Abstract:Objective To investigate the effect of high glucose on calcium signals of atrial myocytes and its mechanism. Methods The experiment based on isolated atrial myocytes of rats were divided into two parts. The first section included L-glucose (LG), normal glucose (NG), high glucose (HG) and HG+uric acid groups. The second section included ONOO-, DC-ONOO-, and ONOO-+uric acid groups. The changes of calcium transient, calcium channel protein RYR2 and its regulatory protein FKBP12.6 were observed. Results Ca2+ transient amplitude was larger in the HG group compared with the NG group. Application of uric acid significantly decreased the Ca2+ transient amplitude whereas exposure of myocytes to ONOO- markedly increased it. The expression of RYR2 in the HG and ONOO- groups was decreased, uric acid inhibited the effect of HG and ONOO- on RYR2 expression. High glucose regulated the expression of FKBP12.6 in the upstream of RYR2 protein. Conclusions High glucose and ONOO- increase the release of Ca2+, application of uric acid significantly decreases the amplitude of Ca2+ transient. Incubation in high glucose decreases the expression of RYR2 protein, whereas uric acid increases the amount of RYR2 in atrial myocytes. High glucose-induced oxidative stress can regulate the upstream signaling pathways of RYR2 named FKBP12.6.