“…RyR sensitivity to cytosolic Ca 2+ ([Ca 2+ ] i ) is increased in genetic diseases (catecholaminergic polymorphic ventricular tachycardia), on increased SR Ca 2+ content, during heart failure, and on certain posttranslational modifications (eg, phosphorylation or oxidation), all of which promote diastolic SR Ca 2+ leak and triggered arrhythmias 1. In cardiac myocytes, RyRs form clusters in which some RyRs are tightly packed in checkerboard arrays (corner to corner) with others clustered in a less organized manner within junctional clefts between the SR and sarcolemma 2, 3, 4, 5, 6. These junctional clefts are cylinders 100 to 200 nm in diameter along transverse tubules and surface sarcolemma, with a depth comparable to the height of the RyR protruding from the SR (≈13 nm).…”