Regulation of the cardiac ryanodine receptor (RyR2) by intracellular Ca2+ and Mg2+ plays a key role in determining cardiac contraction and rhythmicity, but their role in regulating the human RyR2 remains poorly defined. The Ca2+- and Mg2+-dependent regulation of human RyR2 was recorded in artificial lipid bilayers in the presence of 2 mM ATP and compared with that in two commonly used animal models for RyR2 function (rat and sheep). Human RyR2 displayed cytoplasmic Ca2+ activation (Ka = 4 µM) and inhibition by cytoplasmic Mg2+ (Ki = 10 µM at 100 nM Ca2+) that was similar to RyR2 from rat and sheep obtained under the same experimental conditions. However, in the presence of 0.1 mM Ca2+, RyR2s from human were 3.5-fold less sensitive to cytoplasmic Mg2+ inhibition than those from sheep and rat. The Ka values for luminal Ca2+ activation were similar in the three species (35 µM for human, 12 µM for sheep, and 10 µM for rat). From the relationship between open probability and luminal [Ca2+], the peak open probability for the human RyR2 was approximately the same as that for sheep, and both were ∼10-fold greater than that for rat RyR2. Human RyR2 also showed the same sensitivity to luminal Mg2+ as that from sheep, whereas rat RyR2 was 10-fold more sensitive. In all species, modulation of RyR2 gating by luminal Ca2+ and Mg2+ only occurred when cytoplasmic [Ca2+] was <3 µM. The activation response of RyR2 to luminal and cytoplasmic Ca2+ was strongly dependent on the Mg2+ concentration. Addition of physiological levels (1 mM) of Mg2+ raised the Ka for cytoplasmic Ca2+ to 30 µM (human and sheep) or 90 µM (rat) and raised the Ka for luminal Ca2+ to ∼1 mM in all species. This is the first report of the regulation by Ca2+ and Mg2+ of native RyR2 receptor activity from healthy human hearts.
The cardiac ryanodine receptor (RyR2), an intracellular Ca2+ release channel, plays a key role in excitation-contraction coupling in the heart. Depolarization of the sarcolemma opens voltage-dependent L-type Ca2+ channels (dihydropyridine receptors), which allows Ca2+ to enter the cell. The subsequent increase in cytoplasmic Ca2+ activates RyR2, which releases Ca2+ from the SR. Intracellular Ca2+, Mg2+, and ATP are allosteric regulators of RyR2 (Meissner and Henderson, 1987; Meissner, 1994; Laver and Honen, 2008) that play an important role in determining normal cardiac contraction and rhythmicity (Meissner, 1994; Bers, 2002), and their disruption can lead to sudden cardiac death (Blayney and Lai, 2009; Katz et al., 2009). Ca2+ in the SR lumen and cytoplasm activates RyR2, whereas Mg2+ (free concentration of ∼1 mM in cytoplasm and lumen [Meissner, 1994]) is a channel inhibitor. During diastole, cytoplasmic and SR luminal Ca2+ concentrations are ∼100 nM and ∼1 mM, respectively (Ginsburg et al., 1998). During systole, clusters of RyR2s release Ca2+ into the confined region between the SR and sarcolemma/T-tubule membrane. Computer simulations of Ca2+ release estimate that cytoplasmic Ca2+ concentration near the RyR2 peaks at ∼200 µM and that luminal Ca2+ declines to ∼200 µM (Laver et al., 2013).
Single channel studies of RyR2 isolated from animal hearts (e.g. sheep, rat and dog) have provided valuable insights into the regulation of RyR2 by intracellular Ca2+, Mg2+, and ATP (Sitsapesan and Williams, 1997; Györke et al., 2002; Laver, 2005, 2007; Györke and Terentyev, 2008). These studies provide evidence for four different Ca2+-dependent mechanisms, controlled by four Ca2+/Mg2+ sites on each RyR2 subunit (Laver, 2010). RyR2 can be activated by Ca2+ binding to either the cytoplasmic side of the channel with ∼2 µM affinity (A site [Smith et al., 1986; Hymel et al., 1988; Sitsapesan and Williams, 1994a]) or to the luminal side of the channel with ∼0.1 mM affinity (L site [Sitsapesan and Williams, 1994b; Laver, 2007]). In addition, two mechanisms for cytoplasmic Ca2+ inhibition of RyR2 have been identified, with channels inhibited by millimolar concentrations of cytoplasmic Ca2+ at the I1 site (Meissner, 1986; Laver et al., 1995) and partially inhibited by micromolar concentrations at the I2 site (Laver, 2007). Mg2+ inhibits RyR2 by competing with Ca2+ at the A site (Smith et al., 1986) and the L site (Laver and Honen, 2008) where, unlike Ca2+, Mg2+ binding does not cause channel opening. Mg2+ also inhibits RyR2 because it acts as a surrogate for Ca2+ at the I1 site (Laver et al., 1997a).
