Determining sex-driven excitation-contraction coupling mechanisms in young populations
Biophysical Journal
Published On 2024/2/8
Women have a higher susceptibility to drug-induced long-QT syndrome (LQTS) and torsade the pointes (TdP) than men, potentially due to both chronic and acute hormonal effects on electrophysiological properties and variances in autonomic tone. Yet the mechanisms underlying the sex differences are not fully understood. Murine models have been used as valuable tools to investigate and understand the underlying mechanisms influenced by sex-related factors. Young female mice display longer action potential (AP) duration than males. Ion conductance differences such as lower I Kur and I tof and increased I NaL expression are thought to be responsible for these effects. Nevertheless, ion transporters such as the Na/Ca exchanger and lower phosphodiesterase expression in females have also been implicated. We tested whether the differences in repolarizing K currents are sufficient to explain female …
Journal
Biophysical Journal
Volume
123
Issue
3
Page
383a
Authors
Donald Bers
University of California, Davis
H-Index
137
Research Interests
Physiology
Pharmacology
Cardiology
Biochemistry
Computational Modeling
University Profile Page
Bence Hegyi
University of California, Davis
H-Index
24
Research Interests
Cardiac cellular electrophysiology
cardiac excitation-contraction coupling
ion channels
arrhythmia
heart failure
University Profile Page
Stefano Morotti
University of California, Davis
H-Index
23
Research Interests
Cardiovascular electrophysiology
University Profile Page
Other Articles from authors
Donald Bers
University of California, Davis
Biophysical Journal
Intracellular fibroblast growth factors regulate the arrhythmogenic late sodium current in heart failure
Intracellular fibroblast growth factors (iFGFs) are key regulators of voltage-gated sodium channels. In heart failure (HF), the late sodium current (I NaL) is markedly enhanced and contributes to arrhythmogenic action potentials (APs). However, I NaL regulation by iFGFs and its therapeutic targeting in HF have not been previously studied. We aimed to investigate the expression of iFGF11-14 splice isoforms and tested for the effects of an iFGF12 A-mimicking inhibitory peptide (FixR) on I NaL magnitude and AP duration in rabbit and murine HF ventricular myocytes. We found that the expression of long iFGF isoforms (eg, iFGF12 A and iFGF13 S), which can inhibit I NaL, was markedly reduced both in a pressure/volume-overload induced HF rabbit model and in a transverse aortic constriction (TAC) induced murine HF model. I NaL density was significantly increased in HF myocytes, and importantly, cell pretreatment …
2024/2/8
Article DetailsStefano Morotti
University of California, Davis
bioRxiv
Enhanced Ca2+-Driven Arrhythmias in Female Patients with Atrial Fibrillation: Insights from Computational Modeling
Background and AimsSubstantial sex-based differences have been reported in atrial fibrillation (AF), with female patients experiencing worse symptoms, increased complications from drug side effects or ablation, and elevated risk of AF-related stroke and mortality. Recent studies revealed sex-specific alterations in AF-associated Ca2+ dysregulation, whereby female cardiomyocytes more frequently exhibit potentially proarrhythmic Ca2+-driven instabilities compared to male cardiomyocytes. In this study, we aim to gain a mechanistic understanding of the Ca2+-handling disturbances and Ca2+-driven arrhythmogenic events in males vs females and establish their responses to Ca2+-targeted interventions.Methods and ResultsWe incorporated known sex differences and AF-associated changes in the expression and phosphorylation of key Ca2+-handling proteins and in ultrastructural properties and dimensions of atrial cardiomyocytes into our recently developed 3D atrial cardiomyocyte model that couples electrophysiology with spatially detailed Ca2+-handling processes. Our simulations of quiescent cardiomyocytes show increased incidence of Ca2+ sparks in female vs male myocytes in AF, in agreement with previous experimental reports. Additionally, our female model exhibited elevated propensity to develop pacing-induced spontaneous Ca2+ releases (SCRs) and augmented beat-to-beat variability in action potential (AP)-elicited Ca2+ transients compared with the male model. Parameter sensitivity analysis uncovered precise arrhythmogenic contributions of each component that was implicated in sex and/or AF alterations. Specifically …
2024/3/6
Article DetailsDonald Bers
