Elsevier

Biochemical Pharmacology

Volume 79, Issue 11, 1 June 2010, Pages 1535-1543
Biochemical Pharmacology

Commentary
Ryanodine receptor calcium channels and their partners as drug targets

https://doi.org/10.1016/j.bcp.2010.01.014Get rights and content

Abstract

Ryanodine receptors (RyRs) are high conductance intracellular cation channels that release calcium ions from stores such as the endoplasmic reticulum and sarcoplasmic reticulum. Although RyRs are expressed in many cell types, their roles have only been extensively characterised in tissues in which they are abundant: RyR1 is essential for excitation–contraction coupling in skeletal muscle; whereas RyR2 is required for the analogous signal transduction pathway in heart. Defects in RyR1 cause malignant hyperthermia and a spectrum of myopathies in skeletal muscle; whereas RyR2 dysregulation can result in fatal cardiac arrhythmias and is involved in heart failure. Altered RyR gating has been implicated in a range of other diseases, including epilepsy, neurodegeneration, pain and cancer. RyRs interact with a range of toxic substances, providing insights into their functional and structural properties. Consequently, these channel complexes represent potential therapeutic targets for treatment of numerous diseases. Furthermore, strategies for combating multicellular parasites and agricultural pests could exploit pharmacological differences between their RyRs and those of vertebrates. However, available pharmacological tools for manipulation of RyR gating are generally unsuitable for clinical, veterinary or agricultural use, owing to their lack of selectivity, inappropriate solubility in the aqueous or lipid environment, or generation of side-effects. The expression, subcellular distribution and gating of RyRs is modified by a wide variety of cellular proteins, some of which are expressed in a developmentally or tissue-restricted manner. This commentary examines the possibility of manipulating the expression and function of such proteins in order develop new drugs acting on RyR channel complexes.

Section snippets

Introduction: what are ryanodine receptors?

The ryanodine receptors (RyRs) are a family of high conductance cation channels that release Ca2+ from intracellular stores such as the endoplasmic reticulum (ER) and sarcoplasmic reticulum (SR). Historically, research on these channels has centred on their roles in excitation–contraction (EC-) coupling in striated muscles, a process in which they play fundamental roles. Mammalian RyRs are encoded by three distinct genes, the products of which share ∼65% identity with one another and are

Diseases, drugs and commercial exploitation: which targets?

Ca2+ is a key second messenger, regulating numerous physiological and pathological processes [18]. RyRs show considerably larger conductances (∼100 pS for pCa2+) and longer open durations per opening event than most other cation channels, including their relatives and neighbours in the ER, the inositol 1,4,5-trisphosphate receptors (InsP3Rs). Consequently RyRs release large quantities of Ca2+ per opening event (about 20-fold more per individual channel complex than InsP3Rs) [3], indicating that

Which drugs act on RyR complexes?

Of the pharmacological reagents known to directly modulate RyR channel activity, only one, dantrolene, is routinely employed for manipulation of these channels under clinical circumstances (Table 1 ). Limitations of available drugs for therapeutic manipulation of RyR channels include: (1) low membrane permeability: RyRs are intracellular targets so drugs must be able to either diffuse across membranes, or be imported by cellular transporters, in order to act on these channel complexes; (2) low

RyR accessory proteins

The functional core of RyRs is a tetramer: these proteins do not act as channels in the monomeric state. Such complexes do not operate in isolation. In 1999, Mackrill first suggested that ‘…the functional properties of … RyRs within particular cells and subcellular domains are ‘customised’ by the accessory proteins present’[19]. This concept has been expanded to generate themes such as that of cells expressing a specific ‘Ca2+-toolkit’[18] that suits their function or underlies their

Regulation of RyR expression and subcellular localisation in disease

Certain proteins modulate RyR function via mechanisms distinct from acting as permanent, stoichiometrically associated components of these channel complexes: such proteins also represent targets for disease- or tissue-specific modulation of RyRs. For example, selenoprotein N1 is an ER/SR membrane protein, mutations in which can result in multi-minicore disease, a skeletal myopathy that also results from certain RYR1 mutations [60]. This protein binds to RyR complexes and modulates their gating

Future directions

Cellular proteins modulating gating, abundance or subcellular distribution of RyR complexes represent therapeutic targets of considerable potential. However, there are many issues surrounding the biology and pharmacology of these channels that must be resolved before this potential is fulfilled: (1) there is a need for systematic identification of RyR accessory proteins, and how these differ during development, between distinct tissues and during progression of disease; (2) information on how

References (75)

  • L. Xu et al.

    Single channel properties of heterotetrameric mutant RyR1 ion channels linked to core myopathies

    J Biol Chem

    (2008)
  • L.M. Blayney et al.

    Ryanodine receptor-mediated arrhythmias and sudden cardiac death

    Pharmacol Ther

    (2009)
  • S. Kobayashi et al.

    Dantrolene, a therapeutic agent for malignant hyperthermia, markedly improves the function of failing cardiomyocytes by stabilizing interdomain interactions within the ryanodine receptor

    J Am Coll Cardiol

    (2009)
  • M. Carmody et al.

