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终身肌酸缺乏会导致肌浆网钙释放增加,但不会导致心力衰竭。

Lifelong creatine deficiency leads to augmented sarcoplasmic reticulum calcium release but not heart failure.

作者信息

Branovets Jelena, Laasmaa Martin, Stolova Jekaterina, Shen Xin, Rätsepso Triinu, Bernasconi Romain, Soodla Kärol, Balodis Mihkel Jaan, Grahv Cärolin, Hendrikson Eliise, Louch William Edward, Birkedal Rikke, Vendelin Marko

机构信息

Laboratory of Systems Biology, Department of Cybernetics, Tallinn University of Technology, Tallinn, Estonia.

University of Oslo, Institute for Experimental Medical Research, Oslo, Norway.

出版信息

Am J Physiol Heart Circ Physiol. 2025 Aug 1;329(2):H471-H489. doi: 10.1152/ajpheart.00106.2025. Epub 2025 Jul 14.

Abstract

Creatine kinase (CK) is considered a crucial energy transfer system in cardiac muscle. Some studies have suggested that reduced CK energy transfer in the heart causes energy starvation, limits cardiac performance, and ultimately leads to heart failure. In agreement with this hypothesis, the hearts from creatine-deficient mice lacking arginine:glycine amidinotransferase (AGAT KO) have been shown, in some experiments, to resemble failing hearts. However, it is unclear if AGAT KO induces changes in cardiomyocyte substructure and Ca cycling that resemble heart failure, including impairment of sarcoplasmic reticulum (SR) Ca release and reuptake. To investigate this, we assessed functional and structural aspects of Ca handling in cardiomyocytes from KO and WT littermates. We found minor, sex-dependent differences in the organization of transverse tubules and ryanodine receptors (RyRs), no differences in the expression and relative phosphorylation of RyR and PLB, but higher S100A1 expression levels. AGAT KO cardiomyocytes exhibited larger and longer Ca transients with the same decay rate as WT. Ca spark frequency and SR Ca content were also increased in KO, while sodium-calcium exchanger activity was unchanged. Thus, our results strongly suggest that SR Ca cycling is augmented in AGAT KO hearts. Although AGAT KO hearts also exhibited increased AMPK activation, suggesting higher levels of AMP/ADP, this did not detectably impair sarcoendoplasmic reticulum Ca-ATPase activity. In conclusion, the changes in AGAT KO cardiomyocytes are opposite to those in failing cardiomyocytes, showing that lifelong absence of CK energy transfer does not lead to heart failure. Previous studies have suggested that reduced creatine kinase (CK) activity may lead to heart failure. Here, we studied calcium handling in the hearts of creatine-deficient arginine-glycine amidino-transferase knockout (AGAT KO) mice with lifelong inhibition of CK. In contrast to failing cardiomyocytes, AGAT KO cardiomyocytes exhibited larger calcium transients due to more readily firing RyR clusters releasing more calcium from the SR. Thus, lifelong creatine deficiency does not lead to the phenotype observed in heart failure.

摘要

肌酸激酶(CK)被认为是心肌中一种关键的能量转移系统。一些研究表明,心脏中CK能量转移减少会导致能量饥饿,限制心脏功能,最终导致心力衰竭。与这一假设一致的是,在一些实验中,缺乏精氨酸:甘氨酸脒基转移酶的肌酸缺陷小鼠(AGAT KO)的心脏表现出类似衰竭心脏的特征。然而,尚不清楚AGAT KO是否会诱导心肌细胞亚结构和钙循环的变化,这些变化类似于心力衰竭,包括肌浆网(SR)钙释放和再摄取受损。为了研究这一点,我们评估了KO和野生型同窝小鼠心肌细胞中钙处理的功能和结构方面。我们发现横管和兰尼碱受体(RyRs)的组织存在微小的、性别依赖性差异,RyR和PLB的表达及相对磷酸化没有差异,但S100A1表达水平较高。AGAT KO心肌细胞表现出更大、更长的钙瞬变,其衰减速率与野生型相同。KO组的钙火花频率和SR钙含量也增加了,而钠钙交换器活性没有变化。因此,我们的结果强烈表明AGAT KO心脏中的SR钙循环增强。尽管AGAT KO心脏也表现出AMPK激活增加,表明AMP/ADP水平较高,但这并未明显损害肌浆网钙ATP酶活性。总之,AGAT KO心肌细胞的变化与衰竭心肌细胞的变化相反,表明终身缺乏CK能量转移不会导致心力衰竭。先前的研究表明,肌酸激酶(CK)活性降低可能导致心力衰竭。在这里,我们研究了终身抑制CK的肌酸缺陷型精氨酸-甘氨酸脒基转移酶敲除(AGAT KO)小鼠心脏中的钙处理。与衰竭心肌细胞不同,AGAT KO心肌细胞由于RyR簇更容易激发,从SR释放更多钙,从而表现出更大的钙瞬变。因此,终身肌酸缺乏不会导致心力衰竭中观察到的表型。

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