University of California, Davis
Cardiovascular Research
Differential sex-dependent susceptibility to diastolic dysfunction and arrhythmia in cardiomyocytes from obese diabetic HFpEF model
Aim Sex-differences in heart failure with preserved ejection fraction (HFpEF) are important, but key mechanisms involved are incompletely understood. While animal models can inform about sex-dependent cellular and molecular changes, many previous preclinical HFpEF models have failed to recapitulate sex-dependent characteristics of human HFpEF. We tested for sex-differences in HFpEF using a two-hit mouse model (leptin receptor-deficient db/db mice plus aldosterone infusion for 4 weeks; db/db+Aldo). Methods and Results We performed echocardiography, electrophysiology, intracellular Ca2+ imaging, and protein analysis. Female HFpEF mice exhibited more severe diastolic dysfunction in line with increased titin N2B isoform expression and PEVK element phosphorylation, and reduced troponin-I phosphorylation. Female HFpEF mice had lower BNP levels than …
2024/4/26
Article DetailsBence Hegyi
University of California, Davis
Biophysical Journal
A de novo designed peptide selectivity inhibits arrhythmogenic late Na+ current
The cardiac voltage-gated sodium channel, Na V 1.5, is responsible for action potential initiation and propagation within the heart. Deficits in Na V 1.5 inactivation result in an enhanced, sustained Na+ current (late Na+ current), which is an important contributor to multiple inherited and acquired arrhythmias. Considerable effort has been directed toward the development of selective late Na+ current inhibitors; however, this endeavor has proven to be challenging. Here, we undertake a targeted approach by combined insights from the biophysical mechanism of inactivation with computational protein design to generate a de novo peptide inhibitor of late Na+ current. We show that our designed peptide binds to the desired site, the Na V 1.5 C-terminal domain (CTD), with a submicromolar affinity. Electrophysiology recordings reveal that it effectively inhibits pathogenic late Na+ current arising from either disease-linked …
2024/2/8
Article DetailsBence Hegyi
University of California, Davis
Biophysical Journal
Quantitative investigation of the mechanisms of ventricular myocyte dysfunction in a murine model of heart failure with preserved ejection fraction
Heart failure with preserved ejection fraction (HFpEF) is a complex syndrome that drastically reduces patients' quality of life and increases the propensity for lethal ventricular arrhythmias. Importantly, patients' survival rate after first hospitalization is very limited, as most pharmacological options for HFpEF are currently inadequate. Functional changes of ion channels and transporters within the cardiomyocyte can induce both contractile dysfunction and arrhythmias, but exactly how excitation-contraction coupling is altered in HFpEF is still unclear. To address this gap, we implemented an integrative computational/experimental approach aiming at identifying the key disease-associated alterations in ventricular myocytes isolated from our two-hit mouse model of HFpEF (ie, leptin receptor-deficient db/db mice+ aldosterone infusion, db/db+ Aldo). We developed a preliminary parameterization of the mathematical model of …
2024/2/8
Article DetailsStefano Morotti
University of California, Davis
bioRxiv
Caveolar Compartmentalization is Required for Stable Rhythmicity of Sinus Nodal Cells and is Disrupted in Heart Failure
Background Heart rhythm relies on complex interactions between the electrogenic membrane proteins and intracellular Ca2+ signaling in sinoatrial node (SAN) myocytes; however, the mechanisms underlying the functional organization of the proteins involved in SAN pacemaking and its structural foundation remain elusive. Caveolae are nanoscale, plasma membrane pits that compartmentalize various ion channels and transporters, including those involved in SAN pacemaking, via binding with the caveolin-3 scaffolding protein, however the precise role of caveolae in cardiac pacemaker function is unknown. Our objective was to determine the role of caveolae in SAN pacemaking and dysfunction (SND). Methods In vivo electrocardiogram monitoring, ex vivo optical mapping, in vitro confocal Ca2+ imaging, immunofluorescent and electron microscopy analysis were performed in wild type, cardiac-specific caveolin-3 knockout, and 8-weeks post-myocardial infarction heart failure (HF) mice. SAN tissue samples from donor human hearts were used for biochemical studies. We utilized a novel 3-dimensional single SAN cell mathematical model to determine the functional outcomes of protein nanodomain-specific localization and redistribution in SAN pacemaking. Results In both mouse and human SANs, caveolae compartmentalized HCN4, Cav1.2, Cav1.3, Cav3.1 and NCX1 proteins within discrete pacemaker signalosomes via direct association with caveolin-3. This compartmentalization positioned electrogenic sarcolemmal proteins near the subsarcolemmal sarcoplasmic reticulum (SR) membrane and ensured fast and robust activation of NCX1 …
