Increased calcium leak associated with reduced calsequestrin expression in hyperthyroid cardiomyocytes.

INTRODUCTION: Calcium (Ca2+ ) leak during cardiac diastole is chiefly mediated by intracellular Ca2+ channel/Ryanodine Receptors. Increased diastolic Ca2+ leak has been proposed as the mechanism underlying the appearance of hereditary arrhythmias. However, little is known about alterations in diastolic Ca2+ leak and the specific roles played by key intracellular Ca2+ -handling proteins in hyperthyroidism, a known arrhythmogenic condition.

AIM: We sought to determine whether there were modifications in diastolic Ca2+ leak, based on the recording of Ca2+ sparks and Ca2+ waves; we also investigated changes in the expression and activity of key Ca2+ handling proteins, including ryanodine receptors, Sarco-Endoplasmic Reticulum Ca2+ ATPase pump and calsequestrin in isolated left-ventricular cardiomyocytes isolated from hyperthyroid rats.

MATERIALS AND METHODS: Electrocardiography (ECG) recordings were performed in control and hyperthyroid rats. Ca2+ sparks, Ca2+ waves, and electrically-stimulated Ca2+ transients were recorded in Fluo-3-loaded cardiomyocytes from both experimental groups using confocal microscopy. In addition, left-ventricular homogenates and Ryanodine Receptor-enriched membrane fractions were prepared for assessing [3 H]-ryanodine binding, hydrolytic ATPase activity of SERCA pump and expression levels of key proteins by Western blot, and cDNA for real-time qPCR.

RESULTS AND CONCLUSIONS: Extrasystoles were observed in hearts of hyperthyroid rats by ECG recordings. Arrhythmogenic activity, high incidence of Ca2+ waves, and de novo Ca2+ wavelets -in the absence of sarcoplasmic reticulum Ca2+ overload- were recorded in these cardiomyocytes. The exacerbated diastolic Ca2+ leak and arrhythmogenic activities were related to a diminished expression of calsequestrin along with increased SERCA pump activity, which, in effect, promoted a gain-of-function in RyRs without alterations in SR Ca2+ load, RyR expression or its Ca2+ sensitivity.