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JNK2,一种新发现的肌浆网钙ATP酶2增强剂,增强了心律失常的[钙]泄漏负荷关系。

JNK2, a Newly-Identified SERCA2 Enhancer, Augments an Arrhythmic [Ca] Leak-Load Relationship.

作者信息

Yan Jiajie, Bare Dan J, DeSantiago Jaime, Zhao Weiwei, Mei Yiming, Chen Zhenhui, Ginsburg Kenneth, Solaro R John, Wolska Beata M, Bers Donald M, Chen S R Wayne, Ai Xun

机构信息

Physiology and Biophysics, Rush University Medical Center, Chicago, IL (J.Y., D.J.B., J.D., W.Z., Y.M., X.A.).

Medicine, Indiana University, Indianapolis (Z.C.).

出版信息

Circ Res. 2021 Feb 19;128(4):455-470. doi: 10.1161/CIRCRESAHA.120.318409. Epub 2020 Dec 18.

Abstract

RATIONALE

We recently discovered pivotal contributions of stress kinase JNK2 (c-Jun N-terminal kinase isoform 2) in increased risk of atrial fibrillation through enhanced diastolic sarcoplasmic reticulum (SR) calcium (Ca) leak via RyR2 (ryanodine receptor isoform 2). However, the role of JNK2 in the function of the SERCA2 (SR Ca-ATPase), essential in maintaining SR Ca content cycling during each heartbeat, is completely unknown.

OBJECTIVE

To test the hypothesis that JNK2 increases SERCA2 activity SR Ca content and exacerbates an arrhythmic SR Ca content leak-load relationship.

METHODS AND RESULTS

We used confocal Ca imaging in myocytes and HEK-RyR2 (ryanodine receptor isoform 2-expressing human embryonic kidney 293 cells) cells, biochemistry, dual Ca/voltage optical mapping in intact hearts from alcohol-exposed or aged mice (where JNK2 is activated). We found that JNK2, but not JNK1 (c-Jun N-terminal kinase isoform 1), increased SERCA2 uptake and consequently elevated SR Ca content load. JNK2 also associates with and phosphorylates SERCA2 proteins. JNK2 causally enhances SERCA2-ATPase activity via increased maximal rate, without altering Ca affinity. Unlike the CaMKII (Ca/calmodulin-dependent kinase II)-dependent JNK2 action in SR Ca leak, JNK2-driven SERCA2 function was CaMKII independent (not prevented by CaMKII inhibition). With CaMKII blocked, the JNK2-driven SR Ca loading alone did not significantly raise leak. However, with JNK2-CaMKII-driven SR Ca leak present, the JNK2-enhanced SR Ca uptake limited leak-induced reduction in SR Ca, normalizing Ca transient amplitude, but at a higher arrhythmogenic SR Ca leak. JNK2-specific inhibition completely normalized SR Ca handling, attenuated arrhythmic Ca activities, and alleviated atrial fibrillation susceptibility in aged and alcohol-exposed myocytes and intact hearts.

CONCLUSIONS

We have identified a novel JNK2-induced activation of SERCA2. The dual action of JNK2 in CaMKII-dependent arrhythmic SR Ca leak and a CaMKII-independent uptake exacerbates atrial arrhythmogenicity, while helping to maintain normal levels of Ca transients and heart function. JNK2 modulation may be a novel therapeutic target for atrial fibrillation prevention and treatment.

摘要

理论依据

我们最近发现应激激酶JNK2(c-Jun氨基末端激酶亚型2)通过增强舒张期肌浆网(SR)钙(Ca)经兰尼碱受体亚型2(RyR2)的泄漏,在心房颤动风险增加中起关键作用。然而,JNK2在肌浆网Ca-ATP酶(SERCA2)功能中的作用完全未知,而SERCA2在每次心跳期间维持SR钙含量循环至关重要。

目的

检验JNK2增加SERCA2活性、SR钙含量并加剧心律失常性SR钙含量泄漏-负荷关系这一假设。

方法与结果

我们在心肌细胞和HEK-RyR2(表达兰尼碱受体亚型2的人胚肾293细胞)中使用共聚焦钙成像、生物化学方法,以及在酒精暴露或老龄小鼠(JNK2被激活)的完整心脏中进行双钙/电压光学标测。我们发现JNK2而非JNK1(c-Jun氨基末端激酶亚型1)增加SERCA2摄取,从而提高SR钙含量负荷。JNK2还与SERCA2蛋白结合并使其磷酸化。JNK2通过提高最大速率因果性增强SERCA2-ATP酶活性,而不改变钙亲和力。与SR钙泄漏中CaMKII(钙/钙调蛋白依赖性激酶II)依赖的JNK2作用不同,JNK2驱动的SERCA2功能不依赖CaMKII(不受CaMKII抑制的影响)。在CaMKII被阻断时,单独由JNK2驱动的SR钙负荷并未显著增加泄漏。然而,当存在JNK2-CaMKII驱动的SR钙泄漏时,JNK2增强的SR钙摄取限制了泄漏诱导的SR钙减少,使钙瞬变幅度正常化,但处于更高的致心律失常性SR钙泄漏水平。JNK2特异性抑制使SR钙处理完全正常化,减弱心律失常性钙活动,并减轻老龄和酒精暴露的心肌细胞及完整心脏的心房颤动易感性。

结论

我们发现了一种新的JNK2诱导的SERCA2激活。JNK2在CaMKII依赖的心律失常性SR钙泄漏和CaMKII非依赖的摄取中的双重作用加剧了心房致心律失常性,同时有助于维持钙瞬变和心脏功能的正常水平。JNK2调节可能是预防和治疗心房颤动的新治疗靶点。

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