Loss of Protein Phosphatase 1 Regulatory Subunit PPP1R3A Promotes Atrial Fibrillation

Abstract

Background: Abnormal calcium (Ca 2+ ) release from the sarcoplasmic reticulum (SR) contributes to the pathogenesis of atrial fibrillation (AF). Increased phosphorylation of 2 proteins essential for normal SR-Ca 2+ cycling, the type-2 ryanodine receptor (RyR2) and phospholamban (PLN), enhances the susceptibility to AF, but the underlying mechanisms remain unclear. Protein phosphatase 1 (PP1) limits steady-state phosphorylation of both RyR2 and PLN. Proteomic analysis uncovered a novel PP1-regulatory subunit (PPP1R3A [PP1 regulatory subunit type 3A]) in the RyR2 macromolecular channel complex that has been previously shown to mediate PP1 targeting to PLN. We tested the hypothesis that reduced PPP1R3A levels contribute to AF pathogenesis by reducing PP1 binding to both RyR2 and PLN. Methods: Immunoprecipitation, mass spectrometry, and complexome profiling were performed from the atrial tissue of patients with AF and from cardiac lysates of wild-type and Pln -knockout mice. Ppp1r3a -knockout mice were generated by CRISPR-mediated deletion of exons 2 to 3. Ppp1r3a -knockout mice and wild-type littermates were subjected to in vivo programmed electrical stimulation to determine AF susceptibility. Isolated atrial cardiomyocytes were used for Stimulated Emission Depletion superresolution microscopy and confocal Ca 2+ imaging. Results: Proteomics identified the PP1-regulatory subunit PPP1R3A as a novel RyR2-binding partner, and coimmunoprecipitation confirmed PPP1R3A binding to RyR2 and PLN. Complexome profiling and Stimulated Emission Depletion imaging revealed that PLN is present in the PPP1R3A-RyR2 interaction, suggesting the existence of a previously unknown SR nanodomain composed of both RyR2 and PLN/sarco/endoplasmic reticulum calcium ATPase-2a macromolecular complexes. This novel RyR2/PLN/sarco/endoplasmic reticulum calcium ATPase-2a complex was also identified in human atria. Genetic ablation of Ppp1r3a in mice impaired binding of PP1 to both RyR2 and PLN. Reduced PP1 targeting was associated with increased phosphorylation of RyR2 and PLN, aberrant SR-Ca 2+ release in atrial cardiomyocytes, and enhanced susceptibility to pacing-induced AF. Finally, PPP1R3A was progressively downregulated in the atria of patients with paroxysmal and persistent (chronic) AF. Conclusions: PPP1R3A is a novel PP1-regulatory subunit within the RyR2 channel complex. Reduced PPP1R3A levels impair PP1 targeting and increase phosphorylation of both RyR2 and PLN. PPP1R3A deficiency promotes abnormal SR-Ca 2+ release and increases AF susceptibility in mice. Given that PPP1R3A is downregulated in patients with AF, this regulatory subunit may represent a new target for AF therapeutic strategies.

Molecular noise filtering in the β-adrenergic signaling network by phospholamban pentamers

“…Apart from PLN, both PP1 and inhibitor-1 have been shown to be involved in the emergence of arrhythmias (Chiang et al, 2016). Reducing the concentration of PP1 at the SR by ablating its targeting subunit PPP1R3A has been shown to lead to atrial fibrillation (Alsina et al, 2019), which is consistent with a smaller bistable region expected from reducing [PP1] in our model. Interestingly, a mouse model of the human inhibitor-1 variant G109E (showing reduced binding to PP1) and mice expressing a constitutively active version of inhibitor-1 developed severe cardiac arrhythmias in response to b-adrenergic stimulation (Haghighi et al, 2015;Wittkö pper et al, 2010).…”

“…Our model also opens a new perspective on the role of inhibitor-1, which is often described as an amplifier for PKA phos-phorylation (El-Armouche et al, 2003;Wittkö pper et al, 2011). Although this is technically not false, the same level of PLN phosphorylation response could in principle be achieved by simpler means such as reduced SR targeting of PP1 (Alsina et al, 2019). Thus, the delayed response dynamics of the inhibitor-1 FFL and the noise filtering capacity demonstrated in our simulations may be equally important as the influence on steady-state phosphorylation levels.…”

Molecular Noise-Filtering in theβ-adrenergic Signaling Network by Phospholamban Pentamers

“…Our model also casts a new perspective on the role of inhibitor-1, which is often described as an amplier for PKA phosphorylation[54,55]. Although this is technically not false, the same level of PLN phosphorylation response could in principle be achieved by simpler means such as reduced SR targeting of PP1[56]. PP1] in our model.…”

Updates on epicardial adipose tissue mechanisms on atrial fibrillation

“…PPP1R3A was found to be decreased in the human atria of patients with permanent AF. It has also been implicated in sarcoplasmic reticulum‐Ca 2+ handling dysfunction through RyR2 and PLN phosphorylation, with subsequent AF susceptibility in mice 101 . Calcium channel protein levels and related miRNAs were regulated in older patients, suggesting their function with aging in AF occurrence 102 .…”