ABSTRACT

Intracellular calcium release channels are present on sarcoplasmic and endoplasmic

reticuli (SR, ER) of all cell types. There are two classes of these channels:

ryanodine receptors (RyR) and inositol 1,4,5-trisphosphate receptors (IP3R). RyRs

are required for excitation-contraction (EC) coupling in striated (cardiac and

skeletal) muscles. RyRs are made up of macromolecular signaling complexes that

contain large cytoplasmic domains, which serve as scaffolds for proteins that

regulate the function of the channel. These regulatory proteins include calstabin1

(FKBP12) and calstabin2 (FKBP12.6), 12 kDa subunits that stabilize the closed

state of the channel and prevent aberrant calcium leak from the SR. Kinases and

phosphatases are targeted to RyR2 channels and modulate RyR2 function in

response to extracellular signals. Mutations in RyR genes have been associated

with human diseases, including malignant hyperthermia, central core disease, and

cardiac arrhythmia syndromes. In addition, defective regulation of RyRs may

contribute to abnormal intracellular calcium release in heart failure. Recent studies

in RyR and calstabin knockout mice have enhanced our understanding of the

physiological roles of these proteins in cardiac development and EC coupling.