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Time line of Andrew R. Marks’ discovery of leaky ryanodine receptors (RyRs) and novel therapeutics that fix this leak

1989 Cloned RyR1/calcium release channel cDNA (PNAS 86:8683-8687).
1992 Identified FKBP12 (calstabin1) as a subunit of the RyR1 channel (JBC 267: 9474-9477).
1994 Functionally expressed recombinant RyR1 channels and demonstration that calstabin1 (FKBP12) stabilizes the closed state of the channel (i.e. prevents leak) (Cell 77: 513-523).
1998 Discovered that calstabin1 is required for coupled gating between RyR1 channels, removel of calstabin1 results in uncoupled channels that are leaky (Science 281:818-821).
2000 Discovered that RyR2 channels are leaky in failing hearts due to stress-induced loss of calstabin2 from the channel macromolecular complex (Cell 101:365-376).
2003 Discovered that depletion of calstabin2 results in leaky RyR2 channels that cause exercise-induced sudden cardiac death, RyR2 channel mutations in patients cause stress-induced sudden death (Cell 113:829-840).
2004 Demonstrated that a rycal small molecule prevents loss of calstabin2 from RyR2 channels and inhibits exercise induced arrhythmias and sudden cardiac death (Science 304:292-6).
2005 Demonstrated that a rycal prevents heart failure progression after myocardial infarction and improves skeletal muscle function (PNAS 102:9607-9612).
2005 Discovered that a phosphodiesterase in the RyR2 complex is required to prevent hyperphosphorylation of the channel, loss of calstabin2 and heart failure and arrhythmias (Cell 123:25-35).
2009 Discovered leaky RyR1 channels in Duchenne muscular dystrophy and demonstration that a rycal inhibits muscle damage and improves exercise capacity (Nature Medicine 15:325-330).
2010 Discovered that stress-induced nitrosylation/oxidation of RyR channels combined with PKA phosphorylation depletes channels of calstabin resulting in intracellular calcium leak that causes heart failure progression
(JCI 120: 4375-87 ; JCI 120: 4388-98).