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Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
The molecular phenotype of human cardiac myosin associated with hypertrophic obstructive cardiomyopathy
Adam M Jacques1, Natalia Briceno, Andrew E Messer
1Cardiac Medicine, National Heart and Lung Institute, Imperial College London, Guy Scadding Building, Dovehouse Street, London, UK.
Insights
Myosin from hypertrophic cardiomyopathy patients exhibits reduced motility and impaired contractility, similar to end-stage heart failure. A myosin heavy chain mutation can be predicted using a functional assay.
Area of Science:
- Cardiovascular Biology
- Muscle Physiology
- Molecular Cardiology
Background:
- Hypertrophic cardiomyopathy (HCM) is a genetic heart muscle disease.
- Understanding the functional and structural properties of cardiac myosin is crucial for elucidating disease mechanisms.
Purpose of the Study:
- To compare myosin's functional and structural properties and myocyte contractility in HCM patients versus controls.
- To investigate the impact of HCM-associated mutations on myosin function.
Main Methods:
- Myosin isolation and in vitro motility assays.
- Analysis of myosin light chain-1 isoforms and myosin light chain-2 phosphorylation.
- Measurement of isolated cardiomyocyte contractility.
Main Results:
- Myosin from myectomy samples showed significantly reduced motility (21% less) compared to donor myosin.
- HCM myosin displayed altered light chain composition and reduced phosphorylation.
- Isolated cardiomyocytes from HCM patients exhibited impaired contraction and relaxation.
Conclusions:
- HCM myectomy samples display a hypocontractile phenotype similar to end-stage heart failure.
- This phenotype is not a direct result of the hypertrophy-inducing mutation.
- A functional assay can predict the presence of myosin heavy chain mutations causing HCM.
Aim:
The aim of the study was to compare the functional and structural properties of the motor protein, myosin, and isolated myocyte contractility in heart muscle excised from hypertrophic cardiomyopathy patients by surgical myectomy with explanted failing heart and non-failing donor heart muscle.
Methods:
Myosin was isolated and studied using an in vitro motility assay. The distribution of myosin light chain-1 isoforms was measured by two-dimensional electrophoresis. Myosin light chain-2 phosphorylation was measured by sodium dodecyl sulphate-polyacrylamide gel electrophoresis using Pro-Q Diamond phosphoprotein stain.
Results:
The fraction of actin filaments moving when powered by myectomy myosin was 21% less than with donor myosin (P = 0.006), whereas the sliding speed was not different (0.310 +/- 0.034 for myectomy myosin vs. 0.305 +/- 0.019 microm/s for donor myosin in six paired experiments). Failing heart myosin showed 18% reduced motility. One myectomy myosin sample produced a consistently higher sliding speed than donor heart myosin and was identified with a disease-causing heavy chain mutation (V606M). In myectomy myosin, the level of atrial light chain-1 relative to ventricular light chain-1 was 20 +/- 5% compared with 11 +/- 5% in donor heart myosin and the level of myosin light chain-2 phosphorylation was decreased by 30-45%. Isolated cardiomyocytes showed reduced contraction amplitude (1.61 +/- 0.25 vs. 3.58 +/- 0.40%) and reduced relaxation rates compared with donor myocytes (TT(50%) = 0.32 +/- 0.09 vs. 0.17 +/- 0.02 s).
Conclusion:
Contractility in myectomy samples resembles the hypocontractile phenotype found in end-stage failing heart muscle irrespective of the primary stimulus, and this phenotype is not a direct effect of the hypertrophy-inducing mutation. The presence of a myosin heavy chain mutation causing hypertrophic cardiomyopathy can be predicted from a simple functional assay.
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