Interest in the function of human RyR2 has been spurred by the recent understanding that heart dysfunction associated with heart failure is generally associated with aberrant Ca2+ fluxes across the sarcolemma and SR of cardiac cells (Bers et al., 2003). Although the regulation of human RyR2 by intracellular Ca2+ and Mg2+ is central to our understanding of SR Ca2+ fluxes, its regulation characteristics are still sparsely defined (Marx et al., 2000; Jiang et al., 2002). One study has examined cytoplasmic Ca2+ activation, and this was done using recombinant human RyR2 (Wehrens et al., 2004). Here we present the first analysis of RyR2 isolated from human heart and its regulation by intracellular Ca2+ and Mg2+. We also compare these gating properties of human RyR2 with RyR2 from sheep and rat heart (two commonly used animal models for RyR2 function).
MATERIALS AND METHODS
Human left ventricle tissue (n = 4) was obtained from healthy donor hearts (Table 1 summarizes the donor heart details). These hearts were collected at the site of organ donation by the St. Vincent’s Hospital (Darlinghurst) surgical team. The hearts were flushed with ice-cold cardioplegia, packaged under sterile conditions, transported by the Australian Red Cross Blood Service and delivered to the Bosch Institute. Although these hearts showed no sign of disease, they were not required for orthotopic heart transplantation for a range of reasons, including tissue incompatibility. Trans-mural sections of left ventricle free wall (∼1 g) from these hearts were snap frozen in liquid nitrogen (−196°C) in not more than 4 h, and usually within 3 h, of death. Human tissues were obtained with approval from the Human Research Ethics Committees of both the University of Newcastle (approval number H-2009-0369) and the University of Sydney (approval numbers #09-2009-12146 and #2012/2814).
Animal tissues were obtained with approval from the Animal Care and Ethics Committee of the University of Newcastle (approval number #A-2009-153). Sheep hearts were obtained from ewes anesthetized with 5% pentobarbitone (intravenously) followed by oxygen/halothane and killed by barbiturate overdose (pentobarbitone, 150 mg/kg intravenously) before the heart was removed. Rat heart tissue was obtained from male rats (Sprague-Dawley, 6–9 wk). Rats were anesthetized with isoflurane and then decapitated. Hearts were rapidly removed and perfused in a Langendorff apparatus. The blood was removed by flushing the hearts with ice-cold Krebs-Henseleit buffer (mM: 120 NaCl, 25 NaHCO3, 10 glucose, 5 KCl, 2 MgCl2, 1 NaH2PO4, and 2.5 CaCl2) for 2 min. Hearts were then perfused with warmed (37°C) and oxygenated (95% O2–5% CO2) Krebs-Henseleit buffer for 5 min. After perfusion, the whole hearts were snap frozen in liquid N2. All tissue samples were stored at −80°C.
Preparation of SR vesicles
Heart muscle was minced and homogenized in a Waring blender (four 15-s bursts at high speed) in homogenizing buffer containing 0.3 M sucrose, 10 mM imidazole, 0.5 mM PMSF, 1 µg/ml leupeptin, 1 µg/ml pepstatin A, 1 mM benzamidine, 0.5 mM dithiothreitol, 3 mM NaN3, and 20 mM NaF, pH 6.9, followed by 10 manual strokes of a loose glass/glass Dounce homogenizer. The homogenate was centrifuged at 8,000 g for 20 min using an Optima L-100XP ultracentrifuge (Beckman Coulter). The supernatant was then centrifuged at 170,000 g for 30 min. The resultant pellet was resuspended with homogenizing buffer containing 0.65 M KCl using a glass/glass Dounce homogenizer, incubated for 30 min on ice, and then centrifuged at 8,000 g for 15 min. The supernatant was centrifuged at 170,000 g for 1 h, and the resulting microsomes from the pellet were resuspended in storage buffer (homogenizing buffer + 0.65 M KCl), snap-frozen in liquid nitrogen, and stored at −80°C.
