Multiphoton Imaging of Ca<sup>2+</sup> Instability in Acute Myocardial Slices from a <i>RyR2</i><sup>R2474S</sup> Murine Model of Catecholaminergic Polymorphic Ventricular Tachycardia

Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) is a familial stress-induced arrhythmia syndrome, mostly caused by mutations in Ryanodine receptor 2 (<i>RyR</i>2), the sarcoplasmic reticulum (SR) Ca<sup>2+</sup> release channel in cardiomyocytes. Pathogenetic mut...

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Main Authors: Giulia Borile, Tania Zaglia, Stephan E. Lehnart, Marco Mongillo
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/13/2821
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author Giulia Borile
Tania Zaglia
Stephan E. Lehnart
Marco Mongillo
author_facet Giulia Borile
Tania Zaglia
Stephan E. Lehnart
Marco Mongillo
author_sort Giulia Borile
collection DOAJ
description Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) is a familial stress-induced arrhythmia syndrome, mostly caused by mutations in Ryanodine receptor 2 (<i>RyR</i>2), the sarcoplasmic reticulum (SR) Ca<sup>2+</sup> release channel in cardiomyocytes. Pathogenetic mutations lead to gain of function in the channel, causing arrhythmias by promoting diastolic spontaneous Ca<sup>2+</sup> release (SCR) from the SR and delayed afterdepolarizations. While the study of Ca<sup>2+</sup> dynamics in single cells from murine CPVT models has increased our understanding of the disease pathogenesis, questions remain on the mechanisms triggering the lethal arrhythmias at tissue level. Here, we combined subcellular analysis of Ca<sup>2+</sup> signals in isolated cardiomyocytes and in acute thick ventricular slices of <i>RyR2</i><sup>R2474S</sup> knock-in mice, electrically paced at different rates (1–5 Hz), to identify arrhythmogenic Ca<sup>2+</sup> dynamics, from the sub- to the multicellular perspective. In both models, <i>RyR2</i><sup>R2474S</sup> cardiomyocytes had increased propensity to develop SCR upon adrenergic stimulation, which manifested, in the slices, with Ca<sup>2+</sup> alternans and synchronous Ca<sup>2+</sup> release events in neighboring cardiomyocytes. Analysis of Ca<sup>2+</sup> dynamics in multiple cells in the tissue suggests that SCRs beget SCRs in contiguous cells, overcoming the protective electrotonic myocardial coupling, and potentially generating arrhythmia triggering foci. We suggest that intercellular interactions may underscore arrhythmic propensity in CPVT hearts with ‘leaky’ RyR2.
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spelling doaj.art-4a6cf5e892d1476fa003a6291ef20a622023-12-03T13:08:44ZengMDPI AGJournal of Clinical Medicine2077-03832021-06-011013282110.3390/jcm10132821Multiphoton Imaging of Ca<sup>2+</sup> Instability in Acute Myocardial Slices from a <i>RyR2</i><sup>R2474S</sup> Murine Model of Catecholaminergic Polymorphic Ventricular TachycardiaGiulia Borile0Tania Zaglia1Stephan E. Lehnart2Marco Mongillo3Department of Biomedical Sciences, University of Padova, Via Ugo Bassi 58/B, 35131 Padova, ItalyDepartment of Biomedical Sciences, University of Padova, Via Ugo Bassi 58/B, 35131 Padova, ItalyHeart Research Heart Research Center Göttingen, Cellular Biophysics and Translational Cardi-Ology Section, Department of Cardiology & Pulmonology, University Medical Center Göttingen, 37073 Göttingen, GermanyDepartment of Biomedical Sciences, University of Padova, Via Ugo Bassi 58/B, 35131 Padova, ItalyCatecholaminergic Polymorphic Ventricular Tachycardia (CPVT) is a familial stress-induced