Genotype-Dependent and -Independent Calcium Signaling Dysregulation in Human Hypertrophic Cardiomyopathy

CirculationPublished Mechanistic study

Authors' conclusion

Human HCM demonstrates calcium mishandling through both genotype-specific and common pathways. Posttranslational activation of the CaMKII pathway is specific to sarcomere mutation-positive HCM, whereas sarcoplasmic endoplasmic reticular calcium ATPase 2 abundance and sarcoplasmic reticulum Ca uptake are depressed in both sarcomere mutation-positive and -negative HCM.

Study context

Population
Human hypertrophic cardiomyopathy (HCM) surgical myocardial samples
Participants
25 / 10 / 8
Comparison
HCM with vs without sarcomere mutations vs control hearts
  • Sarcomere-mutation HCMn = 25
  • Mutation-negative HCMn = 10
  • Controlsn = 8reference
Outcome
Calcium regulatory pathways (gene expression, protein levels, functional assays)

Main finding

As reported in the abstract

CaMKII protein abundance increased only in sarcomere-mutation HCM
P<0.001
pT17-phospholamban 5.5-fold increased only in sarcomere-mutation HCM
P=0.01
Autophosphorylated CaMKII increased only in sarcomere-mutation HCM
P<0.01
SERCA2A mRNA reduced in HCM regardless of genotype; SERCA2/phospholamban protein ratio 45% reduced
P=0.03
45Ca SERCA uptake velocity reduced in HCM regardless of genotype
P=0.01

Original publication

Genotype-Dependent and -Independent Calcium Signaling Dysregulation in Human Hypertrophic Cardiomyopathy. Circulation. Published 29 September 2016. doi:10.1161/circulationaha.115.020086

Summarised from the published abstract; every number is checked against it

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