Is ryanodine receptor phosphorylation key to the fight or flight response and heart failure?

T Eschenhagen - The Journal of clinical investigation, 2010 - Am Soc Clin Investig
T Eschenhagen
The Journal of clinical investigation, 2010Am Soc Clin Investig
In situations of stress the heart beats faster and stronger. According to Marks and
colleagues, this response is, to a large extent, the consequence of facilitated Ca2+ release
from intracellular Ca2+ stores via ryanodine receptor 2 (RyR2), thought to be due to
catecholamine-induced increases in RyR2 phosphorylation at serine 2808 (S2808). If
catecholamine stimulation is sustained (for example, as occurs in heart failure), RyR2
becomes hyperphosphorylated and “leaky,” leading to arrhythmias and other pathology …
In situations of stress the heart beats faster and stronger. According to Marks and colleagues, this response is, to a large extent, the consequence of facilitated Ca2+ release from intracellular Ca2+ stores via ryanodine receptor 2 (RyR2), thought to be due to catecholamine-induced increases in RyR2 phosphorylation at serine 2808 (S2808). If catecholamine stimulation is sustained (for example, as occurs in heart failure), RyR2 becomes hyperphosphorylated and “leaky,” leading to arrhythmias and other pathology. This “leaky RyR2 hypothesis” is highly controversial. In this issue of the JCI, Marks and colleagues report on two new mouse lines with mutations in S2808 that provide strong evidence supporting their theory. Moreover, the experiments revealed an influence of redox modifications of RyR2 that may account for some discrepancies in the field.
The Journal of Clinical Investigation