The RyR2 is a macromolecular complex comprising a Ca2+ channel and many other accessory proteins that regulate channel activity. The binding of intracellular calmodulin (CaM, ∼45 nM in the cytoplasm) partially inhibits calcium release in cardiomyocytes due to its ability to inhibit RyR2 channel opening. Single channel studies of RyR2 in lipid bilayers find that CaM inhibits RyR2 with an IC50 of 100 nM. During the process of RyR2 isolation fromthe heart and their incorporation into lipid bilayers, the macromolecular complex stays mostly intact except for CaM which can dissociate from the RyR2 complex in minutes.Heart failure is a complex disorder involving changes in Ca2+ handling protein expression, Ca2+ homeostasis and remodelling of the RyR2 complex. We compare RyR2 activity from healthy and failing human hearts and study their regulation by Ca2+ in the presence and absence of CaM. RyR2 was isolated from healthy human hearts and hearts with ischemic cardiomyopathy with ethics approval (H-2009-0369) and incorporated into lipid bilayers. CaM (0.5 μM with 0.1 uM Ca2+) caused a reduction in RyR2 Po of 57% ± 6% from failing human heart but did not affect RyRs from healthy hearts. Thus, action of CaM in the RyR complex is influenced by its remodelling that occurs in the failing heart.
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