| 2016 |
Cryo-EM structures of porcine RyR2 in both open and closed states at near-atomic resolution revealed that gating involves a breathing motion of the cytoplasmic region through interdomain movements of NTDs, Helical, and Handle domains, with outward rotations of Central domains leading to dilation of the cytoplasmic gate. Mutational characterization validated the structural model. |
Single-particle electron cryomicroscopy (open and closed states) + site-directed mutagenesis |
Science |
High |
27708056
|
| 2005 |
Disease-linked RyR2 mutations from N-terminal, central, and C-terminal regions all enhance store overload-induced Ca2+ release (SOICR) and increase channel sensitivity to luminal (but not cytosolic) Ca2+ activation, representing a common gain-of-function defect. No alteration of FKBP12.6-RyR2 interaction was detected. |
Stable inducible HEK293 cell lines expressing mutant RyR2, single-channel lipid bilayer recordings, [3H]ryanodine binding, single-cell Ca2+ imaging |
Circulation Research |
High |
16239587
|
| 2009 |
miR-1 overexpression selectively increases CaMKII-dependent phosphorylation of RyR2 at S2814 (but not PKA site S2808) by downregulating the PP2A regulatory subunit B56α, causing enhanced spontaneous Ca2+ sparks and arrhythmogenic Ca2+ oscillations in rat ventricular myocytes. |
Adenoviral miR-1 overexpression, Ca2+ imaging, electrophysiology, quantitative immunoblotting, CaMKII inhibitor (KN93) rescue |
Circulation Research |
High |
19131648
|
| 2012 |
CaMKII phosphorylation of RyR2 at S2814 promotes pathological SR Ca2+ leak and heart failure after transverse aortic constriction. Knock-in mice with S2814A (CaMKII-inactivated) were protected from pressure-overload HF, pulmonary congestion, and SR Ca2+ leak, but not from ischemic HF. |
S2814A knock-in mice, transverse aortic constriction model, confocal Ca2+ imaging, SR Ca2+ leak measurements, echocardiography |
Circulation Research |
High |
22511749
|
| 2011 |
CaMKII phosphorylation of RyR2 at S2814 (not S2808) is required for AF induction in FKBP12.6-knockout mice. S2814A knock-in abolished SR Ca2+ leak, delayed afterdepolarizations, and AF susceptibility in FKBP12.6-/- mice. |
Double knock-in mouse models (FKBP12.6-/- crossed with S2814A or S2808A), Ca2+ spark/wave measurements, patch clamp (DADs), in vivo AF induction |
Circulation Research |
High |
22158709
|
| 2016 |
CaMKII-dependent phosphorylation of RyR2-S2814 drives a pathological RyR2 conformational shift (increased DPc10 access) with reduced calmodulin affinity and elevated SR Ca2+ leak. Dantrolene and excess CaM both restored normal RyR2 conformation and suppressed ventricular tachycardia in S2814D mice. |
S2814D and S2814A knock-in mouse myocytes, FRET-based CaM affinity measurements, DPc10 conformational probe, Ca2+ leak assay, in vivo VT inducibility |
Journal of Molecular and Cellular Cardiology |
High |
27318036
|
| 2003 |
Calmodulin (CaM) inhibits RyR2 at all Ca2+ concentrations (100 nM–1 mM), shifting RyR2 Ca2+ EC50 7–10-fold upward. Ca2+ binding to any of CaM's four Ca2+ sites is required for inhibition. ApoCaM (Ca2+-free mutant) activated RyR2 and acted as competitive inhibitor of wild-type CaM, revealing isoform-specific CaM regulation distinct from RyR1. |
In vitro [3H]ryanodine binding with Ca2+-insensitive CaM point mutants, planar lipid bilayer single-channel recordings |
Biochemistry |
High |
12614169
|
| 2013 |
