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February 1, 2016Circulation Arrhythmia and Electrophysiology11 citations

A Single Protein Kinase A or Calmodulin Kinase II Site Does Not Control the Cardiac Pacemaker Ca 2+ Clock

YWYuejin WuHVHéctor H. ValdiviaXWXander H.T. Wehrens

Key Result

Mutation of specific PKA or CaMKII target sites on the ryanodine receptor or phospholamban failed to affect heart rate responses to isoproterenol or spontaneous activity in mice.

Structured PICO

P
Population
Genetically modified mice (evaluating PKA and CaMKII target sites on phospholamban and ryanodine receptor)
I
Intervention
Knockin alanine replacement of ryanodine receptor PKA (S2808) or CaMKII (S2814) target sites, mutation of phospholamban S16 or T17, AC3-I expression, phospholamban deficiency, superinhibitory phospholamban mutant
O
Outcome
Heart rate responses to isoproterenol or spontaneous activity in vivo or in sinoatrial nodal cells (SANC)surrogate

Heart rate acceleration depends on a sarcoplasmic reticulum Ca2+ content threshold rather than unique PKA or CaMKII target sites governing Ca2+ uptake or release.

Abstract

BACKGROUND: Fight or flight heart rate (HR) increases depend on protein kinase A (PKA)- and calmodulin kinase II (CaMKII)-mediated enhancement of Ca(2+) uptake and release from sarcoplasmic reticulum (SR) in sinoatrial nodal cells (SANC). However, the impact of specific PKA and CaMKII phosphorylation sites on HR is unknown. METHODS AND RESULTS: We systematically evaluated validated PKA and CaMKII target sites on phospholamban and the ryanodine receptor using genetically modified mice. We found that knockin alanine replacement of ryanodine receptor PKA (S2808) or CaMKII (S2814) target sites failed to affect HR responses to isoproterenol or spontaneous activity in vivo or in SANC. Similarly, selective mutation of phospholamban amino acids critical for enhancing SR Ca(2+) uptake by PKA (S16) or CaMKII (T17) to alanines did not affect HR in vivo or in SANC. In contrast, CaMKII inhibition by expression of AC3-I has been shown to slow SANC rate responses to isoproterenol and decrease SR Ca(2+) content. Phospholamban deficiency rescued SR Ca(2+) content and SANC rate responses to isoproterenol in mice with AC3-I expression, suggesting that CaMKII affects HR by modulation of SR Ca(2+) content. Consistent with this, mice expressing a superinhibitory phospholamban mutant had low SR Ca(2+) content and slow HR in vivo and in SANC. CONCLUSIONS: SR Ca(2+) depletion reduces HR and SR Ca(2+) repletion restores physiological SANC rate responses, despite CaMKII inhibition. PKA and CaMKII do not affect HR by a unique target site governing SR Ca(2+) uptake or release. HR acceleration may require an SR Ca(2+) content threshold.

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Cite This Study

Wu et al. (2016) studied this question. Genetic mutation of PKA or CaMKII target sites was evaluated on Heart rate responses to isoproterenol or spontaneous activity. Mutation of specific PKA or CaMKII target sites on the ryanodine receptor or phospholamban failed to affect heart rate responses to isoproterenol or spontaneous activity in mice.

synapsesocial.com/papers/6a15c5c90c3a39952e9f9b33https://doi.org/10.1161/circep.115.003180
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Calmodulin kinase II is required for fight or flight sinoatrial node physiology2009 · 154 citations
  2. 2Intact β-Adrenergic Response and Unmodified Progression Toward Heart Failure in Mice With Genetic Ablation of a Major Protein Kinase A Phosphorylation Site in the Cardiac Ryanodine Receptor2007 · 148 citations
  3. 3Adrenergic Regulation of Cardiac Contractility Does Not Involve Phosphorylation of the Cardiac Ryanodine Receptor at Serine 28082008 · 98 citations
  4. 4Ca 2+ /Calmodulin-Dependent Protein Kinase II Phosphorylation Regulates the Cardiac Ryanodine Receptor2004 · 616 citations
  5. 5Complete Atrial-Specific Knockout of Sodium-Calcium Exchange Eliminates Sinoatrial Node Pacemaker Activity2013 · 71 citations