PMID- 9334205 OWN - NLM STAT- MEDLINE DCOM- 19971117 LR - 20210209 IS - 0021-9258 (Print) IS - 0021-9258 (Linking) VI - 272 IP - 42 DP - 1997 Oct 17 TI - Caffeine and halothane sensitivity of intracellular Ca2+ release is altered by 15 calcium release channel (ryanodine receptor) mutations associated with malignant hyperthermia and/or central core disease. PG - 26332-9 AB - Malignant hyperthermia (MH) and central core disease (CCD) are autosomal dominant disorders of skeletal muscle in which a potentially fatal hypermetabolic crisis can be triggered by commonly used anesthetic agents. To date, 17 mutations in the human RYR1 gene encoding the Ca2+ release channel of skeletal muscle sarcoplasmic reticulum (the ryanodine receptor) have been associated with MH and/or CCD. Although many of these mutations have been linked to MH and/or CCD, with high lod (log of the odds favoring linkage versus nonlinkage) scores, others have been found in single, small families. Independent biochemical evidence for a causal role for these mutations in MH is available for only two mutants. Mutations corresponding to the human MH mutations were made in a full-length rabbit RYR1 cDNA, and wild type and mutant cDNAs were transfected into HEK-293 cells. After about 48 h, intact cells were loaded with the fluorescent Ca2+ indicator, fura-2, and intracellular Ca2+ release, induced by caffeine or halothane, was measured by photometry. Ca2+ release in cells expressing MH or CCD mutant ryanodine receptors was invariably significantly more sensitive to low concentrations of caffeine and halothane than Ca2+ release in cells expressing wild type receptors or receptors mutated in other regions of the molecule. Linear regression analysis showed that there is a strong correlation (r = 0.95, p < 0.001) between caffeine sensitivity of different RYR1 mutants measured by the cellular Ca2+ photometry assay and by the clinical in vitro caffeine halothane contracture test (IVCT). The correlation was weaker, however, for halothane (r = 0.49, p > 0.05). Abnormal sensitivity in the Ca2+ photometry assay provides supporting evidence for a causal role in MH for each of 15 single amino acid mutations in the ryanodine receptor. The study demonstrates the usefulness of the cellular Ca2+ photometry assay in the assessment of the sensitivity to caffeine and halothane of specific ryanodine receptor mutants. FAU - Tong, J AU - Tong J AD - Banting and Best Department of Medical Research, University of Toronto, Charles H. Best Institute, Toronto, Ontario M5G 1L6, Canada. FAU - Oyamada, H AU - Oyamada H FAU - Demaurex, N AU - Demaurex N FAU - Grinstein, S AU - Grinstein S FAU - McCarthy, T V AU - McCarthy TV FAU - MacLennan, D H AU - MacLennan DH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Biol Chem JT - The Journal of biological chemistry JID - 2985121R RN - 0 (DNA, Complementary) RN - 0 (Recombinant Proteins) RN - 0 (Ryanodine Receptor Calcium Release Channel) RN - 3G6A5W338E (Caffeine) RN - SY7Q814VUP (Calcium) RN - UQT9G45D1P (Halothane) SB - IM MH - Animals MH - Caffeine/*pharmacology MH - Calcium/*metabolism MH - Cell Line MH - DNA, Complementary MH - Halothane/*pharmacology MH - Humans MH - Malignant Hyperthermia/*genetics MH - Mutagenesis, Site-Directed MH - Myopathies, Nemaline/*genetics MH - Rabbits MH - Recombinant Proteins/genetics/metabolism MH - Ryanodine Receptor Calcium Release Channel/drug effects/genetics/*metabolism EDAT- 1997/10/23 00:00 MHDA- 1997/10/23 00:01 CRDT- 1997/10/23 00:00 PHST- 1997/10/23 00:00 [pubmed] PHST- 1997/10/23 00:01 [medline] PHST- 1997/10/23 00:00 [entrez] AID - S0021-9258(18)66422-1 [pii] AID - 10.1074/jbc.272.42.26332 [doi] PST - ppublish SO - J Biol Chem. 1997 Oct 17;272(42):26332-9. doi: 10.1074/jbc.272.42.26332.