{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T14:28:43Z","timestamp":1791210523454,"version":"4.1.0"},"reference-count":41,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation Research"],"published-print":{"date-parts":[[2012,2,17]]},"abstract":"<jats:sec>\n                    <jats:title>\n                      <jats:underline>Rationale:<\/jats:underline>\n                    <\/jats:title>\n                    <jats:p>\n                      Diastolic spontaneous Ca\n                      <jats:sup>2+<\/jats:sup>\n                      waves (DCWs) are recognized as important contributors to triggered arrhythmias. DCWs are thought to arise when [Ca\n                      <jats:sup>2+<\/jats:sup>\n                      ] in sarcoplasmic reticulum ([Ca\n                      <jats:sup>2+<\/jats:sup>\n                      ]\n                      <jats:sub>SR<\/jats:sub>\n                      ) reaches a certain threshold level, which might be reduced in cardiac disease as a consequence of sensitization of ryanodine receptors (RyR2s) to luminal Ca\n                      <jats:sup>2+<\/jats:sup>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:underline>Objective:<\/jats:underline>\n                    <\/jats:title>\n                    <jats:p>We investigated the mechanisms of DCW generation in myocytes from normal and diseased hearts, using a canine model of post\u2013myocardial infarction ventricular fibrillation (VF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:underline>Methods and Results:<\/jats:underline>\n                    <\/jats:title>\n                    <jats:p>\n                      The frequency of DCWs, recorded during periodic pacing in the presence of a \u03b2-adrenergic receptor agonist isoproterenol, was significantly higher in VF myocytes than in normal controls. Rather than occurring immediately on reaching a final [Ca\n                      <jats:sup>2+<\/jats:sup>\n                      ]\n                      <jats:sub>SR<\/jats:sub>\n                      , DCWs arose with a distinct time delay after attaining steady [Ca\n                      <jats:sup>2+<\/jats:sup>\n                      ]\n                      <jats:sub>SR<\/jats:sub>\n                      in both experimental groups. Although the rate of [Ca\n                      <jats:sup>2+<\/jats:sup>\n                      ]\n                      <jats:sub>SR<\/jats:sub>\n                      recovery after the SR Ca\n                      <jats:sup>2+<\/jats:sup>\n                      release was similar between the groups, in VF myocytes the latency to DCWs was shorter, and the [Ca\n                      <jats:sup>2+<\/jats:sup>\n                      ]\n                      <jats:sub>SR<\/jats:sub>\n                      at DCW initiation was lower. The restitution of depolarization-induced Ca\n                      <jats:sup>2+<\/jats:sup>\n                      transients, assessed by a 2-pulse protocol, was significantly faster in VF myocytes than in controls. The VF-related alterations in myocyte Ca\n                      <jats:sup>2+<\/jats:sup>\n                      cycling were mimicked by the RyR2 agonist, caffeine. The reducing agent, mercaptopropionylglycine, or the CaMKII inhibitor, KN93, decreased DCW frequency and normalized restitution of Ca\n                      <jats:sup>2+<\/jats:sup>\n                      release in VF myocytes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>\n                      <jats:underline>Conclusions:<\/jats:underline>\n                    <\/jats:title>\n                    <jats:p>\n                      The attainment of a certain threshold [Ca\n                      <jats:sup>2+<\/jats:sup>\n                      ]\n                      <jats:sub>SR<\/jats:sub>\n                      is not sufficient for the generation of DCWs. Postrelease Ca\n                      <jats:sup>2+<\/jats:sup>\n                      signaling refractoriness critically influences the occurrence of DCWs. Shortened Ca\n                      <jats:sup>2+<\/jats:sup>\n                      signaling refractoriness due to RyR2 phosphorylation and oxidation is responsible for the increased rate of DCWs observed in VF myocytes and could provide a substrate for synchronization of arrhythmogenic events at the tissue level in hearts prone to VF.