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Fig 1.

Ca2+ sparks and waves in permeabilized myocytes from WT, RyR2-R4496C and Casq2-/- mice under control (VEH) conditions.

A. Averaged spark frequency, full duration at half maximun (FDHM), spark mass and spark-mediated leak measured for each one of the groups studied. ***P<0.001, n = 35–60 cells, N = 2–3 mice/group. Results expressed as mean±SEM. B. Representative line-scans (LS) showing sparks registered in permeabilized WT, RyR2-R4496C, and Casq2-/- myocytes in internal solution (IS) containing Fluo 4 pentapotassium salt ([EGTA]IS = 0.4 mM, estimated free [Ca2+]IS = 0.04 μM (Maxchelator)). C. Averaged amplitude, frequency and propagation speed of Ca2+ waves measured in WT, RyR2-R4496C and Casq2-/- permeabilized myocytes. *P<0.05, **P<0.01. n = 30–60 cells, N = 2 mice/group. D. Representative LS of Ca2+ waves from permeabilized WT, RyR2-4496C mutant cells and Casq2-/- myocytes in internal solution containing Fluo-4 pentapotassium salt ([EGTA]IS = 0.05 mM, estimated free [Ca2+]IS = 3.9 μM (Maxchelator)).

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Fig 1 Expand

Fig 2.

Effects of flecainide (FLEC) on Ca2+ wave parameters from permeabilized WT, RyR2-R4496C, and Casq2-/- myocytes.

A. Representative LS (left side of the panel) obtained for WT, RyR2-R4496C, and Casq2-/- myocytes, and their corresponding averaged space LS (right side of the same panel) under control condition (VEH) and in the presence of flecainide (FLEC) 10 μM. B. Concentration-response curves (CRCs) for wave incidence, amplitude, frequency, and propagation speed as a function of the concentration of FLEC (in μM) in WT, RyR2-4496C mutant cells, and Casq2-/- myocytes. Results are expressed as mean±SE for each concentration and each parameter. For each group studied: n = 20 cells, N = 3 mice/ condition tested.

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Fig 3.

Comparison of Ca2+ spark frequency in WT, caffeine (CAFF) treated WT and Casq2-/- myocytes.

A. Average spark frequency, N = 25–70 cells/group, ***P<0.001. B. Representative LS showing sparks registered in permeabilized WT myocytes, CAFF-treated permeabilized WT myocytes, and Casq2-/- myocytes in internal solution (IS) containing Fluo 4 pentapotassium salt ([EGTA]IS = 0.4 mM, nominal [Ca2+]IS = 0.06 mM, estimated free [Ca2+]IS = 0.04 μM (Maxchelator)).

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Fig 3 Expand

Fig 4.

Caffeine increases potency of flecainide (FLEC) against Ca2+ waves.

A. Representative LS of Ca2+ waves in permeabilized WT myocytes, WT cells sensitized with 150 μM caffeine (WT+CAFF 150μM) and Casq2-/- myocytes under control condition (VEH) and in the presence of FLEC 10 μM. B. CRCs for wave parameters (incidence, amplitude, frequency, and propagation speed) as a function of the concentration of FLEC (in μM) in WT, WT+CAFF 150μM, and Casq2-/- cells. FLEC effect on Ca2+ wave parameters is dose-dependent, with a strongest effect on Ca2+ waves in Casq2-/- myocytes. FLEC effects on Ca2+ waves in WT cells are partially restored by sensitizing the cells with CAFF 150 μM. Mean±SE for each concentration and each parameter. For each group: n = 20 cells, N = 3 mice/condition tested.

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Fig 5.

Caffeine increases potency of R-propafenone (RPROP) against Ca2+ waves.

A. Representative line-scans of Ca2+ waves in permeabilized WT myocytes and Casq2-/- myocytes under control condition (VEH) and in the presence of RPROP 10 μM. B. CRCs for wave parameters (incidence, amplitude, frequency, and propagation speed) as a function of the concentration of RPROP (in μM) in WT and Casq2-/- cells. Similarly to FLEC, the effect of RPROP on the Ca2+ waves is dose-dependent, with a strongest effect on Casq2-/- myocytes. Results expressed as mean±SE for each concentration and each parameter. For each group: n = 20–25 cells, N = 2 mice/condition tested.

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Fig 5 Expand

Table 1.

Potency (IC50, expressed in μM) and efficacy (defined as maximum drug effect measured at 100 μM) of all the drugs tested in the different mouse groups.

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Table 1 Expand

Fig 6.

Caffeine has no effect on potency of tetracaine (TET) against Ca2+ waves.

A. Representative LS of Ca2+ waves in permeabilized WT myocytes, WT+CAFF 150μM, and Casq2-/- myocytes under control condition (VEH) and in the presence of tetracaine (TET) 25 μM. B. CRCs for wave parameters (incidence, amplitude, frequency, and propagation speed) as a function of TET concentration (in μM) in WT, WT+CAFF 150μM, and Casq2-/- cells. Mean±SEM is depicted for each concentration and each parameter. For each group: n = 20–25 cells, N = 2–3 mice/ condition tested.

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Fig 7.

Effect of RPROP and TET on Ca2+ sparks and waves in permeabilized rabbit ventricular myocytes.

A. Bar representation (left side of the panel) of averaged Ca2+ spark parameters (amplitude, frequency and mass) measured in permeabilized rabbit ventricular myocytes under control conditions (VEH) and in the presence of RPROP 10 μM and TET 50 μM. **P<0.01. n = 30–40 cells, N = 3 rabbits/condition tested. B Representative LS for each condition. C CRCs for RPROP and TET for Ca2+ wave parameters. n = 30 cells, N = 3 rabbits/condition tested. D. Representative LS for VEH, RPROP 25 μM and TET 25 μM.

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Fig 7 Expand

Table 2.

Potency (IC50, expressed in μM) and efficacy (defined as maximum drug effect measured at 100 μM) of RPROP and TET in permeabilized rabbit ventricular myocytes.

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Table 2 Expand