Dysregulated sarcoplasmic reticulum calcium release: potential pharmacological target in cardiac disease.

Dysregulated sarcoplasmic reticulum calcium release: potential pharmacological target in cardiac disease.
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DOI:
10.1016/j.pharmthera.2008.06.002
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发表时间:
2008-09
影响因子:
13.5
通讯作者:
Carnes C
Carnes C
中科院分区:
医学1区
文献类型:
--
作者:
Györke S;Carnes C

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在心脏中,从细胞内Ca 2+储存位点(肌浆网(SR))释放的Ca 2+是心脏收缩力的主要决定因素。SR Ca2+释放由专门的分子机制控制,由心脏ryanodine受体(RyR2)和许多辅助蛋白组成,包括FKBP 12.6、钙螯合蛋白(CASQ2)、三聚蛋白(TRD)和连接蛋白(JN)。获得性和遗传缺陷的释放通道复合物的组件中的结果在频谱的异常Ca2+释放表型,范围从致心律失常的自发Ca2+释放和Ca2+交替的心脏衰竭的收缩期Ca2+释放特征的均匀减少。本文将综述SR和Ca2+释放机制的结构和分子组成,以及SR内Ca2+水平、RyR2s的磷酸化和氧化还原修饰等细胞内因素对SR和Ca2+释放机制的调节,并讨论SR Ca2+释放异常与心律失常、心力衰竭等多种心脏疾病表型的关系,并认为SR Ca 2+释放是潜在的治疗靶点。
In the heart, Ca2+ released from the intracellular Ca2+ storage site, the sarcoplasmic reticulum (SR), is the principal determinant of cardiac contractility. SR Ca2+ release is controlled by dedicated molecular machinery, composed of the cardiac ryanodine receptor (RyR2) and a number of accessory proteins, including FKBP12.6, calsequestrin (CASQ2), triadin (TRD) and junctin (JN). Acquired and genetic defects in the components of the release channel complex result in a spectrum of abnormal Ca2+ release phenotypes ranging from arrhythmogenic spontaneous Ca2+ releases and Ca2+ alternans to the uniformly diminished systolic Ca2+ release characteristic of heart failure. In this article, we will present an overview of the structure and molecular components of the SR and Ca2+ release machinery and its modulation by different intracellular factors, such as Ca2+ levels inside the SR as well as phosphorylation and redox modification of RyR2s.We will also discuss the relationships between abnormal SR Ca2+ release and various cardiac disease phenotypes, including, arrhythmias and heart failure, and consider SR Ca2+ release as a potential therapeutic target.
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