PMID- 23953820 OWN - NLM STAT- MEDLINE DCOM- 20140403 LR - 20211021 IS - 1557-3117 (Electronic) IS - 1053-2498 (Print) IS - 1053-2498 (Linking) VI - 32 IP - 9 DP - 2013 Sep TI - Modifications of skeletal muscle ryanodine receptor type 1 and exercise intolerance in heart failure. PG - 925-9 LID - S1053-2498(13)01339-9 [pii] LID - 10.1016/j.healun.2013.06.026 [doi] AB - BACKGROUND: In experimental heart failure animal models, remodeling of skeletal and cardiac muscle ryanodine receptors (RyR), including phosphorylation, S-nitrosylation and oxidation, have been reported to contribute to pathologic Ca2+ release, impaired muscle function and fatigue. However, it is not known whether similar remodeling of RyR1 in skeletal muscle occurs in patients with heart failure, and if this is associated with impairment of physical activity. METHODS: We studied 8 sedentary patients with New York Heart Association (NYHA) Class III heart failure and 7 age-matched, healthy, but sedentary controls. All heart failure patients had NYHA Class III and peak VO2, echocardiography and NT-proBNP data consistent with moderate to severe heart failure. The age-matched controls included were allowed hypertension but sub-clinical heart failure was to have been ruled out by normal peak VO2, echocardiography and NT-proBNP. RESULTS: Exercise capacity (VO2max) differed by almost 2-fold between heart failure patients and age-matched controls. Compared with controls, skeletal muscle RyR1 in heart failure patients was excessively phosphorylated, S-nitrosylated and oxidized. Furthermore, RyR1 from heart failure patients was depleted of its stabilizing protein FK 506-binding protein 12 (FKBP12, or calstabin1). CONCLUSIONS: For the first time we show that skeletal muscle RyR1 from human heart failure is post-translationally modified, which corroborates previous data from experimental animal studies. This indicates pathologic Ca2+ release as a potential mechanism behind skeletal muscle weakness and impaired exercise tolerance in patients with heart failure and suggests a potential target for pharmacologic intervention. CI - Copyright (c) 2013 International Society for Heart and Lung Transplantation. Published by Elsevier Inc. All rights reserved. FAU - Rullman, Eric AU - Rullman E AD - Department of Cardiology, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden. FAU - Andersson, Daniel C AU - Andersson DC FAU - Melin, Michael AU - Melin M FAU - Reiken, Steven AU - Reiken S FAU - Mancini, Donna M AU - Mancini DM FAU - Marks, Andrew R AU - Marks AR FAU - Lund, Lars H AU - Lund LH FAU - Gustafsson, Thomas AU - Gustafsson T LA - eng GR - R01 AI039794/AI/NIAID NIH HHS/United States GR - R01 HL061503/HL/NHLBI NIH HHS/United States GR - R01 AR060037/AR/NIAMS NIH HHS/United States GR - R01HL056180/HL/NHLBI NIH HHS/United States GR - R01HL061503/HL/NHLBI NIH HHS/United States GR - R01 HL056180/HL/NHLBI NIH HHS/United States GR - P01 HL067849/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - J Heart Lung Transplant JT - The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation JID - 9102703 RN - 0 (Peptide Fragments) RN - 0 (Ryanodine Receptor Calcium Release Channel) RN - 0 (pro-brain natriuretic peptide (1-76)) RN - 114471-18-0 (Natriuretic Peptide, Brain) SB - IM MH - Aged MH - Biopsy MH - Case-Control Studies MH - Comorbidity MH - Echocardiography MH - Exercise Tolerance/*physiology MH - Female MH - Heart Failure/epidemiology/*metabolism/*physiopathology MH - Humans MH - Hypertension/epidemiology/metabolism/physiopathology MH - Male MH - Middle Aged MH - Muscle, Skeletal/*metabolism/pathology MH - Natriuretic Peptide, Brain/metabolism MH - Oxygen Consumption/physiology MH - Peptide Fragments/metabolism MH - Ryanodine Receptor Calcium Release Channel/*metabolism MH - Severity of Illness Index PMC - PMC4399850 MID - NIHMS678895 OTO - NOTNLM OT - ageing OT - muscle fatigue activity OT - physical exercise capacity calcium oxidative stress OT - post-translational contraction OT - protein processing EDAT- 2013/08/21 06:00 MHDA- 2014/04/04 06:00 PMCR- 2015/04/16 CRDT- 2013/08/20 06:00 PHST- 2013/01/25 00:00 [received] PHST- 2013/06/26 00:00 [revised] PHST- 2013/06/28 00:00 [accepted] PHST- 2013/08/20 06:00 [entrez] PHST- 2013/08/21 06:00 [pubmed] PHST- 2014/04/04 06:00 [medline] PHST- 2015/04/16 00:00 [pmc-release] AID - S1053-2498(13)01339-9 [pii] AID - 10.1016/j.healun.2013.06.026 [doi] PST - ppublish SO - J Heart Lung Transplant. 2013 Sep;32(9):925-9. doi: 10.1016/j.healun.2013.06.026.