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Updated: Jun 3, 2026

Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
In the thick of it: HCM-causing mutations in myosin binding proteins of the thick filament
Samantha P Harris1, Ross G Lyons, Kristina L Bezold
1Department of Neurobiology, Physiology, and Behavior College of Biological Sciences, University of California, One Shields Ave, Davis, CA 95616, USA. samharris@ucdavis.edu
Insights
Familial hypertrophic cardiomyopathy (HCM) mutations in thick filament proteins, like cardiac myosin binding protein C (cMyBP-C), are common but poorly understood. This review links known mutations to protein function, aiding HCM research.
Area of Science:
- Cardiovascular Biology
- Molecular Cardiology
- Genetic Medicine
Background:
- Familial hypertrophic cardiomyopathy (HCM) is linked to numerous sarcomeric protein mutations.
- Mutations in thick filament binding proteins, particularly cardiac myosin binding protein (cMyBP)-C, are frequently implicated in inherited cardiomyopathies.
- The functional impact and disease mechanisms of these mutations remain incompletely understood.
Purpose of the Study:
- To review known disease-causing mutations in major thick filament binding proteins.
- To correlate these mutations with specific protein functions.
- To advance understanding of HCM pathogenesis.
Main Methods:
- Literature review of sarcomeric protein mutations associated with HCM.
- Analysis of functional consequences of identified mutations.
- Synthesis of current knowledge on thick filament protein biology.
Main Results:
- A significant number of mutations affect myosin binding proteins, including myosin light chains and cMyBP-C.
- These mutations are linked to HCM, but their precise mechanisms of disease causation require further elucidation.
- Thick filament proteins are identified as dynamic regulators of muscle contraction.
Conclusions:
- Discovery of HCM mutations has significantly advanced the understanding of thick filament protein biology.
- Myosin binding proteins play a crucial role in regulating muscle contraction force and speed.
- Further research is necessary to clarify how specific mutations lead to hypertrophic phenotypes.
Abstract:
In the 20 years since the discovery of the first mutation linked to familial hypertrophic cardiomyopathy (HCM), an astonishing number of mutations affecting numerous sarcomeric proteins have been described. Among the most prevalent of these are mutations that affect thick filament binding proteins, including the myosin essential and regulatory light chains and cardiac myosin binding protein (cMyBP)-C. However, despite the frequency with which myosin binding proteins, especially cMyBP-C, have been linked to inherited cardiomyopathies, the functional consequences of mutations in these proteins and the mechanisms by which they cause disease are still only partly understood. The purpose of this review is to summarize the known disease-causing mutations that affect the major thick filament binding proteins and to relate these mutations to protein function. Conclusions emphasize the impact that discovery of HCM-causing mutations has had on fueling insights into the basic biology of thick filament proteins and reinforce the idea that myosin binding proteins are dynamic regulators of the activation state of the thick filament that contribute to the speed and force of myosin-driven muscle contraction. Additional work is still needed to determine the mechanisms by which individual mutations induce hypertrophic phenotypes.
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