2024
Article DetailsDonald Bers
University of California, Davis
Biophysical Journal
Distinct microdomain of sodium channel complexes with intracellular fibroblast growth factors in cardiomyocytes
386a Tuesday, February 13, 2024 expressed in the LM and ID, with low expression at the t-tubules. A similar pattern is observed for iFGF13, the predominant iFGF in the murine heart, and iFGF14. iFGF11 was not detected in murine myocytes, while iFGF12s were found throughout the cells but at a much lower expression. The expression of NaV1. 1 was evenly distributed to the t-tubules, while NaV1. 6 and NaV1. 8 were concentrated in the t-tubules close to the LM. These results suggest various subpopulations of NaV channel and iFGF complexes within each subcellular microdomain. In the future, we will study how different NaV channels and iFGFs colocalize and whether their interactions are altered in diseased cardiomyocytes.
2024/2/8
Article DetailsStefano Morotti
University of California, Davis
Biophysical Journal
In silico investigation of sex-specific atrial electrophysiologic mechanisms and arrhythmia vulnerability
Atrial fibrillation (AF) is the most common arrhythmia worldwide. Though AF affects men and women at a similar rate there are major differences in epidemiology, manifestation, pathophysiology, treatment, and outcomes between sexes. Notably, men are more likely to be diagnosed with AF at an earlier age, and women are more likely to have worse AF symptoms that typically last longer and are more severe. Overall, this leads to a poorer quality of life and worse prognosis for women with AF compared to men. Studies investigating sex-related differences in the pathophysiology underlying AF have so far been limited, and thus the sex-specific mechanisms remain poorly understood. To address these knowledge gaps, we developed biophysically detailed mechanistic models of cardiac myocyte and tissue electrophysiology that integrate current knowledge of ion channel profiles and calcium (Ca) handling properties …
2024/2/8
Article DetailsDonald Bers
University of California, Davis
Scientific Reports
MCU-independent Ca2+ uptake mediates mitochondrial Ca2+ overload and necrotic cell death in a mouse model of Duchenne muscular dystrophy
Mitochondrial Ca2+ overload can mediate mitochondria-dependent cell death, a major contributor to several human diseases. Indeed, Duchenne muscular dystrophy (MD) is driven by dysfunctional Ca2+ influx across the sarcolemma that causes mitochondrial Ca2+ overload, organelle rupture, and muscle necrosis. The mitochondrial Ca2+ uniporter (MCU) complex is the primary characterized mechanism for acute mitochondrial Ca2+ uptake. One strategy for preventing mitochondrial Ca2+ overload is deletion of the Mcu gene, the pore forming subunit of the MCU-complex. Conversely, enhanced MCU-complex Ca2+ uptake is achieved by deleting the inhibitory Mcub gene. Here we show that myofiber-specific Mcu deletion was not protective in a mouse model of Duchenne MD. Specifically, Mcu gene deletion did not reduce muscle histopathology, did not improve muscle function, and did not prevent mitochondrial …
2024/3/21
Article DetailsBence Hegyi
University of California, Davis
Biophysical Journal
Intracellular fibroblast growth factors regulate the arrhythmogenic late sodium current in heart failure
Intracellular fibroblast growth factors (iFGFs) are key regulators of voltage-gated sodium channels. In heart failure (HF), the late sodium current (I NaL) is markedly enhanced and contributes to arrhythmogenic action potentials (APs). However, I NaL regulation by iFGFs and its therapeutic targeting in HF have not been previously studied. We aimed to investigate the expression of iFGF11-14 splice isoforms and tested for the effects of an iFGF12 A-mimicking inhibitory peptide (FixR) on I NaL magnitude and AP duration in rabbit and murine HF ventricular myocytes. We found that the expression of long iFGF isoforms (eg, iFGF12 A and iFGF13 S), which can inhibit I NaL, was markedly reduced both in a pressure/volume-overload induced HF rabbit model and in a transverse aortic constriction (TAC) induced murine HF model. I NaL density was significantly increased in HF myocytes, and importantly, cell pretreatment …
