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Originally published In Press as doi:10.1074/jbc.M107134200 on October 22, 2001

J. Biol. Chem., Vol. 276, Issue 51, 48077-48082, December 21, 2001
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B-lymphocytes from Malignant Hyperthermia-susceptible Patients Have an Increased Sensitivity to Skeletal Muscle Ryanodine Receptor Activators*

Thierry GirardDagger , Dario Cavagna§, Elisabetta Padovan, Giulio Spagnoli, Albert UrwylerDagger , Francesco ZorzatoDagger §, and Susan TrevesDagger ||

From the Dagger  Departments of Anaesthesia and Research, Hebelstrasse 20, University of Basel Kantonsspital, 4031 Basel, Switzerland, the § Department of Experimental and Diagnostic Medicine, Section of General Pathology, University of Ferrara, Via Borsari 46, 44100 Ferrara, Italy, and the  Department of Surgery, Division of Research, Hebelstrasse 20, University of Basel Kantonsspital, 4031 Basel, Switzerland

Malignant hyperthemia (MH) is a pharmacogenetic disease triggered by volatile anesthetics and succinylcholine in genetically predisposed individuals. The underlying feature of MH is a hypersensitivity of the calcium release machinery of the sarcoplasmic reticulum, and in many cases this is a result of point mutations in the skeletal muscle ryanodine receptor calcium release channel (RYR1). RYR1 is mainly expressed in skeletal muscle, but a recent report demonstrated the existence of this isoform in human B-lymphocytes. As B-cells can produce a number of cytokines, including endogenous pyrogens, we investigated whether some of the symptoms seen during MH could be related to the involvement of the immune system. Our results show that (i) Epstein-Barr virus-immortalized B-cells from MH-susceptible individuals carrying the V2168M RYR1 gene mutation were more sensitive to the RYR activator 4-chloro-m-cresol and (ii) their peripheral blood leukocytes produce more interleukin (IL)-1beta after treatment with the RYR activators caffeine and 4-chloro-m-cresol, compared with cells from healthy controls. Our result demonstrate that RYR1-mediated calcium signaling is involved in release of IL-1beta from B-lymphocytes and suggest that some of the symptoms seen during an MH episode may be due to IL-1beta production.


* This work was supported in part by Swiss National Foundation Grant 3200-063959.00, Telethon Italy Grant 1259 (to F. Z.), a grant from the Ministero Università e Ricerca Scientifica e Tecnologica ex 40%, and by the Department of Anesthesia, Basel Kantonsspital.The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

|| To whom correspondence should be addressed: ZLF Basel Kantonsspital, Laboratory 408, Hebelstr. 20, 4031 Basel, Switzerland. Tel.: 41-61-265-2373; Fax: 41-61-265-3702; E-mail: susan.treves@unibas.ch.


Copyright © 2001 by The American Society for Biochemistry and Molecular Biology, Inc.
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