Rationale
Rnd3, a small Rho GTPase, is involved in the regulation of cell actin cytoskeleton dynamics, cell migration, and proliferation. The biological function of Rnd3 in the heart remains unexplored.
Objective
To define the functional role of the Rnd3 gene in the animal heart and investigate the associated molecular mechanism.
Methods and Results
By loss-of-function approaches, we discovered that Rnd3 is involved in calcium regulation in cardiomyocytes. Rnd3-null mice died at the embryonic stage with fetal arrhythmias. The deletion of Rnd3 resulted in severe Ca2+ leakage through destabilized ryanodine receptor type 2 (RyR2) Ca2+ release channels. We further found that downregulation of Rnd3 attenuated β2-adrenergic receptor (β2AR) lysosomal targeting and ubiquitination, which in turn resulted in the elevation of β2AR protein levels leading to the hyperactivation of protein kinase A (PKA) signaling. The PKA activation destabilized RyR2 channels. This irregular spontaneous Ca2+ release can be curtailed by PKA inhibitor treatment. Increases in the PKA activity along with elevated cyclic adenosine monophosphate (cAMP) levels were detected in Rnd3-null embryos, in neonatal rat cardiomyocytes, and non-cardiac cell lines with Rnd3 knockdown, suggesting a general mechanism for Rnd3-mediated PKA signaling activation. β2AR blocker treatment reduced arrhythmia and improved cardiac function.
Conclusion
Rnd3 is a novel factor involved in intracellular Ca2+ homeostasis regulation in the heart. Deficiency of the protein induces RyR2 dysfunction by a mechanism that attenuates Rnd3-mediated β2AR ubiquitination, which leads to the activation of PKA signaling. Increased PKA signaling in turn promotes RyR2 hyperphosphorylation, which contributes to arrhythmogenesis and heart failure.