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1 Department of Biochemical Pharmacology, Innsbruck Medical University, Innsbruck, Austria
2 Department of Pharmacology and Physiology, University of Rochester Medical Centre, Rochester, NY, USA
3 Department of Physiology, Innsbruck Medical University, Innsbruck, Austria
4 Department of Anaesthesia Research, Brigham and Women's Hospital, Boston, MA, USA
* To whom correspondence should be addressed. E-mail: manfred.grabner{at}uibk.ac.at.
Malignant Hyperthermia (MH) is an inherited pharmacogenetic disorder caused by mutations in the skeletal muscle ryanodine receptor (RyR1) and the
1S-subunit of the dihydropyridine receptor (DHPR). We characterized the effects of an MH mutation in the DHPR cytoplasmic III-IV loop of
1S (R1086H) on DHPR-RyR1 coupling following reconstitution in dysgenic (
1S-null) myotubes. Compared to wild-type
1S, caffeine-activated Ca2+ release occurred at ~5-fold lower concentrations in non-expressing and R1086H-expressing myotubes. Although maximal voltage-gated Ca2+ release was similar in
1S- and R1086H-expressing myotubes, the voltage dependence of Ca2+ release was shifted ~5 mV to more negative potentials in R1086H-expressing myotubes. Our results demonstrate that
1S functions as a negative allosteric modulator of release channel activation by caffeine/voltage and that the R1086H MH mutation in the intracellular III-IV linker disrupts this negative regulatory influence. Moreover, a low concentration of caffeine (2mM) caused a similar shift in voltage dependence of Ca2+ release in
1S- and R1086H-expressing myotubes. Compared to
1S-expressing myotubes, maximal L-channel conductance (Gmax) was reduced in R1086H-expressing myotubes (130 ± 10.2 nS/nF and 88 ± 6.8 nS/nF for
1S and R1086H, respectively; p<0.05). The decrease in Gmax did not result from a change in retrograde coupling with RyR1 as the ratio of maximal conductance to charge movement (Gmax/Qmax) was similar in
1S- and R1086H-expressing myotubes and a similar decrease in Gmax was also observed for an analogous mutation engineered into the cardiac L-channel (R1217H). In addition, both R1086H and R1217H DHPRs targeted normally and colocalized with RyR1 in SR-sarcolemmal junctions. These results indicate that the R1086H MH mutation in
1S enhances RyR1 sensitivity to activation by both endogenous (voltage sensor) and exogenous (caffeine) activators.
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