Loss-of-function mutations in the cytoskeletal protein ankyrin-B (AnkB) cause ventricular tachyarrhythmias in humans. Previously, we found that a larger fraction of the sarcoplasmic reticulum (SR) Ca2+ leak occurs through Ca2+ sparks in AnkB-deficient (AnkB+/–) mice, which may contribute to arrhythmogenicity via Ca2+ waves. Here, we investigated the mechanisms responsible for increased Ca2+ spark frequency in AnkB+/– hearts.
Methods and resultsUsing immunoblots and phospho-specific antibodies, we found that phosphorylation of ryanodine receptors (RyRs) by CaMKII is enhanced in AnkB+/– hearts. In contrast, the PKA-mediated RyR phosphorylation was comparable in AnkB+/– and wild-type (WT) mice. CaMKII inhibition greatly reduced Ca2+ spark frequency in myocytes from AnkB+/– mice but had little effect in the WT. Global activities of the major phosphatases PP1 and PP2A were similar in AnkB+/– and WT hearts, while CaMKII autophosphorylation, a marker of CaMKII activation, was increased in AnkB+/– hearts. Thus, CaMKII-dependent RyR hyperphosphorylation in AnkB+/– hearts is caused by augmented CaMKII activity. Intriguingly, CaMKII activation is limited to the sarcolemma–SR junctions since non-junctional CaMKII targets (phospholamban, HDAC4) are not hyperphosphorylated in AnkB+/– myocytes. This local CaMKII activation may be the consequence of elevated [Ca2+] in the junctional cleft caused by reduced Na+/Ca2+ exchange activity. Indeed, using the RyR-targeted Ca2+ sensor GCaMP2.2-FBKP12.6, we found that local junctional [Ca2+] is significantly elevated in AnkB+/– myocytes.
ConclusionsThe increased incidence of pro-arrhythmogenic Ca2+ sparks and waves in AnkB+/– hearts is due to enhanced CaMKII-mediated RyR phosphorylation, which is caused by higher junctional [Ca2+] and consequent local CaMKII activation.
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