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Table 5 Rodent RYR1 model systems

From: Preclinical model systems of ryanodine receptor 1-related myopathies and malignant hyperthermia: a comprehensive scoping review of works published 1990–2019

Author/Year

Ryr1 variant(s)

Title

Conclusions

YS mouse (equivalent to Y522S in humans)

 Zullo A, et al. [141] 2018

Y524S

Voltage modulates halothane-triggered Ca2+ release in malignant hyperthermia-susceptible muscle

Binding of halothane to RyR1 alters the voltage dependence of Ca2+ release in MH-susceptible muscle fibers such that the resting membrane potential becomes a decisive factor for the efficiency of the drug to trigger Ca2+ release

 O-Uchi J, et al. [142] 2017

Y524S

Malignant hyperthermia-associated mutation of leaky RyR1 induces mitochondrial Ca2+ overload in the heart

Chronic mitochondrial Ca2+ overload via leaky mutant mRyR1 damages cardiac mitochondrial functions/structures, which may alter cytosolic Ca2+ handling, induce cellular oxidation, and increase the arrhythmogenic events in MH

 Abeele FV, et al. [143] 2019

Y524S

TRPV1 variants impair intracellular Ca2+ signaling and may confer susceptibility to malignant hyperthermia

Trpv1 may be contributing to the mechanism underlying the hyperthermia response of this Y524S Ryr1 model TRPV1 and related mutants could be a new therapeutic target for treating muscle diseases due to altered regulation of Ca2+ release

 Michelucci A, et al. [144] 2017

Y524S

Strenuous exercise triggers a life-threatening response in mice susceptible to malignant hyperthermia

Strenuous physical exertion triggers lethal episodes in MH-susceptible mice and these episodes share common features with MH episodes triggered by anesthetics and heat (ie, hyperthermia and rhabdomyolysis)

 Michelucci A, et al. [145] 2017

Y524S

Antioxidant Treatment Reduces Formation of Structural Cores and Improves Muscle Function in RYR1(Y522S/WT) Mice

NAC administration is beneficial to prevent mitochondrial damage and formation of cores and improve muscle function in RYR1Y522S/WT mice

 Lopez RJ, et al. [146] 2016

Y524S

An RYR1 mutation associated with malignant hyperthermia is also associated with bleeding abnormalities

Y522S mice had longer bleeding times than their WT littermates. Primary vascular smooth muscle cells from Y524S mice exhibited a higher frequency of subplasmalemmal Ca2+ sparks, leading to a more negative resting membrane potential. The bleeding defect of Y524S mice and of one patient was reversed by treatment with the RYR1 antagonist dantrolene, and Ca2+ sparks in primary vascular smooth muscle cells from Y524S mice were blocked by ryanodine or dantrolene

 O-Uchi J, et al. [147] 2016

Y524S

Malignant hyperthermia-associated mutation of RyR1 induces mitochondrial damages and cellular oxidation in the heart

Chronic mitochondrial Ca2+ overload via leaky mutant mRyR1 damages cardiac mitochondrial functions/structures, reduces cytosolic Ca2+ buffering capacity and induces cellular oxidation, which may increase arrhythmogenic events in MH

 O-Uchi J, et al. [148] 2014

Y524S

RyR1 mutation associated with malignant hyperthermia facilitates catecholaminergic stress-included arrhythmia via mitochondrial injury and oxidative stress

Chronic mitochondrial damage by Ca2+ overload via leaky mutant RyR1 induces cellular oxidation, which facilitates catecholaminergic stress-triggered arrhythmia

 Yarotskyy V, et al. [149] 2013

Y524S

Accelerated activation of SOCE current in myotubes from two mouse models of anesthetic- and heat-induced sudden death

While an increased rate of SOCE current activation is a common characteristic of myotubes derived from Y524S/+ and dCasq-null mice and that the protective effects of azumolene are not due to a direct inhibition of SOCE channels

 Vukcevic M, et al. [150] 2013

Y524S

Gain of function in the immune system caused by a ryanodine receptor 1 mutation

Y524S mice have a gain in immune functions. Gain-of-function MH-linked RYR1 mutations might offer selective immune advantages to their carriers

 Manno C, et al. [151] 2013

Y524S

Altered Ca2+ concentration, permeability and buffering in the myofibre Ca2+ store of a mouse model of malignant hyperthermia

