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Updated: May 14, 2026

Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
Sexually dimorphic myofilament function and cardiac troponin I phosphospecies distribution in hypertrophic
Laurel A K McKee1, Hao Chen, Jessica A Regan
1Department of Physiology, Sarver Molecular Cardiovascular Research Program, University of Arizona, 1501 N. Campbell Ave., Tucson, AZ 85724, USA.
Insights
Hypertrophic cardiomyopathy (HCM) progresses differently in male and female mice. Altered myofilament function in female HCM mice contributes to sex-specific cardiac disease development.
Area of Science:
- Cardiovascular Biology
- Muscle Physiology
- Sex Differences in Disease
Background:
- Pathological progression of hypertrophic cardiomyopathy (HCM) exhibits sexual dimorphism.
- Male HCM mice show cardiac disease indicators earlier than female HCM mice.
Purpose of the Study:
- To investigate if alterations in myofilament function contribute to the sex dimorphism in HCM disease development.
- To examine sex-specific differences in Ca(2+)-sensitive tension and sarcomeric protein expression in HCM mice.
Main Methods:
- Assessed Ca(2+)-sensitive tension development in demembranated cardiac trabeculae from male and female HCM mice.
- Quantified protein expression of SERCA2a, β-MyHC, and cardiac troponin T (cTnT) phosphorylation.
- Analyzed cardiac troponin I (cTnI) phosphospecies distribution using phosphate-affinity SDS-PAGE.
Main Results:
- Female HCM trabeculae exhibited higher Ca(2+) sensitivity compared to wild-type (WT) and male HCM trabeculae.
- Female HCM hearts showed elevated SERCA2a and β-MyHC.
- Male HCM hearts had elevated β-MyHC but reduced cTnT phosphorylation; cTnI phosphospecies distribution varied by sex and HCM status.
Conclusions:
- Female and male HCM mice display sex-dimorphic myofilament function.
- These functional differences are associated with sex- and HCM-dependent alterations in sarcomeric protein expression and cTnI phosphorylation patterns.
Abstract:
The pathological progression of hypertrophic cardiomyopathy (HCM) is sexually dimorphic such that male HCM mice develop phenotypic indicators of cardiac disease well before female HCM mice. Here, we hypothesized that alterations in myofilament function underlies, in part, this sex dimorphism in HCM disease development. Firstly, 10-12month female HCM (harboring a mutant [R403Q] myosin heavy chain) mice presented with proportionately larger hearts than male HCM mice. Next, we determined Ca(2+)-sensitive tension development in demembranated cardiac trabeculae excised from 10-12month female and male HCM mice. Whereas HCM did not impact Ca(2+)-sensitive tension development in male trabeculae, female HCM trabeculae were more sensitive to Ca(2+) than wild-type (WT) counterparts and both WT and HCM males. We hypothesized that the underlying cause of this sex difference in Ca(2+)-sensitive tension development was due to changes in Ca(2+) handling and sarcomeric proteins, including expression of SR Ca(2+) ATPase (2a) (SERCA2a), β-myosin heavy chain (β-MyHC) and post-translational modifications of myofilament proteins. Female HCM hearts showed an elevation of SERCA2a and β-MyHC protein whereas male HCM hearts showed a similar elevation of β-MyHC protein but a reduced level of cardiac troponin T (cTnT) phosphorylation. We also measured the distribution of cardiac troponin I (cTnI) phosphospecies using phosphate-affinity SDS-PAGE. The distribution of cTnI phosphospecies depended on sex and HCM. In conclusion, female and male HCM mice display sex dimorphic myofilament function that is accompanied by a sex- and HCM-dependent distribution of sarcomeric proteins and cTnI phosphospecies.
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