2024/2/8
Article DetailsEleonora Grandi
University of California, Davis
Biophysical Journal
Unveiling sex-specific mechanisms of atrial Ca2+ dysregulation and Ca2+-driven arrhythmia via multiscale modeling
Intracellular calcium (Ca 2+) is an essential mediator of normal cardiac function, and its dysregulation has been directly linked to atrial fibrillation (AF), the most common cardiac arrhythmia. Substantial sex differences exist in the prevalence, clinical representation, pathophysiology, therapy, and prognosis of AF, leading to less effective and sometimes harmful treatments for females. However, the associated mechanisms and causes remain largely unknown, partly due to female underrepresentation in both fundamental and clinical research. We recently revealed potential sex-specific mechanisms underlying the experimentally-observed increased female vs. male propensity for spontaneous Ca 2+ release events (SCRs), and this has important implications for understanding sex-specific AF pathophysiology and treatment. Here, we propose a multi-scale mechanistic modeling approach to determine the impact of sex …
2024/2/8
Article DetailsEleonora Grandi
University of California, Davis
bioRxiv
Enhanced Ca2+-Driven Arrhythmias in Female Patients with Atrial Fibrillation: Insights from Computational Modeling
Background and AimsSubstantial sex-based differences have been reported in atrial fibrillation (AF), with female patients experiencing worse symptoms, increased complications from drug side effects or ablation, and elevated risk of AF-related stroke and mortality. Recent studies revealed sex-specific alterations in AF-associated Ca2+ dysregulation, whereby female cardiomyocytes more frequently exhibit potentially proarrhythmic Ca2+-driven instabilities compared to male cardiomyocytes. In this study, we aim to gain a mechanistic understanding of the Ca2+-handling disturbances and Ca2+-driven arrhythmogenic events in males vs females and establish their responses to Ca2+-targeted interventions.Methods and ResultsWe incorporated known sex differences and AF-associated changes in the expression and phosphorylation of key Ca2+-handling proteins and in ultrastructural properties and dimensions of atrial cardiomyocytes into our recently developed 3D atrial cardiomyocyte model that couples electrophysiology with spatially detailed Ca2+-handling processes. Our simulations of quiescent cardiomyocytes show increased incidence of Ca2+ sparks in female vs male myocytes in AF, in agreement with previous experimental reports. Additionally, our female model exhibited elevated propensity to develop pacing-induced spontaneous Ca2+ releases (SCRs) and augmented beat-to-beat variability in action potential (AP)-elicited Ca2+ transients compared with the male model. Parameter sensitivity analysis uncovered precise arrhythmogenic contributions of each component that was implicated in sex and/or AF alterations. Specifically …
2024/3/6
Article DetailsStefano Morotti
University of California, Davis
Biophysical Journal
Computational modeling identifies increased background Ca2+ influx as a potential promoter of arrhythmogenic Ca2+ instability in atrial fibrillation
Experimental evidence points to greater diastolic Ca 2+(dCa) along with comparable sarcoplasmic reticulum Ca 2+ content in atrial cardiomyocytes from patients with atrial fibrillation (AF) compared with normal sinus rhythm (nSR). The augmented dCa may promote maladaptive Ca 2+-dependent signaling and arrhythmias. However, existing computational models incorporating all known components of AF-induced Ca 2+-handling remodeling (eg, increased ryanodine receptor Ca 2+ leak and Na+/Ca 2+ exchanger activity, reduced Ca 2+ influx via L-type Ca 2+ channels) consistently predict lower dCa for AF vs nSR conditions, contrasting the experimental findings. Mechanistically pinpointing the processes underlying the increased dCa may lead to the identification of novel therapeutic targets. Here, we performed computational modeling to gain quantitative understanding of possible ionic underpinnings of the …
2024/2/8
Article DetailsDonald Bers
University of California, Davis
Biophysical Journal
Sex differences in two-hit murine model of heart failure with preserved ejection fraction
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2024/2/8