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/circresaha.111.260455","type":"journal-article","created":{"date-parts":[[2012,1,6]],"date-time":"2012-01-06T06:19:54Z","timestamp":1325830794000},"page":"569-577","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":104,"title":["Shortened Ca\n                    <sup>2+<\/sup>\n                    Signaling Refractoriness Underlies Cellular Arrhythmogenesis in a Postinfarction Model of Sudden Cardiac Death"],"prefix":"10.1161","volume":"110","author":[{"given":"Andriy E.","family":"Belevych","sequence":"first","affiliation":[{"name":"From the Davis Heart and Lung Research Institute, Department of Physiology and Cell Biology, College of Medicine (A.E.B., D.T., R.T., H.-T.H., I.G., I.B. C.A.C., G.E.B., S.G.), and College of Pharmacy (I.B., C.A.C.), The Ohio State University, Columbus, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dmitry","family":"Terentyev","sequence":"additional","affiliation":[{"name":"From the Davis Heart and Lung Research Institute, Department of Physiology and Cell Biology, College of Medicine (A.E.B., D.T., R.T., H.-T.H., I.G., I.B. C.A.C., G.E.B., S.G.), and College of Pharmacy (I.B., C.A.C.), The Ohio State University, Columbus, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Radmila","family":"Terentyeva","sequence":"additional","affiliation":[{"name":"From the Davis Heart and Lung Research Institute, Department of Physiology and Cell Biology, College of Medicine (A.E.B., D.T., R.T., H.-T.H., I.G., I.B. C.A.C., G.E.B., S.G.), and College of Pharmacy (I.B., C.A.C.), The Ohio State University, Columbus, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hsiang-Ting","family":"Ho","sequence":"additional","affiliation":[{"name":"From the Davis Heart and Lung Research Institute, Department of Physiology and Cell Biology, College of Medicine (A.E.B., D.T., R.T., H.-T.H., I.G., I.B. C.A.C., G.E.B., S.G.), and College of Pharmacy (I.B., C.A.C.), The Ohio State University, Columbus, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inna","family":"Gyorke","sequence":"additional","affiliation":[{"name":"From the Davis Heart and Lung Research Institute, Department of Physiology and Cell Biology, College of Medicine (A.E.B., D.T., R.T., H.-T.H., I.G., I.B. C.A.C., G.E.B., S.G.), and College of Pharmacy (I.B., C.A.C.), The Ohio State University, Columbus, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid M.","family":"Bonilla","sequence":"additional","affiliation":[{"name":"From the Davis Heart and Lung Research Institute, Department of Physiology and Cell Biology, College of Medicine (A.E.B., D.T., R.T., H.-T.H., I.G., I.B. C.A.C., G.E.B., S.G.), and College of Pharmacy (I.B., C.A.C.), The Ohio State University, Columbus, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia A.","family":"Carnes","sequence":"additional","affiliation":[{"name":"From the Davis Heart and Lung Research Institute, Department of Physiology and Cell Biology, College of Medicine (A.E.B., D.T., R.T., H.-T.H., I.G., I.B. C.A.C., G.E.B., S.G.), and College of Pharmacy (I.B., C.A.C.), The Ohio State University, Columbus, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George E.","family":"Billman","sequence":"additional","affiliation":[{"name":"From the Davis Heart and Lung Research Institute, Department of Physiology and Cell Biology, College of Medicine (A.E.B., D.T., R.T., H.-T.H., I.G., I.B. C.A.C., G.E.B., S.G.), and College of Pharmacy (I.B., C.A.C.), The Ohio State University, Columbus, OH."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandor","family":"Gy\u00f6rke","sequence":"additional","affiliation":[{"name":"From the Davis Heart and Lung Research Institute, Department of Physiology and Cell Biology, College of Medicine (A.E.B., D.T., R.T., H.-T.H., I.G., I.B. C.A.C., G.E.B., S.G.), and College of Pharmacy (I.B., C.A.C.), The Ohio State University, Columbus, 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