Mice with the R176Q cardiac ryanodine receptor mutation exhibit catecholamine-induced ventricular tachycardia and cardiomyopathy

PJ Kannankeril, BM Mitchell… - Proceedings of the …, 2006 - National Acad Sciences
PJ Kannankeril, BM Mitchell, SA Goonasekera, MG Chelu, W Zhang, S Sood, DL Kearney…
Proceedings of the National Academy of Sciences, 2006National Acad Sciences
Mutations in the cardiac ryanodine receptor 2 (RyR2) have been associated with
catecholaminergic polymorphic ventricular tachycardia and a form of arrhythmogenic right
ventricular dysplasia. To study the relationship between RyR2 function and these
phenotypes, we developed knockin mice with the human disease-associated RyR2 mutation
R176Q. Histologic analysis of hearts from RyR2 R176Q/+ mice revealed no evidence of
fibrofatty infiltration or structural abnormalities characteristic of arrhythmogenic right …
Mutations in the cardiac ryanodine receptor 2 (RyR2) have been associated with catecholaminergic polymorphic ventricular tachycardia and a form of arrhythmogenic right ventricular dysplasia. To study the relationship between RyR2 function and these phenotypes, we developed knockin mice with the human disease-associated RyR2 mutation R176Q. Histologic analysis of hearts from RyR2R176Q/+ mice revealed no evidence of fibrofatty infiltration or structural abnormalities characteristic of arrhythmogenic right ventricular dysplasia, but right ventricular end-diastolic volume was decreased in RyR2R176Q/+ mice compared with controls, indicating subtle functional impairment due to the presence of a single mutant allele. Ventricular tachycardia (VT) was observed after caffeine and epinephrine injection in RyR2R176Q/+, but not in WT, mice. Intracardiac electrophysiology studies with programmed stimulation also elicited VT in RyR2R176Q/+ mice. Isoproterenol administration during programmed stimulation increased both the number and duration of VT episodes in RyR2R176Q/+ mice, but not in controls. Isolated cardiomyocytes from RyR2R176Q/+ mice exhibited a higher incidence of spontaneous Ca2+ oscillations in the absence and presence of isoproterenol compared with controls. Our results suggest that the R176Q mutation in RyR2 predisposes the heart to catecholamine-induced oscillatory calcium-release events that trigger a calcium-dependent ventricular arrhythmia.
National Acad Sciences