Article DetailsBence Hegyi
University of California, Davis
Biophysical Journal
Distinct microdomain of sodium channel complexes with intracellular fibroblast growth factors in cardiomyocytes
386a Tuesday, February 13, 2024 expressed in the LM and ID, with low expression at the t-tubules. A similar pattern is observed for iFGF13, the predominant iFGF in the murine heart, and iFGF14. iFGF11 was not detected in murine myocytes, while iFGF12s were found throughout the cells but at a much lower expression. The expression of NaV1. 1 was evenly distributed to the t-tubules, while NaV1. 6 and NaV1. 8 were concentrated in the t-tubules close to the LM. These results suggest various subpopulations of NaV channel and iFGF complexes within each subcellular microdomain. In the future, we will study how different NaV channels and iFGFs colocalize and whether their interactions are altered in diseased cardiomyocytes.
2024/2/8
Article DetailsEleonora Grandi
University of California, Davis
Biophysical Journal
Sex-specific mechanisms of atrial electrophysiology and arrhythmia susceptibility in the intact rabbit heart
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2024/2/8
Article DetailsEleonora Grandi
University of California, Davis
Biophysical Journal
In silico investigation of sex-specific atrial electrophysiologic mechanisms and arrhythmia vulnerability
Atrial fibrillation (AF) is the most common arrhythmia worldwide. Though AF affects men and women at a similar rate there are major differences in epidemiology, manifestation, pathophysiology, treatment, and outcomes between sexes. Notably, men are more likely to be diagnosed with AF at an earlier age, and women are more likely to have worse AF symptoms that typically last longer and are more severe. Overall, this leads to a poorer quality of life and worse prognosis for women with AF compared to men. Studies investigating sex-related differences in the pathophysiology underlying AF have so far been limited, and thus the sex-specific mechanisms remain poorly understood. To address these knowledge gaps, we developed biophysically detailed mechanistic models of cardiac myocyte and tissue electrophysiology that integrate current knowledge of ion channel profiles and calcium (Ca) handling properties …
2024/2/8
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Boris Ferdman
Technion - Israel Institute of Technology
Biophysical Journal
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2024/2/8
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Carnegie Mellon University
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Biophysical Journal
Functional protein dynamics in a crystal
Proteins are molecular machines and to understand how they work, we need to understand how they move. New pump-probe time-resolved X-ray diffraction methods open up ways to initiate and observe protein motions with atomistic detail in crystals on biologically relevant timescales. However, the practical limitations of these experiments demand parallel development of effective molecular dynamics approaches to accelerate progress and extract meaning. Here, we establish robust and accurate methods for simulating dynamics in protein crystals, a nontrivial process requiring careful attention to equilibration, environmental composition, and choice of force fields. With more than seven milliseconds of sampling of a single chain, we identify critical factors controlling agreement between simulation and experiments and show that simulated motions recapitulate ligand-induced conformational changes. This work …
2024/2/8
Article DetailsRama Ranganathan
University of Chicago
Biophysical Journal
Electric-field-induced motion of a PDZ domain protein crystal simulated using all-atom molecular dynamics
Electric-field stimulated X-ray crystallography (EF-X) involves applying an electric-field pulse to a protein crystal and using time-resolved X-ray diffraction to observe the response to the applied field. In this way, the dynamics of proteins can be resolved with high spatial resolution on a sub-microsecond timescale, making it highly suitable for comparison with molecular dynamics (MD) simulations. We emulate the EF-X experiment using all-atom MD simulations of a protein crystal with an applied electric field. As a model system, we simulate a 3× 3× 3 supercell of a PDZ domain and an electric field of 1 MV/cm. We compare the consistency of the induced motions in simulation and experiment. The EF-X experiment provides a rich data set and a novel approach to validating MD simulation.
