaling processes. LTCCs thus use feedback mechanisms to precisely control calcium (Ca2+) entry into cells. Of these, Ca2+-dependent inactivation (CDI) is significant because it shapes cardiac action potential duration and is essential for normal cardiac rhythm. This important form of regulation is mediated by a resident Ca2+ sensor, calmodulin (CaM), which is comprised of two lobes that are each capable of responding to spatially distinct Ca2+ sources. Disruption of CaM-mediated CDI leads to severe forms of long-QT syndrome (LQTS) and life-threatening arrhythmias. Thus, a model capable of capturing the nuances of CaM-mediated CDI would facilitate increased understanding of cardiac (patho)physiology. However, one critical barrier to achieving a detailed kinetic model of CDI has been the lack of quantitative data characterizing CDI as a function of Ca2+. This data deficit stems from the experimental challenge of uncoupling the effect of channel gating on Ca2+ entry. To overcome this obstacle, we use photo-uncaging of Ca2+ to deliver a measurable Ca2+ input to CaM/LTCCs, while simultaneously recording CDI. Moreover, we use engineered CaMs with Ca2+ binding restricted to a single lobe, to isolate the kinetic response of each lobe. These high-resolution measurements enable us to build mathematical models for each lobe of CaM, which we use as building blocks for a full-scale bilobal model of CDI. Finally, we use this model to probe the pathogenesis of LQTS associated with mutations in CaM (calmodulinopathies). Each of these models accurately recapitulates the kinetics and steady-state properties of CDI in both physiological and pathological states, thus offering powerful new insights into the mechanistic alterations underlying cardiac arrhythmias.
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Limpitikul et al. (2018) studied Long-QT syndrome (calmodulinopathies) and L-type calcium channel (CaV1.2) regulation (n=44). UV flash photo-uncaging of intracellular Ca2+ and coexpression of mutant calmodulin (CaM12, CaM34, CaM1234, and LQTS-associated CaMD130G) vs. Preflash baseline conditions and wild-type calmodulin (CaMWT) was evaluated on Steady-state Ca2+-dependent inactivation (CDI) and dissociation constant (Kd) as a function of intracellular [Ca2+] (p=<0.0001).
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