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钙调蛋白激酶II过表达和氧化在心房颤动中的作用——一项模拟研究

The Role of CaMKII Overexpression and Oxidation in Atrial Fibrillation-A Simulation Study.

作者信息

Wang Wei, Shen Weijian, Zhang Shanzhuo, Luo Gongning, Wang Kuanquan, Xu Yong, Zhang Henggui

机构信息

Shenzhen Key Laboratory of Visual Object Detection and Recognition, Harbin Institute of Technology, Shenzhen, China.

Peng Cheng Lab, Shenzhen, China.

出版信息

Front Physiol. 2020 Dec 18;11:607809. doi: 10.3389/fphys.2020.607809. eCollection 2020.

Abstract

This simulation study aims to investigate how the Calcium/calmodulin-dependent protein kinase II (CaMKII) overexpression and oxidation would influence the cardiac electrophysiological behavior and its arrhythmogenic mechanism in atria. A new-built CaMKII oxidation module and a refitted CaMKII overexpression module were integrated into a mouse atrial cell model for analyzing cardiac electrophysiological variations in action potential (AP) characteristics and intracellular Ca cycling under different conditions. Simulation results showed that CaMKII overexpression significantly increased the phosphorylation level of its downstream target proteins, resulting in prolonged AP and smaller calcium transient amplitude, and impaired the Ca cycling stability. These effects were exacerbated by extra reactive oxygen species, which oxidized CaMKII and led to continuous high CaMKII activation in both systolic and diastolic phases. Intracellular Ca depletion and sustained delayed afterdepolarizations (DADs) were observed under co-existing CaMKII overexpression and oxidation, which could be effectively reversed by clamping the phosphorylation level of ryanodine receptor (RyR). We also found that the stability of RyR release highly depended on a delicate balance between the level of RyR phosphorylation and sarcoplasmic reticulum Ca concentration, which was closely related to the genesis of DADs. We concluded that the CaMKII overexpression and oxidation have a synergistic role in increasing the activity of CaMKII, and the unstable RyR may be the key downstream target in the CaMKII arrhythmogenic mechanism. Our simulation provides detailed mechanistic insights into the arrhythmogenic effect of CaMKII overexpression and oxidation, which suggests CaMKII as a promising target in the therapy of atrial fibrillation.

摘要

本模拟研究旨在探讨钙/钙调蛋白依赖性蛋白激酶II(CaMKII)过表达和氧化如何影响心房的心脏电生理行为及其致心律失常机制。将新构建的CaMKII氧化模块和改装后的CaMKII过表达模块整合到小鼠心房细胞模型中,以分析不同条件下动作电位(AP)特征和细胞内钙循环的心脏电生理变化。模拟结果表明,CaMKII过表达显著增加其下游靶蛋白的磷酸化水平,导致AP延长和钙瞬变幅度减小,并损害钙循环稳定性。额外的活性氧会加剧这些影响,活性氧会氧化CaMKII,导致在收缩期和舒张期均持续高度激活CaMKII。在CaMKII过表达和氧化共存的情况下,观察到细胞内钙耗竭和持续延迟后去极化(DADs),通过钳制兰尼碱受体(RyR)的磷酸化水平可有效逆转。我们还发现,RyR释放的稳定性高度依赖于RyR磷酸化水平与肌浆网钙浓度之间的微妙平衡,这与DADs的发生密切相关。我们得出结论,CaMKII过表达和氧化在增加CaMKII活性方面具有协同作用,不稳定的RyR可能是CaMKII致心律失常机制中的关键下游靶点。我们的模拟为CaMKII过表达和氧化的致心律失常作用提供了详细的机制见解,这表明CaMKII是心房颤动治疗中有前景的靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4b9/7775483/3079134e699b/fphys-11-607809-g0001.jpg

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