    FKBP12 associates tightly with the skeletal muscle type 1 ryanodine receptor, but not with other intracellular calcium release channels

    FEBS Lett

    (2001)
  • D.J. Tester et al.

    Targeted mutational analysis of the RyR2-encoded cardiac ryanodine receptor in sudden unexplained death: a molecular autopsy of 49 medical examiner/coroner's cases

    Mayo Clin Proc

    (2004)
  • D.J. Tester et al.

    A mechanism for sudden infant death syndrome (SIDS): stress-induced leak via ryanodine receptors

    Heart Rhythm

    (2007)
  • M.E. Büyükokuroğlu et al.

    Dantrolene may prevent organophosphate-induced oxidative stress and muscle injury

    Pestic Biochem Phys

    (2008)
  • T.A. Ta et al.

    Ryanodine receptor type 1 (RyR1) possessing malignant hyperthermia mutation R615C exhibits heightened sensitivity to dysregulation by non-coplanar 2,2′,3,5′,6-pentachlorobiphenyl (PCB 95)

    Neurotoxicology

    (2007)
  • A.F. Dulhunty et al.

    Agonists and antagonists of the cardiac ryanodine receptor: potential therapeutic agents?

    Pharmacol Ther

    (2007)
  • N.T. Wright et al.

    S100A1 and calmodulin compete for the same binding site on ryanodine receptor

    J Biol Chem

    (2008)
  • S. Schmoelzl et al.

    Regulation of tissue-specific expression of the skeletal muscle ryanodine receptor gene

    J Biol Chem

    (1996)
  • H. Zhou et al.

    Epigenetic allele silencing unveils recessive RYR1 mutations in core myopathies

    Am J Hum Genet

    (2006)
  • D. Jiang et al.

    Smooth muscle tissues express a major dominant negative splice variant of the type 3 Ca2+ release channel (ryanodine receptor)

    J Biol Chem

    (2003)
  • A.H. Guse

    Second messenger function and the structure-activity relationship of cyclic adenosine diphosphoribose (cADPR)

    FEBS J

    (2005)
  • F.A. Lai et al.

    Purification and reconstitution of the calcium release channel from skeletal muscle

    Nature

    (1988)
  • H. Takeshima et al.

    Excitation–contraction uncoupling and muscular degeneration in mice lacking functional skeletal muscle ryanodine-receptor gene

    Nature

    (1994)
  • H. Takeshima et al.

    Embryonic lethality and abnormal cardiac myocytes in mice lacking ryanodine receptor type 2

    EMBO J

    (1998)
  • G. Giannini et al.

    The ryanodine receptor/calcium channel genes are widely and differentially expressed in murine brain and peripheral tissues

    J Cell Biol

    (1995)
  • J.J. Mackrill et al.

    Differential expression and regulation of ryanodine receptor and myo-inositol 1,4,5-trisphosphate receptor Ca2+ release channels in mammalian tissues and cell lines

    Biochem J

    (1997)
  • N. Galeotti et al.

    Different involvement of type 1, 2, and 3 ryanodine receptors in memory processes

    Learn Mem

    (2008)
  • N. Galeotti et al.

    A gene-specific cerebral types 1, 2, and 3 RyR protein knockdown induces an antidepressant-like effect in mice

    J Neurochem

    (2008)
  • N. Matsuo et al.

    Comprehensive behavioral phenotyping of ryanodine receptor type 3 (RyR3) knockout mice: decreased social contact duration in two social interaction tests

    Front Behav Neurosci

    (2009)
  • C. Supnet et al.

    Up-regulation of the type 3 ryanodine receptor is neuroprotective in the TgCRND8 mouse model of Alzheimer's disease

    J Neurochem.

    (2010)
  • M.J. Berridge et al.

    Calcium signalling: dynamics, homeostasis and remodelling

    Nat Rev Mol Cell Biol

    (2003)
  • J.J. Mackrill

    Protein–protein interactions in intracellular Ca2+-release channel function

    Biochem J

    (1999)
  • T.V. McCarthy et al.

    Molecular and clinical genetics of RyR1 disorders

  • J.R. López et al.

    Cyclic ADP-ribose induces a larger than normal calcium release in malignant hyperthermia-susceptible skeletal muscle fibers

    Pflugers Arch

    (2000)
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      This suppression by Tet showed two phases: an initial inhibition during which cells showed responses similar to those caused by the vehicle alone, followed by a gradual rise in fura-2 ratio, whose peak was smaller than that in cells stimulated with 1 μM ryanodine alone. Dantrolene is a hydantion derivative that is a selective antagonist of RyRs [7]. Attempts to use this antagonist to inhibit Ca2+ increases stimulated by 1 μM Ry in Bewo cells were unsuccessful, since this reagent caused a rise in cellular autofluorescence at an excitation wavelength of 380 nm (even in the absence of fura-2), leading to an artefactual decrease in fura-2 ratio, (Supplemental Fig. 1A).

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    Research in the author's laboratory is funded by grants RFP2007/BCIF165 and RFP2007/BMIF548 from Science Foundation Ireland. The author is grateful to Prof. John Challiss, University of Leicester, UK, for his advice during the preparation of this manuscript.

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