Calmodulin (CaM) binds to RyR2 with high affinity in situ (Kd = 10–20 nM) and >90% of Z-line CaM is RyR2-bound. Disrupting CaM-RyR2 binding (RyR2-ADA/+ knock-in) causes Ca2+ waves and stress-induced ventricular arrhythmia. In post-MI heart failure, CaM-RyR2 affinity is decreased ~3-fold while FKBP12.6-RyR2 affinity is unchanged. |
FRET in permeabilized myocytes, RyR2-ADA/+ knock-in mice, confocal Ca2+ imaging, in vivo arrhythmia induction |
Circulation Research |
High |
24186966
|
| 2019 |
CaM binds to four RyR2 CaM-binding domains (CaMBD1a, 1b, 2, 3) in a Ca2+-dependent manner. CaM C-domain anchors to CaMBD2 (Ca2+-saturated under resting conditions) while the N-domain acts as a dynamic Ca2+ sensor bridging CaMBD2 and CaMBD3, supporting a model where CaM stays constitutively bound but changes conformation to regulate RyR2. |
Fluorescence anisotropy of TAMRA-labeled CaMBD peptides, individual CaM domain titrations across Ca2+ concentrations |
Biochemical Journal |
High |
30530841
|
| 2014 |
Crystal structure of the human RyR2 N-terminal region (residues 1–606) shows three domains (A, B, C) held together by a network of interactions with a central helix (residues 410–437) playing a key stabilizing role. The anion-binding site present in mouse RyR2 N-terminus is absent in human RyR2. Docking into cryo-EM maps predicts up to 8 Å Cα movements upon gating. |
X-ray crystallography, small-angle X-ray scattering (solution structure), homology modeling, docking into cryo-EM maps |
Acta Crystallographica Section D |
High |
25372681
|
| 2015 |
RyR2-mediated Ca2+ release specifically promotes glucose oxidation via pyruvate dehydrogenase (PDH) activation. Ryr2 haploinsufficient (cRyr2Δ50) mice with 50% reduced RyR2 show decreased cytosolic and mitochondrial Ca2+ signals, PDH hyperphosphorylation/inhibition, and reduced glucose oxidation without contractile impairment. |
Inducible cardiac Ryr2 haploinsufficient mouse model, mitochondrial Ca2+ imaging, metabolomics, proteomics, transcriptomics, PDH phosphorylation assays |
Journal of Biological Chemistry |
High |
27621312
|
| 2010 |
PKA phosphorylation of RyR2-S2808 contributes to SR Ca2+ leak and dystrophic cardiomyopathy. mdx mice crossed with RyR2-S2808A knock-in had reduced SR Ca2+ leak, preserved fractional shortening, reduced isoproterenol-induced arrhythmia and mortality compared to mdx mice. |
S2808A knock-in crossed with mdx mice, confocal Ca2+ imaging, echocardiography, survival analysis, SR Ca2+ leak measurements |
PNAS |
High |
20615971
|
| 2015 |
CaMKIIδ is the specific isoform responsible for β-adrenergic-stimulated RyR2-S2814 phosphorylation and SR Ca2+ leak. CaMKIIδ-KO mice and S2814A mice were both protected from chronic isoproterenol-induced cardiomyopathy and pulmonary congestion, but not from hypertrophy, implicating CaMKIIδ→RyR2-S2814 axis specifically in pathological remodeling. |
CaMKIIδ-KO and S2814A knock-in mice, chronic isoproterenol infusion, echocardiography, SR Ca2+ leak measurements, immunoblotting |
Journal of Molecular and Cellular Cardiology |
High |
26080362
|
| 2015 |
RyR2 channel activity (open probability) determines the potency of open-state blockers flecainide and R-propafenone against arrhythmogenic Ca2+ waves. Higher RyR2 activity in CPVT mutant (Casq2-/-, RyR2-R4496C+/-) or caffeine-treated myocytes leads to lower IC50 for open-state but not state-independent (tetracaine) blockers. |
Permeabilized ventricular myocytes from CPVT mouse models, confocal Ca2+ imaging, concentration-response curves for drug inhibition of Ca2+ waves |
PLoS ONE |
High |
26121139
|
| 2002 |