Single channel measurements
RyRs from human, rat, and sheep heart were incorporated into artificial lipid bilayers that were formed from phosphatidylethanolamine and phosphatidylcholine (8:2 wt/wt) in 50 mg/ml n-decane. For single channel recording, the cis (cytoplasmic) and trans (luminal) solutions contained 250 mM Cs+ (230 mM cesium methanesulfonate and 20 mM cesium chloride). During recordings, the composition of trans solution was altered by means of aliquot additions of stock solutions, and the cis solution was exchanged for solutions with specified free Ca2+ and Mg2+. Solution exchange was performed using continuous local perfusion via a tube placed in close proximity to the bilayer, which could produce solution change within 1 s.
All solutions were buffered using 10 mM TES (N-Tris[hydroxymethyl] methyl-2-aminoethanesulfonic acid; ICN Biomedicals) and titrated to pH 7.4 using CsOH (ICN Biomedicals). A Ca2+ electrode (Radiometer) was used in our experiments to determine the purity of Ca2+ buffers and Ca2+ stock solutions as well as free [Ca2+] when [Ca2+] was >100 nM. Free Ca2+ was adjusted with CaCl2 and buffered using either (a) 4.5 mM BAPTA (1,2-bis(o-aminophenoxy)ethane- N,N,N′,N′-tetraacetic acid; Invitrogen) for free [Ca2+] < 1 µM, (b) dibromo BAPTA (up to 2 mM) for free [Ca2+] between 1 and 10 µM, or (c) sodium citrate (up to 6 mM) for free [Ca2+] between 10 and 50 µM (sodium citrate was only used as a buffer in the absence of Mg2+). Because all solutions applied in the cis bath contained ATP (ATP chelates Ca2+ and Mg2+), free levels of Mg2+ (added as MgCl2) were calculated using estimates of ATP purity and effective Mg2+ binding constants that were determined previously under our experimental conditions (Laver et al., 2004). The cesium salts were obtained from Sigma-Aldrich; CaCl2 and MgCl2 were obtained from BDH Chemicals.
Acquisition and analysis of ion channel recordings
An Axopatch 200B amplifier (Molecular Devices) was used to control the bilayer potential and record unitary currents. Electrical potential differences were expressed as cytoplasmic potential relative to the luminal potential (at virtual ground). The channel currents were recorded during the experiments using a 50-kHz sampling rate and 5-kHz low pass filtering. Before analysis, the current signal was redigitized at 5 kHz and low pass filtered at 1 kHz with a Gaussian digital filter. Single channel open probability (Po) was measured using a threshold discriminator at 50% of channel amplitude. These parameters were measured from single channel records using Channel3 software (Nicholas W. Laver). Unless otherwise stated, measurements were performed with the cis solution voltage clamped at −40 mV.
Unless otherwise stated, data are presented as means ± SEM. Individual readings of open probability were derived from 30–200 s of RyR2 recording depending on experimental conditions. At moderate to high levels of RyR2 activation, 103 to 104 opening events were recorded for each condition. At low levels of RyR activity, care was taken to ensure that the duration of recordings was sufficient to capture at least 30 channel openings. Hill equations were fitted to the dose–response data by the method of least squares, and errors on the Hill equation parameters were derived using the simplex method. The significance of the parameter differences between species was tested using Student’s t test with a p-value <0.05 defining statistical significance.