Y524S mutation causes greater openness of the RyR1, lowers resting SR Ca2+ and alters SR Ca2+ buffering in a way that copies the functional instability observed upon reduction of calsequestrin content

 Knoblauch M, et al. [152] 2013

Y524S

Mice with RyR1 mutation (Y524S) undergo hypermetabolic response to simvastatin

An acute dose of simvastatin triggers a hypermetabolic response in YS mice. In isolated YS muscle fibers, simvastatin triggers an increase in cytosolic Ca2+ levels by increasing Ca2+ leak from the sarcoplasmic reticulum (SR). With higher simvastatin doses, a similar cytosolic Ca2+ increase occurs in wild type (WT) muscle fibers. Pre-treatment of YS and WT mice with AICAR prevents the response to simvastatin

 Lanner JT, et al. [153] 2012

Y524S

AICAR prevents heat-induced sudden death in RyR1 mutant mice independent of AMPK activation

AICAR is probably effective in prophylactic treatment of humans with enhanced susceptibility to exercise- and/or heat-induced sudden death associated with RYR1 mutations

O-Uchi J, et al. [154] 2012

Y524S

Malignant hyperthermia mutation of RYR1 (Y522S) increases catecholamine-induced cardiac arrhythmia through mitochondrial injury

Chronic mitochondrial damage by Ca2+ overload through leaky mutant RyR1 induces mitochondrial structural and functional disruption, which facilitates arrhythmogenic outbursts under acute catecholaminergic stress

 Loy RE, et al. [155] 2012

Y524S

Allele-specific gene silencing in two mouse models of autosomal dominant skeletal myopathy

The temperature-dependent increase in resting Ca2+ observed in FDB fibers from YS/+ mice was normalized to WT levels after 2 weeks of treatment with YS allele-specific siRNA

 Wei L, et al. [156] 2011

Y524S

Mitochondrial superoxide flashes: metabolic biomarkers of skeletal muscle activity and disease

Uncontrolled mitochondrial superoxide production likely contributes to the pathogenic temperature-dependent increase in oxidative stress of RYR1Y524S/WT MH mice

 Corona BT, et al. [157] 2010

Y524S

Effect of prior exercise on thermal sensitivity of malignant hyperthermia-susceptible muscle

Eccentric, but not concentric, exercise attenuated the thermal sensitivity of MH-susceptible muscle

 Boncompagni S, et al. [158] 2009

Y524S

Characterization and temporal development of cores in a mouse model of malignant hyperthermia

Initial mitochondrial/SR disruption in confined areas causes significant loss of local Ca2+ sequestration that eventually results in the formation of contractures and progressive degradation of the contractile elements

 Andronache Z, et al. [159] 2009

Y524S

A retrograde signal from RyR1 alters DHP receptor inactivation and limits window Ca2+ release in muscle fibers of Y522S RyR1 knock-in mice

The increase in uncompensated SR Ca2+ leak observed at rest following transient overexpression of the Y524S RyR1 mutant in myotubes is effectively suppressed after long-term expression of a normal compliment of wild-type and mutant RyR1s in adult muscle fibers of WT/Y524S mice

 Durham WJ, et al. [160] 2008

Y524S

RyR1 S-nitrosylation underlies environmental heat stroke and sudden death in Y522S RyR1 knockin mice

Ca2+ release channels in RyR1Y524S/wt mice are leaky, producing elevations in resting Ca2+, ROS, RNS and basal stress at physiologically relevant temperatures. Ca2+ leak enhances RNS production, and subsequent S-nitrosylation of RyR1 further increases Ca2+ leak, resulting in regenerative Ca2+ release that underlies uncontrolled contractions during heat stress

 Corona BT, et al. [161] 2008

Y524S

Eccentric contractions do not induce rhabdomyolysis in malignant hyperthermia susceptible mice

RYR1Y524S/wt protects skeletal muscle from exercise-induced muscle injury. Findings do not support a direct association between MH susceptibility and contraction-induced rhabdomyolysis when core temperature is maintained at lower physiological temperatures during exercise

