Cardiomyopathies and arrhythmias are major causes of mortality in chronic iron overload. There is evidence that iron overload impairs cardiomyocytes Ca2+ homeostasis (Baptista-Hon et al, 2005). However its molecular substrates remain unknown. Cardiac ryanodine receptors (RyR2) dysfunction is implicated in several diseases where Ca2+ homeostasis is lost. We therefore wanted to investigate RyR2 role as a potential target for iron-induced cardiomyopathies.We isolated heavy sarcoplasmic reticulum (HSR) vesicles containing RyR2 from sheep hearts. RyR2 were reconstituted into L-α-phosphatidylethanolamine (PE) bilayers. Unitary currents were measured under voltage-clamp with 250mM Cs+ as the charge carrier and 10μM activating Ca2+. High affinity [3H]ryanodine binding of the native vesicles was detected by liquid scintillation counting. Non-specific binding determined by incubations with 100x cold ryanodine.Fe2+ reduced RyR2 open probability and conductance in a dose dependent manner. Lifetime analysis revealed 5 shut times components and 3 open times components in control. Fe2+ caused an extra-shut component. Furthermore, there was a dose dependent shift in the open time constants towards the faster components. The binding assays revealed a [Fe2+] dependent, co-operative reduction in [3H]ryanodine binding to HSR vesicles. Preliminary data of [3H]ryanodine binding in increasing [Ca2+] showed a rightward shift in the presence of Fe2+.The results presented here show for the first time that Fe2+ is a potent inhibitor of RyR2. The mechanism of this inhibition may be due to competition with Ca2+ for RyR2 activation sites. Suppression of RyR2 activity by Fe2+ may therefore be one of the mechanisms involved in iron-induced cardiomyopathies.ReferencesBaptista-Hon, D, Diaz, M. E., and Elliot, A. C. Acute exposure to iron (II) alters calcium handling in isolated rat ventricular myocytes. Journal of Molecular and Cellular Cardiology 39, 179. 2005.
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