Abstract

Dysfunctional skeletal muscle calcium homeostasis plays a central role in the pathophysiology of several human and animal skeletal muscle disorders, in particular, genetic disorders associated with ryanodine receptor 1 (RYR1) mutations, such as malignant hyperthermia, central core disease, multiminicore disease and certain centronuclear myopathies. In addition, aberrant skeletal muscle calcium handling is believed to play a pivotal role in the highly prevalent disorder of Thoroughbred racehorses, known as Recurrent Exertional Rhabdomyolysis. Traditionally, such defects were studied in human and equine subjects by examining the contractile responses of biopsied muscle strips exposed to caffeine, a potent RYR1 agonist. However, this test is not widely available and, due to its invasive nature, is potentially less suitable for valuable animals in training or in the human paediatric setting. Furthermore, increasingly, RYR1 gene polymorphisms (of unknown pathogenicity and significance) are being identified through next generation sequencing projects. Consequently, we have investigated a less invasive test that can be used to study calcium homeostasis in cultured, skin-derived fibroblasts that are converted to the muscle lineage by viral transduction with a MyoD (myogenic differentiation 1) transgene. Similar models have been utilised to examine calcium homeostasis in human patient cells, however, to date, there has been no detailed assessment of the cells’ calcium homeostasis, and in particular, the responses to agonists and antagonists of RYR1. Here we describe experiments conducted to assess calcium handling of the cells and examine responses to treatment with dantrolene, a drug commonly used for prophylaxis of recurrent exertional rhabdomyolysis in horses and malignant hyperthermia in humans.

Highlights

  • Skeletal muscle contraction involves highly specialised and tightly regulated mechanisms that convert electrochemical signals to mechanotransduction

  • Caffeine responses in equine myotubes To assess if calcium homeostasis of skin-derived myotubes is affected by differentiation time, we studied the response of the equine cultures to caffeine, after 2 or 3 weeks of differentiation

  • In some central core disease (CCD)-affected human patients, ryanodine receptor 1 (RYR1) mutations appear to induce an uncoupling between DHPR and RYR1, while in other patients with malignant hyperthermia (MH), the mutation makes the RYR1 channel leaky, leading to raised cytosolic calcium concentrations [58,59]

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Summary

Introduction

Skeletal muscle contraction involves highly specialised and tightly regulated mechanisms that convert electrochemical signals to mechanotransduction. Upon depolarization of the skeletal muscle transverse tubule (T-tubule) membrane, DHPRs interact with RYR1, activating a massive release of calcium from the sarcoplasmic reticulum (SR) into the cytoplasm. This conversion of an electrical to a chemical signal (a Ca2+ transient) is essential for excitation–contraction coupling (ECC): calcium released into the cytoplasm during ECC-initiation enables contraction of myofibrils via ATP hydrolysis from myosin ATPases following a calcium-dependent conformational change in the troponin-tropomyosin complex [1,2,3]. Relatively small amounts of calcium can enter muscle cells through a prolonged voltage-dependent (excitation) -coupled calcium entry mechanism (ECCE) [7]

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