 Chelu MG, et al. [162] 2006

Y524S

Heat- and anesthesia-induced malignant hyperthermia in an RyR1 knock-in mouse

Heterozygous expression of the Y524S mutation confers susceptibility to both heat- and anesthetic-induced MH responses

IT mouse (equivalent to I4898T in humans)

 Lee CS, et al. [163] 2017

I4895T

A chemical chaperone improves muscle function in mice with a RyR1 mutation

Persistent ER stress/UPR, decreased protein synthesis, mitochondrial ROS production/damage and elevation of proapoptotic markers are defining features of RyR1 myopathy associated with the I4895T mutation in mice, making this myopathy distinct from that of the RyR1 myopathies that arise from Ca2+ leak. Chemical chaperones and ER stress inhibitors may be better suited for mutations in RyR1 that produce ER stress/UPR

 Zvaritch E, et al. [164] 2015

I4895T

Muscle spindles exhibit core lesions and extensive degeneration of intrafusal fibers in the Ryr1(I4895T/wt) mouse model of core myopathy

Muscle spindles undergo severe deterioration that may precede structural changes in extrafusal myofibers Muscle spindles represent an important early target in Ryr1-related disease pathology

 De Crescenzo V, et al. [165] 2012

I4895T

Type 1 ryanodine receptor knock-in mutation causing central core disease of skeletal muscle also displays a neuronal phenotype

RyR1 plays a role in voltage-induced Ca2+ release in hypothalamic nerve terminals and a neuronal alteration accompanies the myopathy in IT/+ mice

 Loy RE, et al. [155] 2012

I4895T

Allele-specific gene silencing in two mouse models of autosomal dominant skeletal myopathy

Altered RyR1 function in FDB fibers of YS/+ and IT/+ knock-in mice can be normalized only two weeks after local in vivo delivery of ASGS siRNAs

 Loy RE, et al. [166] 2011

I4895T

Muscle weakness in Ryr1I4895T/WT knock-in mice as a result of reduced ryanodine receptor Ca2+ ion permeation and release from the sarcoplasmic reticulum

In vivo muscle weakness observed in IT/+ knock-in mice arises from a reduction in the magnitude and rate of RYR1 Ca2+ release during EC coupling that results from the mutation producing a dominant-negative suppression of RYR1 channel Ca2+ ion permeation

 Boncompagni S, et al. [167] 2010

I4895T

The I4895T mutation in the type 1 ryanodine receptor induces fiber-type specific alterations in skeletal muscle that mimic premature aging

Muscle fibers from IT/+ mice in a mixed 129S6/SvEvTac and 129S2/SvPasCrl background exhibit structural alterations of the type seen in CCD patients as well as in WT mice at older ages

 Zvaritch E, et al. [168] 2009

I4895T

Ca2+ dysregulation in Ryr1(I4895T/wt) mice causes congenital myopathy with progressive formation of minicores, cores, and nemaline rods

The IT/+ mouse line represents a unique and phenotypically valid model of RyR1-related congenital myopathy with minicores, cores, and rods

 Zvaritch E, et al. [30] 2007

I4895T

An Ryr1I4895T mutation abolishes Ca2+ release channel function and delays development in homozygous offspring of a mutant mouse line

IT/IT mice, in which RyR1-mediated Ca2+ release is abolished without altering the formation of the junctional DHPR-RyR1 macromolecular complex, provide a valuable model for elucidation of the role of RyR1-mediated Ca2+ signaling in mammalian embryogenesis

RC mouse (equivalent in humans)

 Truong KM, et al. [169] 2019

R163C

Comparison of Chlorantraniliprole and Flubendiamide Activity Toward Wild-Type and Malignant Hyperthermia-Susceptible Ryanodine Receptors and Heat Stress Intolerance

Although nM-μM of either diamide is capable of differentially altering WT and MHS RyR1 conformation in vitro, human RyR1 mutations within putative diamide N- and C-terminal interaction domains do not alter heat stress intolerance in vivo

 Eltit JM, et al. [170] 2013

R163C

Nonspecific sarcolemmal cation channels are critical for the pathogenesis of malignant hyperthermia

nonselective sarcolemmal cation permeability, separate from the classic STIM/Orai pathway, is activated by SR depletion and plays a critical role in the causing cytosolic Ca2+ and Na + overload both at rest and during the MH crisis