Human RyR2 incorporated into lipid bilayers had a cesium ion conductance of 575 ± 5 pS (n = 6) in symmetric 250 mM CsCl ([Ca2+] < 1 µM), which is close to values of 525 ± 10 pS (n = 6) for sheep RyRs and 460 ± 10 pS (n = 6) for rat RyR2s obtained under the same conditions. We compared the gating kinetics of cardiac RyR2s from four healthy human hearts (see Table 1 for source information). Myocytes from these four hearts were previously found to have contractility and Ca2+ handling properties that are consistent with healthy donor hearts (Wijnker et al., 2011; van Dijk et al., 2012; Hamdani et al., 2013; Mollova et al., 2013; Sequeira et al., 2013). We found no significant difference in open probability, Po, among RyRs from these four hearts (Table 1). Therefore, in our analysis of the concentration dependencies of cytoplasmic and luminal Ca2+ and Mg2+ regulation of RyR2, the data were pooled from all heart samples. Regulation by intracellular Ca2+ and Mg2+ of human RyR2 was compared with RyR2 from rat and sheep, two commonly used animal models for RyR2 function. The rationale for the experimental conditions in the three figures in this study is as follows: The cytoplasmic and luminal regulatory sites on the RyR2 (Figs. 1 and 2, respectively) involve regulation by both Mg2+ and Ca2+. Hence, we initially show regulation by Ca2+ in the absence of Mg2+ (Fig. 1, A and B; and Fig. 2, A–C) and then regulation by Mg2+ with certain fixed levels of [Ca2+] (Fig. 1, C and D; and Fig. 2 D). Fig. 3 then shows cytoplasmic and luminal regulation by Ca2+ at a physiological level of Mg2+.
RyR2 from human, sheep, and rat were strongly activated by cytoplasmic Ca2+ alone (i.e., in the virtual absence of luminal Ca2+, ∼1 nM; Fig. 1 A). The Po of RyR2 from the three species was ∼10−4 at submicromolar Ca2+ (i.e., pCa 9 to 7) and increased to near unity at micromolar concentrations (pCa 5 and 4). Activation of RyR2 showed no significant differences between species in their sensitivity to cytoplasmic Ca2+ with Ka values of 4 µM, 3.2 µM, and 2.0 µM for human, rat, and sheep, respectively (Fig. 1 B and Table 2).
The inhibitory effects of cytoplasmic Mg2+ at cytoplasmic [Ca2+] of 100 nM (pCa 7) and 0.1 mM (pCa 4) were measured because previous studies using sheep RyR2s (Laver et al., 1997b) show that Mg2+ inhibition under these conditions is determined by different and independent mechanisms. At cytoplasmic pCa 7, Mg2+ is a competitive antagonist at the cytoplasmic Ca2+ activation site (A site), whereas at pCa 4, Mg2+ inhibits by binding to the low-affinity, cytoplasmic Mg2+/Ca2+ inhibition site (I1 site; Laver et al., 1997a). At cytoplasmic pCa 7, human RyR2s were strongly inhibited by micromolar cytoplasmic Mg2+ (Fig. 1 C). RyR2 from human, sheep, and rat were all similarly inhibited by cytoplasmic Mg2+ at pCa 7 (Fig. 1 D). However, at pCa 4, RyR2s from sheep were threefold more sensitive to cytoplasmic Mg2+ inhibition than those from rat and human.
Human RyR2 could be activated by luminal Ca2+ alone (i.e., at subactivating cytoplasmic Ca2+, pCa 7; Fig. 2 A). RyR2s from all three species could be activated by luminal Ca2+ (Fig. 2 B) with a bell-shaped Ca2+ response. However, there were differences in the luminal Ca2+ responses between species. Thus, although RyR2 from human and sheep exhibited similar peak activation, rat RyR2 had a peak activation that was 10-fold less (P < 0.001). Hill fits to the data (Fig. 2 B, solid and dashed curves) give Ka values of 35 µM, 12 µM, and 10 µM for human, sheep, and rat RyR2s, respectively. The declining phase of the luminal Ca2+ response was less pronounced in human and could only be detected at luminal pCa 2. The magnitude of the luminal Ca2+ response depended on cytoplasmic Ca2+ as shown in Fig. 2 C. At cytoplasmic pCa 7, increasing luminal [Ca2+] (from pCa 9 to pCa 4) caused increases in open probability in RyR2 from human, sheep, and rat, but the effect of luminal Ca2+ on RyR2 activity was negligible once RyRs were appreciably activated by cytoplasmic Ca2+ at pCa 5.5 (3 µM).