arrhythmia syndrome, mostly caused by mutations in Ryanodine receptor 2 (<i>RyR</i>2), the sarcoplasmic reticulum (SR) Ca<sup>2+</sup> release channel in cardiomyocytes. Pathogenetic mutations lead to gain of function in the channel, causing arrhythmias by promoting diastolic spontaneous Ca<sup>2+</sup> release (SCR) from the SR and delayed afterdepolarizations. While the study of Ca<sup>2+</sup> dynamics in single cells from murine CPVT models has increased our understanding of the disease pathogenesis, questions remain on the mechanisms triggering the lethal arrhythmias at tissue level. Here, we combined subcellular analysis of Ca<sup>2+</sup> signals in isolated cardiomyocytes and in acute thick ventricular slices of <i>RyR2</i><sup>R2474S</sup> knock-in mice, electrically paced at different rates (1–5 Hz), to identify arrhythmogenic Ca<sup>2+</sup> dynamics, from the sub- to the multicellular perspective. In both models, <i>RyR2</i><sup>R2474S</sup> cardiomyocytes had increased propensity to develop SCR upon adrenergic stimulation, which manifested, in the slices, with Ca<sup>2+</sup> alternans and synchronous Ca<sup>2+</sup> release events in neighboring cardiomyocytes. Analysis of Ca<sup>2+</sup> dynamics in multiple cells in the tissue suggests that SCRs beget SCRs in contiguous cells, overcoming the protective electrotonic myocardial coupling, and potentially generating arrhythmia triggering foci. We suggest that intercellular interactions may underscore arrhythmic propensity in CPVT hearts with ‘leaky’ RyR2.https://www.mdpi.com/2077-0383/10/13/2821catecholaminergic polymorphic ventricular tachycardiaarrhythmiasryanodine receptor 2Ca<sup>2+</sup> imagingcardiomyocytescardiac slices
spellingShingle Giulia Borile
Tania Zaglia
Stephan E. Lehnart
Marco Mongillo
Multiphoton Imaging of Ca<sup>2+</sup> Instability in Acute Myocardial Slices from a <i>RyR2</i><sup>R2474S</sup> Murine Model of Catecholaminergic Polymorphic Ventricular Tachycardia
Journal of Clinical Medicine
catecholaminergic polymorphic ventricular tachycardia
arrhythmias
ryanodine receptor 2
Ca<sup>2+</sup> imaging
cardiomyocytes
cardiac slices
title Multiphoton Imaging of Ca<sup>2+</sup> Instability in Acute Myocardial Slices from a <i>RyR2</i><sup>R2474S</sup> Murine Model of Catecholaminergic Polymorphic Ventricular Tachycardia
title_full Multiphoton Imaging of Ca<sup>2+</sup> Instability in Acute Myocardial Slices from a <i>RyR2</i><sup>R2474S</sup> Murine Model of Catecholaminergic Polymorphic Ventricular Tachycardia
title_fullStr Multiphoton Imaging of Ca<sup>2+</sup> Instability in Acute Myocardial Slices from a <i>RyR2</i><sup>R2474S</sup> Murine Model of Catecholaminergic Polymorphic Ventricular Tachycardia
title_full_unstemmed Multiphoton Imaging of Ca<sup>2+</sup> Instability in Acute Myocardial Slices from a <i>RyR2</i><sup>R2474S</sup> Murine Model of Catecholaminergic Polymorphic Ventricular Tachycardia
title_short Multiphoton Imaging of Ca<sup>2+</sup> Instability in Acute Myocardial Slices from a <i>RyR2</i><sup>R2474S</sup> Murine Model of Catecholaminergic Polymorphic Ventricular Tachycardia
title_sort multiphoton imaging of ca sup 2 sup instability in acute myocardial slices from a i ryr2 i sup r2474s sup murine model of catecholaminergic polymorphic ventricular tachycardia
topic catecholaminergic polymorphic ventricular tachycardia
arrhythmias
ryanodine receptor 2
Ca<sup>2+</sup> imaging
cardiomyocytes
cardiac slices
url https://www.mdpi.com/2077-0383/10/13/2821
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