 Estève E, et al. [171] 2012

R163C

Malignant hyperthermia mutation alters excitation-coupled Ca2+ entry in MH RyR1-R163C knock-in myotubes

Conformational changes induced by the R163C MH mutation alter the retrograde signal that is sent from RYR1 to the DHPR, delaying the inactivation of the DHPR voltage sensor

 Giulivi C, et al. [172] 2011

R163C

Basal bioenergetic abnormalities in skeletal muscle from ryanodine receptor malignant hyperthermia-susceptible R163C knock-in mice

Chronically elevated resting Ca2+ in R163C skeletal muscle elicited the maintenance of a fast-twitch fiber program and the development of insulin resistance-like phenotype as part of a metabolic adaptation to the R163C RyR1 mutation

 Feng W, et al. [173] 2011

R163C

Functional and biochemical properties of ryanodine receptor type 1 channels from heterozygous R163C malignant hyperthermia-susceptible mice

R163C channels are inherently more active than WT channels, a functional impairment that cannot be reversed by dephosphorylation with protein phosphatase. Dysregulated R163C channels produce a more overt phenotype in myotubes than in adult fibers in the absence of triggering agents, suggesting tighter negative regulation of R163C-RyR1 within the Ca2+ release unit of adult fibers

 Estève E, et al. [174] 2010

R163C

A malignant hyperthermia-inducing mutation in RYR1 (R163C): alterations in Ca2+ entry, release, and retrograde signaling to the DHPR

Conformational changes induced by the R163C MH mutation alter the retrograde signal that is sent from RYR1 to the DHPR, delaying the inactivation of the DHPR voltage sensor and enhancing sarcolemmal Ca2+ entry during depolarization

 Bannister RA, et al. [175] 2010

R163C

A malignant hyperthermia-inducing mutation in RYR1 (R163C): consequent alterations in the functional properties of DHPR channels

Mutations in RYR1 can alter DHPR activity and raise the possibility that this altered DHPR function may contribute to MH episodes

 Cherednichenko G, et al. [176] 2008

R163C

Enhanced excitation-coupled calcium entry in myotubes expressing malignant hyperthermia mutation R163C is attenuated by dantrolene

Myotubes isolated from mice heterozygous and homozygous for the ryanodine receptor type 1 R163C MH susceptibility mutation show significantly enhanced ECCE rates that could be restored to those measured in wild-type cells after exposure to clinical concentrations of dantrolene

 Yang T, et al. [177] 2006

R163C

Pharmacologic and functional characterization of malignant hyperthermia in the R163C RyR1 knock-in mouse

The newly developed R163C Het mouse line is a valid animal model for studying the largely unknown pathophysiology of MH

Other rodent models

 Brennan S, et al. [178] 2019

T4706M/Indel (equivalent to T4709M in humans)

Mouse model of severe recessive RYR1-related myopathy

The first mouse model of severe, early-onset recessive RYR1-RM Mice exhibit clearly observable, early-onset phenotypes, premature mortality and a consistent pattern of myofibre hypotrophy

 Elbaz M, et al. [179] 2019

Q1970fsX16/A4329D (equivalent in humans)

Quantitative RyR1 reduction and loss of calcium sensitivity of RyR1Q1970fsX16+ A4329D cause cores and loss of muscle strength

The phenotype of the RyR1Q1970fsX16 + A4329D compound heterozygous mice recapitulates the clinical picture of multiminicore patients and provide evidence of the molecular mechanisms responsible for skeletal muscle defects

 Elbaz M, et al. [180] 2019

Q1970fsX16 (equivalent in humans)

Quantitative reduction of RyR1 protein caused by a single-allele frameshift mutation in RYR1 ex36 impairs the strength of adult skeletal muscle fibres

The RyR1Q1970fsX16 mouse model provides mechanistic insight concerning the phenotype of the parent carrying the RYR1 exon 36 mutation and suggests that in skeletal muscle fibres there is a functional reserve of RyR1

 RYR-1 Foundation [181] 2019

T4706M/S1669C + L1716 del

Unpublished - https://wwwryr1org/mice

Phenotype includes kyphosis and malocclusion. The model is still being fully characterized