ARVD2-associated RyR2 mutations decrease binding of the gating protein FKBP12.6 to RyR2, while VTSIP (CPVT)-associated mutations increase FKBP12.6 binding, as shown by quantitative yeast two-hybrid assay. This suggests ARVD2 mutations increase cytosolic Ca2+ release while VTSIP mutations do not significantly alter Ca2+ levels. |
Quantitative yeast two-hybrid system with RyR2 point mutations and FKBP12.6 |
Biochemical and Biophysical Research Communications |
Medium |
12459180
|
| 2013 |
The CPVT-associated RyR2 G230C mutation enhances SOICR propensity, reduces SOICR threshold, increases sensitivity of single channels to both luminal and cytosolic Ca2+, and decreases thermal stability of the N-terminal domain (residues 1–547), suggesting structural destabilization as a disease mechanism. |
Stable inducible HEK293 cells, single-cell Ca2+ imaging, single-channel lipid bilayer recordings, [3H]ryanodine binding, thermal stability assay of N-terminal fragment |
Biochemical Journal |
High |
23746327
|
| 2022 |
Ero1α-mediated oxidation of the intra-SR environment causes dissociation of ERp44 from RyR2 intraluminal cysteine C4806, increasing RyR2 Ca2+ channel activity and proarrhythmic Ca2+ release. Site-directed mutagenesis and molecular dynamics confirmed C4806 as the redox-sensitive ERp44-RyR2 interaction site. Ero1α inhibition restored ERp44-RyR2 association and reduced arrhythmias in hypertrophic rat hearts. |
Co-IP of RyR2-ERp44 complex, site-directed mutagenesis (C4806), molecular dynamics simulations, ERroGFP SR redox sensor, Ca2+ imaging, optical mapping, Ero1α KO/OE |
Circulation Research |
High |
35086342
|
| 2019 |
Junctophilin proteins (JPH3/4) tether a Cav1.3-RyR2-KCa3.1 tripartite complex at plasma membrane-ER junctions in CA1 hippocampal neurons to enable the slow AHP. shRNA knockdown of JPH3/4 dissociated the complex and reduced IsAHP; antibody infusion into CA1 cells also reduced IsAHP and spike accommodation. |
dSTORM super-resolution imaging, FRET microscopy, shRNA knockdown, intracellular antibody infusion, electrophysiology |
Cell Reports |
High |
31461656
|
| 2015 |
RyR2 plays a critical role in pancreatic β cell insulin secretion and glucose homeostasis. CPVT-associated leaky RyR2 mutations in mice caused intracellular Ca2+ leak via oxidized/nitrosylated RyR2, activated ER stress, mitochondrial dysfunction, and decreased fuel-stimulated insulin release. Pharmacological inhibition of Ca2+ leak improved glucose homeostasis. |
Transgenic mice with CPVT RyR2 mutations, islet Ca2+ imaging, ER stress assays, mitochondrial function assays, insulin secretion assays, pharmacological rescue |
Journal of Clinical Investigation |
High |
25844899
|
| 2004 |
RyR2 activity is required for β cell survival: inhibiting RyR2 with ryanodine in human and mouse pancreatic β cells markedly increased apoptosis via a caspase-3-independent, calpain-10-dependent pathway. Pharmacological and genetic approaches showed calpain-10 mediates ryanodine-induced apoptosis downstream of RyR2 inhibition. |
Pharmacological RyR2 inhibition (ryanodine), genetic calpain-10 knockdown, apoptosis assays in primary β cells |
Journal of Biological Chemistry |
High |
15044459
|
| 2014 |
Doxorubicin and its metabolite doxorubicinol bind directly to RyR2 and SERCA2A, causing initial activation then irreversible inhibition of RyR2 channel activity. Inhibition involves thiol oxidation on RyR2 (reduced by DTT pretreatment, with both drugs reducing thiol group abundance). Doxorubicinol but not doxorubicin inhibited SERCA2A Ca2+ uptake; DTT reversed this to enhancement. |
Single RyR2 channel recordings (planar lipid bilayer), SERCA2A Ca2+ uptake assay in SR vesicles, thiol group quantification, dithiothreitol rescue |
