TY - JOUR
T1 - Cardiomyocyte calcium handling in health and disease
T2 - Insights from in vitro and in silico studies
AU - Sutanto, Henry
AU - Lyon, Aurore
AU - Lumens, Joost
AU - Schotten, Ulrich
AU - Dobrev, Dobromir
AU - Heijman, Jordi
N1 - Funding Information:
This work was funded by the Netherlands Organisation for Scientific Research (NWO-ZonMw , VIDI grant 016.176.340 to JL), the European Research Area Network on Cardiovascular Diseases (ERA-CVD) (grant to JL) and the National Institutes of Health ( R01-HL131517 , R01-HL136389 and R01-HL089598 to DD), and the German Research Foundation (DFG , Do 769/4-1 to DD).
Publisher Copyright:
© 2020 The Authors
PY - 2020/11
Y1 - 2020/11
N2 - Calcium (Ca2þ) plays a central role in cardiomyocyte excitation-contraction coupling. To ensure an optimal electrical impulse propagation and cardiac contraction, Ca2þ levels are regulated by a variety of Ca2þ-handling proteins. In turn, Ca2þ modulates numerous electrophysiological processes. Accordingly, Ca2þ-handling abnormalities can promote cardiac arrhythmias via various mechanisms, including the promotion of after depolarizations, ion-channel modulation and structural remodeling. In the last 30 years, significant improvements have been made in the computational modeling of cardiomyocyte Ca2þ-handling under physiological and pathological conditions. However, numerous questions involving the Ca2þ-dependent regulation of different macromolecular complexes, cross-talk between Ca2þ-dependentregulatory pathways operating over a wide range of time scales, and bidirectional interactions between electro physiology and mechanics remain to be addressed by in vitro and in silico studies. A better understanding of disease-specific Ca2þ-dependent proarrhythmic mechanisms may facilitate the development of improved therapeutic strategies. In this review, we describe the fundamental mechanisms of cardiomyocyte Ca2þ-handling in health and disease, and provide an overview of currently available computational models for cardiomyocyte Ca2þ-handling. Finally, we discuss important uncertainties and open questions about cardiomyocyte Ca2þhandling and highlight how synergy between in vitro and in silico studies may help to answer several of these issues.
AB - Calcium (Ca2þ) plays a central role in cardiomyocyte excitation-contraction coupling. To ensure an optimal electrical impulse propagation and cardiac contraction, Ca2þ levels are regulated by a variety of Ca2þ-handling proteins. In turn, Ca2þ modulates numerous electrophysiological processes. Accordingly, Ca2þ-handling abnormalities can promote cardiac arrhythmias via various mechanisms, including the promotion of after depolarizations, ion-channel modulation and structural remodeling. In the last 30 years, significant improvements have been made in the computational modeling of cardiomyocyte Ca2þ-handling under physiological and pathological conditions. However, numerous questions involving the Ca2þ-dependent regulation of different macromolecular complexes, cross-talk between Ca2þ-dependentregulatory pathways operating over a wide range of time scales, and bidirectional interactions between electro physiology and mechanics remain to be addressed by in vitro and in silico studies. A better understanding of disease-specific Ca2þ-dependent proarrhythmic mechanisms may facilitate the development of improved therapeutic strategies. In this review, we describe the fundamental mechanisms of cardiomyocyte Ca2þ-handling in health and disease, and provide an overview of currently available computational models for cardiomyocyte Ca2þ-handling. Finally, we discuss important uncertainties and open questions about cardiomyocyte Ca2þhandling and highlight how synergy between in vitro and in silico studies may help to answer several of these issues.
KW - Calcium handling
KW - Arrhythmia
KW - Computational modeling
KW - Cardiomyocyte
KW - Electrophysiology
KW - SARCOPLASMIC-RETICULUM CA2+
KW - PROTEIN-KINASE-II
KW - ACTIVATED POTASSIUM CHANNELS
KW - ATRIAL-FIBRILLATION
KW - INTRACELLULAR CALCIUM
KW - VENTRICULAR MYOCYTES
KW - DEPENDENT REGULATION
KW - HEART-FAILURE
KW - RYR2 PHOSPHORYLATION
KW - MECHANOELECTRICAL FEEDBACK
U2 - 10.1016/j.pbiomolbio.2020.02.008
DO - 10.1016/j.pbiomolbio.2020.02.008
M3 - Article
C2 - 32188566
SN - 0079-6107
VL - 157
SP - 54
EP - 75
JO - Progress in Biophysics & Molecular Biology
JF - Progress in Biophysics & Molecular Biology
ER -