2024/2/8
Article DetailsLorena Ruiz Perez
University College London
Biophysical Journal
Computational reconstruction of the LDL-receptor-related protein 1 (LRP1) atomistic structure evolution from super-tertiary to quaternary
The blood-brain barrier is a highly complex physiological barrier that separates the blood from the central nervous system to maintain the latter's biological equilibrium. LDL receptor-related protein 1 (LRP1) is a receptor involved in BBB transcytosis and can be used by physiological or artificially induced processes. LRP1 is critical for the trafficking of misfolded proteins such as amyloid β, hyper-phosphorylated tau, and α-synuclein. Understanding its structure and function is essential to fully understanding neurological diseases like Alzheimer's, Parkinson's, Huntington's, and other related dementias. LRP1 is a modular membrane protein composed of 4544 amino acids, around 1200 of which are involved in three long and flexible structures that contain coordinated calcium ions and are decorated with small sugar chains called glycans. These three flexible components are believed to have an active role in ligand …
2024/2/8
Article DetailsKurni kurniyati
Virginia Commonwealth University
Biophysical Journal
Bacterial hide-and-seek: The role of the novel PG0352 sialidase in immune evasion
Porphyromonas gingivalis is a keystone pathogen of chronic periodontitis. During infection, P. gingivalis evades the host immune system via a number of virulence factors, such as the PG0352 sialidase. Several reports implicate sialidases in bacterial complement resistance but the underlying molecular mechanism has been elusive. Many complement factors and regulatory proteins are sialylated (modified with glycans containing terminal sialic acids), which is essential to their function. We provide functional and structural evidence that PG0352 sialidase can disarm the complement system via desialylation of complement proteins and regulators. Biochemical analyses reveal PG0352 can desialylate human serum and complement factors, thereby protecting bacteria from serum killing, mediated by membrane attack complement (MAC) complex formation. Structural studies reveal PG0352 is a dual domain sialidase …
2024/2/8
Article DetailsJoel Rosenbaum
University of Pittsburgh
Biophysical Journal
The physiology of seminal zinc
Seminal fluid in humans contain approximately 1-3 mM zinc, more than 100-fold higher than the amount circulating throughout the human body. Zinc is both essential and the most abundant trace metal in the body; however, there is no clear understanding of why zinc is enriched in human semen. We hypothesized that this abundant zinc may influence the physiology of sperm between mating and fertilization. Most of the zinc in seminal fluid is bound to proteins; thus, using the fluorescent zinc indicator FluoZin-1 to quantify the readily available zinc in seminal fluid, we found that pig semen includes 9.6±0.4 μM labile zinc (N= 8), and 5.0±0.7 μM for human (N= 3). To determine whether seminal zinc is imported by mammalian sperm, we used the intracellular zinc indicator FluoZin3-AM to observe changes before and after application of zinc. We found that mouse sperm quickly import extracellular zinc in a concentration …
2024/2/8
Article Details