cardio Flashcards
where are calcium release channels of the junctional SR located?
under L type calcium channels of the t-tubule surface membrane
where are Ca2+ sparks evoked?
mostly evoked at Z lines where dyad/ ryanadine receptor clusters are located
how are Ca2+ sparks evoked?
evoked by a single L-type calcium current
describe how calcium leads to cardiac contraction
t tubule deoplarisation opens L-type calcium channels
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small Ca2+ entry via LTCC raises Ca2+ in junctional cleft
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Ca2+ activates clusters of RYR2 in the junctional SR
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RYR2 emphasises junctional SR ca2+ into the cytoplasm
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Ca2+ binds to myofilaments and initiates contraction
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after repolarisation Ca2+ is removed by SERCA, NXC, PMCA
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unbinding from myofilaments and relaxation
what is SERCA2?
SERCA2 is a p-type ATPase (similar to sodium-potassium ATPase)
what regulates SERCA2a?
phospholamban (endogenous inhibitor)
describe phosphorylation of phospholamban
phospholamban is phosphorylated by PKA and/or CamKII to releave the endogenous inhibition of SERCA2
why is CICR efficient?
because of the dyadic organisation of LTCC and RYR2
describe the action of isoprenaline
isoprenaline is a beta 1 agonist that causes bigger calcium transients and twitches in cardiomyocytes as well as a FASTER muscle twitches that peak earlier and decay faster.
what does PKA act on?
(beta adrenoreceptors stimulate PKA) which acts on PLB, RYR and LTCC
what are the major phosphotases in the heart regulating cardiac output?
PP1 which dephosphorylates PLB and RYR
PP2A which dephosphorylates LTCC, RYR and troponin I
what is phospholamban?
a 52 amino acid protein with 5x possible phosphorylation sites
what is PKA?
a tetramer consisting of 2x catalytic and 2x regialtory subunits. the regulatory subunits bins cAMP and AKAPs to tether catalytic subunits close to its substrate proteins
what are AKAPs?
a heterogenous family of scaffolding proteins which bind directly to PKA as well as different interaction partners (kinases, phosphatases, adenyly cylases etc) to create local signalling hubs
they are responsible for the compartmentalisation of PKA and other signalling enzymes within particular domains
facilitate spatiotemporal regulation of cell signaling in response to cAMP generation
all have a conserved amphipathic helix which interacts with the R sub-unit dimerisation domain
where are AKAPs found?
at different locations within the cells
AKAP18 is found in the membrane of cells.
due to their different cellular loactions AKAPs can compartmentalise downstream signalling responses
what processes in the heart do AKAPs regulate?
several different processes including:
-Ca influx
-release from and reuptake of Ca into the SR
-myocyte repolarisation
what is the function of ryanadine receptors?
responsible for calcium induced calcium release from SR
how do RYRs work?
open in response to free cytosolic or luminal calcium concentrations (luminal enhances channel opening), causing calcium release from LTCC in SR
closes at high calcium concentrations
where are RYRs located?
RyRs are located very close to L-type Ca channels:
-region between the LTCC and RyR is called the dyadic cleft (because of how it appears under the electron microscope
-estimated diffusion distance for ‘triggering’ Ca is 15 nm
-within 10 µs of LTCC opening the local Ca concentration will be 10-100 µM
how are RYRs regulated?
pH, caffeine, NO, kinases (PKA), other proteins
what is the structure of the ryanodine receptor?
-2 Mda, largest known ion channel
-homotetramer (4 identical subunits)
-3 isoforms – RyR2 (cardiac)
-“Mushroom” shape
-6 TM domains with a hydrophobic loop buried within the membrane
-large cytoplasmic domain which has binding sites for regulatory proteins including:
PP1, PP2A, PKA/mKAP, Calmodulin, FKBP12.6
describe the mAKAP regulation of RYR
mAKAP brings PKA in to close proximity with RYR allowing for phosphorylation and CICR
it also recruits other signalling molecules (PDE4D3 and PP2A) which aid in activation of and resetting the system
this facilitates a rapid response to cAMP and protects the cell from Ca2+ overload by switching PKA off
what is AKAP-18-deltas effect on LTCC?
AKAP18a (also known as AKAP15) targets PKA to the L-type Ca channel
AKAP18a contributes to the cAMP-dependent augmentation of L-type Ca currents
this effect requires the membrane-targeting domain of AKAP18a
describe the regulation of SERCA by PLN
SERCA pumps Ca back into the SR at the end of a beat
-Phospholamban (PLN/PLB) inhibits SERCA activity by reducing its affinity for Ca
when PLB is phosphorylated by PKA:
- PLB dissociates from SERCA, and forms a homo-pentamer complex
relieves the inhibition on SERCA
-Ca re-uptake into the SR is accelerated; the heart relaxes quicker
-the amount of Ca stored in the SR increases; more available for release during next E-C cycle