 Dulhunty AF, et al. [182] 2019

P3528S

Unpublished - https://wwwryr1org/edamame

Phenotype includes mild scoliosis and decreased mobility (heterozygous) and scoliosis, decreased mobility, hang time, and increased calcium sensitivity. The model is still being fully characterized

 Lopez JR, et al. [183] 2018

G2435R

Malignant hyperthermia, environmental heat stress, and intracellular calcium dysregulation in a mouse model expressing the pG2435R variant of RYR1

RYR1 G2435R mice demonstrated gene dose-dependent in vitro and in vivo responses to pharmacological and environmental stressors that parallel those seen in patients with the human RYR1 variant G2434R

 Hernandez-Ochoa EO, et al. [184] 2018

L3625D

Loss of S100A1 expression leads to Ca2+ release potentiation in mutant mice with disrupted CaM and S100A1 binding to CaMBD2 of RyR1

RyR1D-S100A1KO muscle fibers exhibit a modest but significant increase in myoplasmic Ca2+ transients and enhanced Ca2+ release flux following field stimulation when compared to fibers from RyR1D mice

 Bannister RA, et al. [185] 2016

E4242G

Distinct Components of Retrograde Ca(V)11-RyR1 Coupling Revealed by a Lethal Mutation in RyR1

E4242G markedly reduces L-type current density, CaV11 Po, and CaV11 expression, where this last effect is most likely a consequence of the absence of EC coupling. The effects of E4242G on current density, relative Po, and channel expression are similar to those occurring in dyspedic myotubes

 Hanson MG, et al. [186] 2016

E4242G

Potassium dependent rescue of a myopathy with core-like structures in mouse

Amelioration of potassium leaks through potassium homeostasis mechanisms may minimize muscle damage of myopathies due to certain RYR1 mutations

 Hanson MG, et al. [187] 2015

E4242G

Rectification of muscle and nerve deficits in paralyzed ryanodine receptor type 1 mutant embryos

Contractility can be resumed through the masking of a potassium leak, and evoked vesicular release can be resumed via bypassing the defect in RyR1 induced calcium release

 Yuen B, et al. [188] 2012

T4826I

Mice expressing T4826I-RYR1 are viable but exhibit sex- and genotype-dependent susceptibility to malignant hyperthermia and muscle damage

T4826I mice underscore the importance of gene × environment interactions in expression of clinical and subclinical phenotype, and suggest that individuals with RyR1 mutations may represent particularly vulnerable populations to environmental stressors

 Barrientos GC, et al. [189] 2012

T4826I

Gene dose influences cellular and calcium channel dysregulation in heterozygous and homozygous T4826I-RYR1 malignant hyperthermia-susceptible muscle

Pronounced abnormalities inherent in T4826I-RYR1 channels confer MHS and promote basal disturbances of excitation-contraction coupling, [Ca2+](rest), and oxygen consumption rates. Considering that both Het and Hom T4826I-RYR1 mice are viable, the remarkable isolated single channel dysfunction mediated through this mutation in S4-S5 cytoplasmic linker must be highly regulated in vivo

 Andersson DC, et al. [190] 2012

S2844A

Stress-induced increase in skeletal muscle force requires protein kinase A phosphorylation of the ryanodine receptor

The molecular mechanism underlying skeletal muscle inotropy requires enhanced SR Ca2+ release due to PKA phosphorylation of S2844 in RyR1

 Andersson DC, et al. [191] 2011

S2844D

Ryanodine receptor oxidation causes intracellular calcium leak and muscle weakness in aging

6-month-old mice harboring leaky S2844D mutant channels exhibited skeletal muscle defects comparable to 24-month-old WT mice

 Yamaguchi N, et al. [192] 2011

L3625D

Modulation of sarcoplasmic reticulum Ca2+ release in skeletal muscle expressing ryanodine receptor impaired in regulation by calmodulin and S100A1

L3625D removes both an early activating effect of S100A1 and CaM and delayed suppressing effect of CaCaM on RyR1 Ca2+ release

 Felder E, et al. [193] 2002

RYR1/DHPR double KO

Morphology and molecular composition of sarcoplasmic reticulum surface junctions in the absence of DHPR and RyR in mouse skeletal muscle

RyR nor DHPR, alone or separately, are necessary for T-SR docking and for the targeting and/or association of calsequestrin and triadin in the junctional SR. Both proteins are needed for appropriate muscle development