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Title | Structural analyses of human ryanodine receptor type 2 channels reveal the mechanisms for sudden cardiac death and treatment. |
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Journal, issue, pages | Sci Adv, Vol. 8, Issue 29, Page eabo1272, Year 2022 |
Publish date | Jul 22, 2022 |
Authors | Marco C Miotto / Gunnar Weninger / Haikel Dridi / Qi Yuan / Yang Liu / Anetta Wronska / Zephan Melville / Leah Sittenfeld / Steven Reiken / Andrew R Marks / |
PubMed Abstract | Ryanodine receptor type 2 (RyR2) mutations have been linked to an inherited form of exercise-induced sudden cardiac death called catecholaminergic polymorphic ventricular tachycardia (CPVT). CPVT ...Ryanodine receptor type 2 (RyR2) mutations have been linked to an inherited form of exercise-induced sudden cardiac death called catecholaminergic polymorphic ventricular tachycardia (CPVT). CPVT results from stress-induced sarcoplasmic reticular Ca leak via the mutant RyR2 channels during diastole. We present atomic models of human wild-type (WT) RyR2 and the CPVT mutant RyR2-R2474S determined by cryo-electron microscopy with overall resolutions in the range of 2.6 to 3.6 Å, and reaching local resolutions of 2.25 Å, unprecedented for RyR2 channels. Under nonactivating conditions, the RyR2-R2474S channel is in a "primed" state between the closed and open states of WT RyR2, rendering it more sensitive to activation that results in stress-induced Ca leak. The Rycal drug ARM210 binds to RyR2-R2474S, reverting the primed state toward the closed state. Together, these studies provide a mechanism for CPVT and for the therapeutic actions of ARM210. |
External links | Sci Adv / PubMed:35857850 / PubMed Central |
Methods | EM (single particle) |
Resolution | 2.58 - 3.69 Å |
Structure data | EMDB-26139: Structure of human RyR2 in the closed state. EMDB-26405, PDB-7u9q: EMDB-26407, PDB-7u9r: EMDB-26408, PDB-7u9t: EMDB-26409, PDB-7u9x: EMDB-26410, PDB-7u9z: EMDB-26412, PDB-7ua1: EMDB-26413, PDB-7ua3: EMDB-26414, PDB-7ua4: EMDB-26415, PDB-7ua5: EMDB-26416, PDB-7ua9: |
Chemicals | ChemComp-ZN: ChemComp-ATP: ChemComp-CA: ChemComp-XAN: ChemComp-KVR: ChemComp-HOH: |
Source |
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Keywords | MEMBRANE PROTEIN / calcium channel / Ryanodine receptor 2 |