Molecular Pharmacology |
High |
25106424
|
| 2003 |
Streptozotocin-induced diabetes increases disulfide bond formation between reactive sulfhydryl groups on RyR2, reducing [3H]ryanodine binding (channel activity). DTT pretreatment partially restored activity; insulin treatment attenuated the oxidative modification. Pyrocoll activation of RyR2 was abolished in diabetic animals, indicating distinct sulfhydryl groups are oxidized. |
[3H]ryanodine binding assay, thiol-reactive reagent (pyrocoll), DTT rescue, insulin treatment in STZ-diabetic rats |
Journal of Pharmacology and Experimental Therapeutics |
Medium |
12606683
|
| 2015 |
Palmitoyl-carnitine increases RyR2 oxidation and S-nitrosylation, promotes FKBP12.6 dissociation from RyR2, and increases SR Ca2+ leak in a ROS-dependent manner. This occurs downstream of ANT inhibition and mitochondrial ROS production. ANT inhibitor bongkrekic acid or antioxidant NAC prevented RyR2 oxidation/S-nitrosylation and SR Ca2+ leak. |
Isolated cardiac mitochondria, cardiomyocyte Ca2+ imaging, RyR2 oxidation/S-nitrosylation immunoblotting, FKBP12.6 co-precipitation, pharmacological rescue |
Biochimica et Biophysica Acta |
Medium |
25619687
|
| 2011 |
PKA hyperphosphorylation uncouples RyR2 gating from cytosolic Ca2+ regulation: exogenous PKA increases open probability and renders RyR2 insensitive to subactivating Ca2+ concentrations (channel stays open at low [Ca2+]). PP1 treatment reverses this. An endogenous Ca2+-dependent, PKC-sensitive kinase co-purifies with RyR2 and produces identical uncoupling. |
Planar lipid bilayer single-channel recordings, exogenous PKA and PP1 treatment, endogenous kinase studies, cytosolic Ca2+ manipulation |
Journal of Membrane Biology |
Medium |
21274522
|
| 2020 |
A RyR2 point mutation E4872Q (reduced open time) prevents neuronal hyperexcitability, hyperactivity, memory impairment, and neuron loss in 5xFAD Alzheimer's disease mice by upregulating hippocampal CA1 A-type K+ current. Pharmacological limiting of RyR2 open time with R-carvedilol (but not racemic carvedilol) also prevented and rescued these deficits even with continued β-amyloid accumulation. |
RyR2-E4872Q knock-in in 5xFAD mice, electrophysiology (A-type K+ current), memory behavior tests, neuron counting, R-carvedilol pharmacology |
Cell Reports |
High |
32966798
|
| 2020 |
Ca2+-CaM dependent inactivation of RyR2 is a major determinant of cardiac Ca2+ alternans. CaM gain-of-function (M37Q) promoted Ca2+ alternans and prolonged Ca2+ transient recovery; CaM loss-of-function (1-4) had opposite effects. Numerical modeling incorporating Ca2+-CaM-dependent RyR2 regulation reproduced experimental outcomes across 9 conditions. |
In vivo adenoviral gene delivery of CaM mutants into mouse LV, confocal Ca2+ imaging in intact Langendorff hearts, mathematical modeling |
Circulation Research |
High |
33375811
|
| 2021 |
RyR2-mediated Ca2+ release in hippocampal neurons contributes to nuclear Ca2+ signals induced by neuronal activity (gabazine, glutamate uncaging, high-frequency stimulation), CREB phosphorylation, and upregulation of Npas4 and RyR2 expression. Suppressing RyR2-mediated release with ryanodine significantly reduced these activity-dependent molecular events. |
Primary hippocampal neuron cultures, pharmacological RyR2 inhibition (ryanodine), gabazine/glutamate uncaging, nuclear Ca2+ imaging, CREB phosphorylation immunoblotting, RT-PCR for Npas4/RyR2 |
PNAS |
Medium |
34389673
|
| 2019 |
