MicroRNAs are small non-coding RNAs which act as endogenous regulators of gene expression, have gained much attention in the past several years due to increasing evidence of their involvement in numerous pathological processes including cardiac disease. Several microRNAs have been implicated in heart failure (HF) and sudden cardiac death (SCD) via regulation of calcium handling in cardiac myocytes. Upregulation of muscle-specific miRNA miR-208 has been associated with adverse clinical outcomes including acute failure and SCD in patients with dilated cardiomyopathy, while therapeutic inhibition of miR-208 was demonstrated to improve survival and cardiac function in the rat model of HF. However, the molecular mechanisms underlying such functional effects of miR-208 dysregulation remain largely unexplored. We hypothesize that miR-208 is an important regulator of calcium handling by targeting components of phosphorylation-dephosphorylation system in cardiac myocytes. An experimental model of miR-208 overexpression in rat ventricular myocytes was generated via adenoviral infection. Its effects on Ca2+ handling and pro-arrhythmic activity was investigated using confocal microscopy for Ca2+ imaging, western blot analysis, and luciferase reporter assays. Under conditions of beta-adrenergic stimulation we observed decreased Ca2+ transient amplitude, reduced SR Ca2+ content, faster onset of pro-arrhythmic spontaneous Ca2+ waves, and increased spark frequency in miR-208 overexpressing cells. Additionally, there was increased phosphorylation of a negative regulator of SERCA, phospholamban, and ryanodine receptors as well as decreased levels of putative targets phosphodiesterase 4D and calcineurin in miR-208 overexpressed myocytes. We can conclude that miR-208 affects Ca2+ handling by regulating the expression of proteins involved in phosphorylation-dephosphorylation of ryanodine receptors and phospholamban. This mechanism may contribute to the increased risk of arrhythmia and SCD in cardiac disease states accompanied by miR-208 upregulation including HF.
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