“…In addition to the two strategies of directly inhibiting sympathetic excitation by using β1 receptor blockers and reducing SR Ca 2+ reuptake by inhibiting phospholamben (PLN) phosphorylation and the over-activation of the Ca 2+ -ATPase SERCA, we used a novel kind of RyR targeting peptide ligand calcin to partially activate RyR2, so as to increase its open frequency and actively release the SR Ca 2+ , which is also a potential strategy to prevent excessive SR Ca 2+ elevation, and the feasibility of this strategy was confirmed on CPVT by using a representative Imperacalcin (also named as Imperatoxin A) in our previous studies [ [9] , [10] , [11] , [12] , [13] , [14] , [15] ]. Nevetheless, as a spherical peptide containing 33–35 amino acids, calcin has been found to mainly antagonize gentle PVCs or non-sustained BVTs rather than severe sustained BVTs or PVTs; like most of peptide drugs, calcin was also found to have a fast metabolic rate in vivo , of which the half-life is even less than 2 h, therefore, it is necessary to improve its drug efficacy by increasing the local concentration in heart, as well as to extend its action duration by controlled release through pharmaceutic methods [ 16 , 17 ].…”