Millimolar concentrations of Mg2+ added to the luminal bath inhibited RyRs from human, sheep, and rat at cytoplasmic pCa 7, and the luminal [Mg2+] dependencies of Po are shown in Fig. 2 D and Table 3. RyR2s from human and sheep heart showed a similar dependence on luminal Mg2+, whereas rat RyR2 showed a markedly different dependence. Hill fits to the data show Ki values for luminal Mg2+ inhibition of 550 µM, 650 µM, and 78 µM for human, sheep, and rat RyR2s, respectively. Interestingly, the higher Hill coefficient for the luminal [Mg2+] response of human and sheep RyRs compensated for the differences in Ki, leaving no significant difference in the levels of inhibition at physiological (1 mM) luminal Mg2+ for all species.
Ca2+ activation in the presence of [Mg2+]
To assess the gating properties of RyR2 at physiological (systolic) concentrations of Ca2+ and Mg2+, we measured the activation of RyR2 by luminal and cytoplasmic Ca2+ in the presence of 1 mM Mg2+ (Fig. 3). Fig. 3 A and Table 4 show the cytoplasmic [Ca2+] dependence of Po in the presence of cytoplasmic 1 mM free Mg2+ and 2 mM ATP. The lower limit to the experimental cytoplasmic [Ca2+] range was set by the minimum Po that we could reliably measure (Po ∼ 10−4). Under these conditions, human RyR2 had a Ka for Ca2+ activation of 25 ± 8 µM and a maximum Po of 0.55 ± 0.1. In the presence of 1 mM cytoplasmic Mg2+, RyR2 from human and sheep have similar Ca2+ activation properties, whereas RyR2 from rat is threefold less sensitive to cytoplasmic Ca2+ (P < 0.01).
The luminal Ca2+ activation properties of RyR2 channels from human, sheep, and rat in the presence of 1 mM luminal Mg2+ (without cytoplasmic Mg2+) are shown in Fig. 3 B. The near linear luminal Ca2+ dependencies of RyR Po seen here are substantially different to the strongly saturating dependencies measured in the absence of luminal Mg2+ (Fig. 2). In the presence of luminal Mg2+, the RyR2 channels from human and sheep exhibit identical responses, which were not significantly (P > 0.1) different than that shown for RyR2 from rat.
Mechanisms for Ca2+ and Mg2+ regulation of RyR2
This study presents a detailed analysis of the regulation of human RyR2 by intracellular Ca2+ and Mg2+. We report the first measurements of the concentration dependencies of native human RyR2 regulation by luminal and cytoplasmic Ca2+ and Mg2+, and we compare these properties with those of RyR2s from sheep and rat, which have been isolated and measured under identical conditions. We find that human RyR2 displayed the same Ca2+/Mg2+ regulation phenomena as seen in rat and sheep. RyR2 was activated by cytoplasmic and luminal Ca2+ and inhibited by Mg2+ in the lumen and cytoplasm. However, although the sensitivity of human and sheep RyR2 to luminal Ca2+ and Mg2+ were similar, the rat RyR2 was less sensitive to activation by luminal Ca2+ and was more sensitive (i.e., a lower Ki) to inhibition by luminal Mg2+.
The molecular mechanism for these differences is not yet clear. They could arise from differences in the amino acid sequences of the RyR2s, which share 96–98% similarity(ExPASy: human Q92736; rat B0LPN4; and sheep Q9MZD9). However, the sensitivity to cytoplasmic Ca2+ of isolated human native RyR2 reported here (Ka = 4 µM; Table 2) is nearly 10-fold lower than that seen in recombinant RyR2 in the presence of 50 mM luminal Ca2+ (Ka between 0.4 and 0.7 µM [Wehrens et al., 2004]). The difference could be caused by either (a) factors other than amino acid sequence being important in determining RyR2 activity or (b) the different concentrations of luminal Ca2+ used. Species-specific posttranslational modifications or differing degrees of association with co-proteins such as FKBP12/12.6 (Galfré et al., 2012) could be responsible. For example, the adrenergic tone of rat hearts is known to affect the activity of RyR2 isolated from these hearts and incorporated into artificial lipid bilayers (Li et al., 2013). It is also possible that variations in adrenergic tone (and thus protein phosphorylation) between species could underlie the different RyR2 properties from human, sheep, and rat.
