Systemic oral administration of a beta-blocker reversed protein kinase A hyperphosphorylation of RyR2 and normalized single-channel function in a canine model of heart failure.
Does systemic oral administration of a beta-adrenergic receptor blocker restore RyR2 structure and function in a canine model of heart failure?
Beta-blockers restore the structure and function of the cardiac calcium release channel (RyR2) in a canine model of heart failure, providing a molecular mechanism for their clinical benefit.
BACKGROUND: beta-Adrenergic receptor blockade is one of the most effective treatments for heart failure, a leading cause of mortality worldwide. The use of beta-adrenergic receptor blockers in patients with heart failure is counterintuitive, however, because they are known to decrease contractility in normal hearts. The ryanodine receptor (RyR2) on cardiac sarcoplasmic reticulum is the key calcium release channel required for excitation-contraction coupling. In failing hearts, the stoichiometry and function of the RyR2 macromolecular complex is altered. Decreased levels of phosphatases (PP1 and PP2A) and hyperphosphorylation by protein kinase A result in dissociation of the regulatory protein FKBP12.6 and channels with increased open probability. METHODS AND RESULTS: Here, we show that systemic oral administration of a beta-adrenergic receptor blocker reverses protein kinase A hyperphosphorylation of RyR2, restores the stoichiometry of the RyR2 macromolecular complex, and normalizes single-channel function in a canine model of heart failure. CONCLUSIONS: These results may, in part, explain the improved cardiac function observed in heart failure patients treated with beta-adrenergic receptor blockers.
Reiken et al. (Tue,) conducted a other in Heart failure. beta-Adrenergic receptor blocker was evaluated on Reversal of protein kinase A hyperphosphorylation of RyR2, restoration of stoichiometry of the RyR2 macromolecular complex, and normalization of single-channel function. Systemic oral administration of a beta-blocker reversed protein kinase A hyperphosphorylation of RyR2 and normalized single-channel function in a canine model of heart failure.
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