CaM inhibition of human RyR2 requires prior phosphorylation: physiological CaM concentrations inhibit RyR2 from failing (phosphorylated) but not healthy human hearts. Phosphomimetic (S2814D, S2808D) mutant cardiomyocytes show CaM-dependent Ca2+ spark regulation, whereas phosphoablated (S2814A, S2808A) mutants do not. Thus phosphorylation of either S2808 or S2814 is necessary and sufficient for CaM inhibitory action on human RyR2. |
RyR2 isolation from human failing/healthy hearts, FRET (donor-FKBP12.6/acceptor-CaM), ex vivo phosphorylation/dephosphorylation, Ca2+ spark measurements in murine phosphomimetic/phosphoablated knock-in cardiomyocytes |
Journal of Molecular and Cellular Cardiology |
High |
30928430
|
| 2019 |
All 14 arrhythmogenic calmodulin mutations tested diminish CaM-dependent inhibition of RyR2-mediated Ca2+ release and enhance SOICR in HEK293 cells; many also directly activate RyR2 rather than inhibiting it at elevated cytosolic Ca2+. The mutations alter the Ca2+-dependency of CaM binding to the RyR2 CaM-binding domain. |
HEK293 stable cell lines expressing human RyR2, single-cell Ca2+ imaging (SOICR assay), permeabilized cell Ca2+ release assay, CaM-binding domain fluorescence assay |
FEBS Journal |
High |
31230402
|
| 2014 |
Enhanced CaM binding to RyR2 (using GSH-CaM with higher RyR2 affinity) corrects CPVT R2474S channel disorder: reduces Ca2+ spark frequency, DADs, triggered activity, and spontaneous Ca2+ transients in knock-in myocytes. The CPVT mutation reduces apparent CaM affinity for RyR2 in the presence of cAMP. |
R2474S knock-in mouse myocytes, fluorescent CaM (HiLyte Fluor) binding assay in permeabilized myocytes, patch clamp (DADs, triggered activity), confocal Ca2+ spark imaging |
Biochemical and Biophysical Research Communications |
Medium |
24755079
|
| 2014 |
Calmodulin F90L mutation (associated with idiopathic ventricular fibrillation) reduces Ca2+-binding affinity and cooperativity, decreases RyR2 interaction, and causes defective modulation of [3H]ryanodine binding, indicating aberrant CaM-RyR2 interaction as the arrhythmogenic mechanism. |
Protein stability assay, Ca2+-binding fluorimetry, co-sedimentation/pulldown of CaM-RyR2, [3H]ryanodine binding modulation |
FEBS Letters |
Medium |
25036739
|
| 2020 |
Loss of integrin β1D in ARVC leads to RyR2 Ser-2030 hyperphosphorylation and aberrant Ca2+ handling. Purified integrin β1D directly stabilizes RyR2 by decreasing open probability, mean open time, and increasing mean close time in lipid bilayer recordings. β1D-KO mice develop catecholamine-sensitive polymorphic VT without structural abnormalities. |
Lipid bilayer single-channel patch clamp with purified integrin β1D protein + RyR2, β1D cardiac KO mice, Ca2+ imaging, Western blotting for RyR2 phosphorylation, protein mass spectrometry |
Circulation |
High |
32122157
|
| 2021 |
RyR2 loss-of-function mutations E4146K and G4935R are linked to ventricular fibrillation/sudden death. E4146K markedly suppresses caffeine activation, abolishes SOICR, and severely reduces both cytosolic and luminal Ca2+ activation of single channels. G4935R completely abolishes caffeine activation and [3H]ryanodine binding; G4935R exerts dominant-negative impact on wild-type RyR2 in co-expression studies. |
HEK293 cell Ca2+ release assay (SOICR), single-channel lipid bilayer recordings, [3H]ryanodine binding, co-expression dominant-negative assay |
Bioscience Reports |
High |
33825858
|
| 2016 |