The cytoplasmic Ca2+ activation and Mg2+ inhibition of RyR2 observed in several species has been attributed to the combined action of a high-affinity Ca2+ activation site (Smith et al., 1986; Hymel et al., 1988) and a low-affinity divalent cation inhibition site (Meissner, 1986; Laver et al., 1995, 1997a) located in the cytoplasm-facing domains of the RyR2. These sites are referred to here as the A site and I1 site after the nomenclature of Balog et al. (2001). Mg2+ inhibition that is apparent at submicromolar (diastolic) cytoplasmic Ca2+ occurs because Mg2+ binding occludes the A site and prevents Ca2+ from binding and activating the RyR2, and unlike Ca2+, Mg2+ does not cause channel opening. Competition between Ca2+ and Mg2+ for the A site reduces the potency of this form of Mg2+ inhibition at high (systolic) Ca2+, revealing another Mg2+ inhibition mechanism caused by Mg2+ binding to the I1 site. We found that RyR2s from human, rat, and sheep are similarly activated by cytoplasmic Ca2+ and inhibited by Mg2+ at cytoplasmic pCa 7 (Fig. 1), suggesting that the A sites could be strongly conserved between species. However, the different RyR2 sensitivities to cytoplasmic Mg2+ seen at cytoplasmic pCa 4 between human and sheep indicated interspecies differences in the I1 sites.
Interestingly, there are substantial differences in the luminal regulation of RyR2 from rat compared with that seen in human and sheep (Fig. 2), where it can be seen that rat RyR2 is less activated by luminal Ca2+ and more inhibited by luminal Mg2+. Interpreting the precise mechanism for this phenomenon is complicated by the fact that luminal Ca2+ can pass through the channel and act via the cytoplasmic facing A site (Tripathy and Meissner, 1996; Laver, 2007). However, because the cytoplasmic sites produce similar regulation of RyR2 across species (Fig. 1), the observed differences in RyR2 inhibition by luminal Mg2+ and activation by luminal Ca2+ indicate a divergence in the properties of the L site of rat RyR2s from human and sheep.
The importance of luminal Mg2+
The excitability of the SR was shown in early studies to be substantially increased by increasing luminal [Ca2+] (Fabiato and Fabiato, 1977). It is now understood that luminal Ca2+ has a direct activating effect on the RyR2 Ca2+ release channel (Sitsapesan and Williams, 1997; Györke et al., 2002) and that in addition to Ca2+ influx through the plasma membrane, Ca2+ in the SR can trigger Ca2+ release and so contribute to pacemaking and rhythmicity in cardiac muscle (Vinogradova et al., 2005; Imtiaz et al., 2010). The importance of luminal Ca2+ as a determinant of cardiac rhythm is highlighted by arrhythmias associated with excessive luminal [Ca2+] (Schlotthauer and Bers, 2000). Fig. 3 B shows that RyR2 Po increases from 0.007 to almost 0.02, (approximately threefold increase) when luminal [Ca2+] increases from 0.1 to 1 mM. This is in agreement with the luminal Ca2+ dependence of Ca2+ spark frequency in cardiomyocytes (Zima et al., 2010). We also show that this dependence on luminal Ca2+ over the physiological [Ca2+] range requires the presence of physiological [Mg2+]. The removal of luminal Mg2+ in our bilayer experiments markedly decreased the Ka for luminal Ca2+ activation from ∼1 mM to <0.1 mM, causing RyR2 Po to become nearly constant over the physiological range of luminal Ca2+ (Fig. 2 B). These results suggest that luminal Mg2+ may play an important role in the cell in shaping the dose–response of RyR2s to store Ca2+ load during diastole.
We wish to thank Paul Johnson for his assistance with the single channel recording and Peter Doson for his assistance with perfusion of isolated rat hearts.
This work was funded by a New South Wales Health infrastructure grant through the Hunter Medical Research Institute and a National Health and Medical Research Council Project grant (631052).
The authors declare no competing financial interests.
Richard L. Moss served as editor.