This study reveals that β-adrenergic regulation of cardiac excitation-contraction coupling relies on the stimulated insertion and recycling of CaV1.2-containing endosomes to increase sarcolemmal channel abundance.
Identifies endosomal CaV1.2 trafficking as key to β-adrenergic cardiac regulation in animals; leaves open human translation and therapeutic targeting.
Significance The L-type voltage-gated Ca 2+ channel Ca V 1.2 is essential for excitation–contraction coupling in the heart. During the fight-or-flight response, Ca V 1.2 channel activity is augmented as a result of PKA-mediated phosphorylation, downstream of β-adrenergic receptor activation. We discovered that enhanced sarcolemmal abundance of Ca V 1.2 channels, driven by stimulated insertion/recycling of specific Ca V 1.2-containing endosomes, is essential for β-adrenergic receptor-mediated regulation of these channels in the heart. These data reveal a conceptual framework of this critical and robust pathway for on-demand tuning of cardiac excitation–contraction coupling during fight-or-flight.
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Villar et al. (2021) studied this question.
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