Disruption of the precise equilibrium between sarcoplasmic reticulum Ca2+ reuptake and release, regulated by SERCA2a/PLN and RyR2, constitutes a primary mechanism for cardiac damage and malignant arrhythmias.
The present review focusses on the regulation and interplay of cardiac SR Ca 2+ handling proteins involved in SR Ca 2+ uptake and release, i.e., SERCa2/PLN and RyR2. Both RyR2 and SERCA2a/PLN are highly regulated by post-translational modifications and/or different partners' proteins. These control mechanisms guarantee a precise equilibrium between SR Ca 2+ reuptake and release. The review then discusses how disruption of this balance alters SR Ca 2+ handling and may constitute a first step toward cardiac damage and malignant arrhythmias. In the last part of the review, this concept is exemplified in different cardiac diseases, like prediabetic and diabetic cardiomyopathy, digitalis intoxication and ischemia-reperfusion injury.
Federico et al. (2020) conducted a review in Cardiac arrhythmias and cardiac damage. Disruption of the precise equilibrium between sarcoplasmic reticulum Ca2+ reuptake and release, regulated by SERCA2a/PLN and RyR2, constitutes a primary mechanism for cardiac damage and malignant arrhythmias.
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