RyR2 clusters in the periphery of live ventricular myocytes show irregular, dynamic distribution (unlike ordered interior arrays). Peripheral cluster movements are modulated by extracellular Ca2+, RyR2 activator (caffeine), and inhibitor (tetracaine), and peripheral clusters are functionally active for Ca2+ release. |
GFP-tagged RyR2 knock-in mouse, confocal imaging + TIRF microscopy, time-lapse imaging, simultaneous Ca2+/GFP imaging |
Biophysical Journal |
Medium |
29401432
|
| 2018 |
In vivo CRISPR/Cas9 (SaCas9) delivered by AAV9 specifically disrupts the disease-causing R176Q RyR2 allele in neonatal cardiomyocytes, normalizes enhanced Ca2+ spark frequency, and completely prevents catecholamine-induced ventricular arrhythmias in CPVT mice. No off-target editing of the wild-type allele was detected. |
AAV9-delivered SaCas9 in vivo genome editing in R176Q/+ knock-in mice, targeted deep sequencing, confocal Ca2+ spark imaging, in vivo arrhythmia telemetry |
Circulation Research |
High |
30355031
|
| 2009 |
Gain-of-function RyR2 R176Q mutation causes increased spontaneous Ca2+ release in neonatal cardiomyocytes, increased ventricular ectopy, and higher incidence of sudden death in young knock-in mice, without changes in other Ca2+-handling protein expression levels, indicating that Ca2+ leak through mutant RyR2 underlies arrhythmogenesis. |
R176Q/+ knock-in mice, optical mapping of membrane potential and Ca2+, surface ECG, intracardiac pacing, RT-PCR/Western blotting |
Circulation: Arrhythmia and Electrophysiology |
High |
20009080
|
| 2023 |
RyR2 loss-of-function mutation I4855M+/- in mice causes left ventricular noncompaction (LVNC), abolishes SR store overload-induced Ca2+ release, increases peak Ca2+ transient (elevated Ca2+-induced Ca2+ release gain) and end-diastolic Ca2+, with elevated phospho-CaMKII. The I4855M mutation in HEK293 cells inhibited caffeine-induced Ca2+ release and had dominant-negative impact on wild-type RyR2. |
I4855M+/- knock-in mice, echocardiography, confocal Ca2+ imaging, SOICR assay, CaMKII immunoblotting, HEK293 functional studies |
Circulation Research |
High |
37325910
|
| 2022 |
CD38 expression on exhausted CD8+ T cells elevates intracellular Ca2+ through RyR2 calcium channel activation, promoting chronic AKT activation and TCF1 loss, leading to terminal exhaustion. RyR2 knockdown in CD8+ T cells maintained TCF1 levels and improved anti-tumor response and anti-PD1 responsiveness in mice. |
scRNA-seq, genetic CD38/RyR2 knockdown in T cells, intracellular Ca2+ measurements, AKT/TCF1 immunoblotting, in vivo tumor models |
PNAS |
Medium |
38451948
|
| 2019 |
LINC00472/miR-24/JP2/RyR2 signaling pathway contributes to atrial fibrillation pathogenesis. miR-24 directly binds and negatively regulates JP2, which stabilizes RyR2 expression. Reduced LINC00472 (via promoter methylation in AF patients) increases miR-24, reducing JP2 and consequently RyR2 expression in cardiomyocytes. |
Dual-luciferase reporter assay, real-time PCR, Western blot, IHC in HCM and H9C2 cells, AF patient samples |
Biomedicine & Pharmacotherapy |
Low |
31562981
|
| 2018 |
RyR2 mutation R4496C is located in a loop involved in inter-subunit interactions in the tetrameric structure; A165D (CPVT mutation) is in the same loop and disrupts conformational stability, favoring closed-to-open state transition and enhanced SR Ca2+ release. Structural analysis combined with functional studies in A165D knock-in mice confirmed this loop as a common CPVT pathogenic hotspot. |
A165D knock-in mice, structural analysis docked to cryo-EM RyR2 maps, SR Ca2+ release measurements, DAD recordings in cardiomyocytes |
Journal of Molecular and Cellular Cardiology |
Medium |
29477366
|