The present investigation addresses whether protein expression and function
of sarco( endo) plasmic reticulum Ca2+-ATPase (SERCA2a) and phospholamban
(PLB) correlate in failing and nonfailing human myocardium. SERCA2a activit
y and protein expression, PLB phosphorylation, and the force-frequency rela
tionship (FFR) have been determined in right atrium (RA) and left ventricle
(LV) from nonfailing (NF, n = 12) and terminally failing [dilated cardiomy
opathy (DCM), n = 12] human hearts. Only in LV of DCM hearts was SERCA2a ac
tivity significantly decreased [maximal turnover rate (V-max) = 196 +/- 11
and 396 +/- 30 nmol . mg(-1) . min(-1) in LV and RA, respectively], whereas
protein expression of SERCA2a in the different chambers was unchanged in N
F (3.9 +/- 0.3 and 3.2 +/- 0.4 densitometric units in LV and RA, respective
ly) and DCM hearts (4.8 +/- 0.8 and 3.4 +/- 0.1 densitometric units in LV a
nd RA, respectively). Phosphorylation of PLB was higher in LV than in RA in
NF (Ser(16) : 180.5 +/- 19.0 vs. 56.8 +/- 6.0 densitometric units; Thr(17)
: 174.6 +/- 11.2 vs. 37.4 +/- 8.9 densitometric units) and DCM hearts (Ser
(16) : 132.0 +/- 5.4 vs. 22.4 +/- 3.5 densitometric units; Thr(17) : 131.2
+/- 10.9 vs. 9.2 +/- 2.4 densitometric units). SERCA2a function, but not pr
otein expression, correlated well with the functional parameters of the FFR
in DCM and NF human hearts. Regulation of SERCA2a function depends on the
phosphorylation of PLB at Ser(16) and Thr(17). However, direct SERCA2a regu
lation might also be affected by an unknown mechanism.