期刊
PNAS NEXUS
卷 2, 期 6, 页码 -出版社
OXFORD UNIV PRESS
DOI: 10.1093/pnasnexus/pgad174
关键词
automaticity; lysosome; calcium; human-induced pluripotent stem cell; cardiomyocytes
This study found that lysosomal Ca2+ flux can influence cardiac cell automaticity, and inhibiting lysosomal Ca2+ cycling can reduce the occurrence of arrhythmias. Activating the transient receptor potential mucolipin channel (TRPML1) enhances automaticity, while two channel antagonists reduce spontaneous activity. Therefore, reducing lysosomal Ca2+ release may be a clinical strategy for preventing ventricular arrhythmias.
Automaticity involves Ca2+ handling at the cell membrane and sarcoplasmic reticulum (SR). Abnormal or acquired automaticity is thought to initiate ventricular arrhythmias associated with myocardial ischemia. Ca2+ flux from mitochondria can influence automaticity, and lysosomes also release Ca2+. Therefore, we tested whether lysosomal Ca2+ flux could influence automaticity. We studied ventricular human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs), hiPSC 3D engineered heart tissues (EHTs), and ventricular cardiomyocytes isolated from infarcted mice. Preventing lysosomal Ca2+ cycling reduced automaticity in hiPSC-CMs. Consistent with a lysosomal role in automaticity, activating the transient receptor potential mucolipin channel (TRPML1) enhanced automaticity, and two channel antagonists reduced spontaneous activity. Activation or inhibition of lysosomal transcription factor EB (TFEB) increased or decreased total lysosomes and automaticity, respectively. In adult ischemic cardiomyocytes and hiPSC 3D EHTs, reducing lysosomal Ca2+ release also inhibited automaticity. Finally, TRPML1 was up-regulated in cardiomyopathic patients with ventricular tachycardia (VT) compared with those without VT. In summary, lysosomal Ca2+ handling modulates abnormal automaticity, and reducing lysosomal Ca2+ release may be a clinical strategy for preventing ventricular arrhythmias.
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