Related Experiment Video
Updated: Mar 19, 2026

Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
The embryological basis of subclinical hypertrophic cardiomyopathy
Gabriella Captur1, Carolyn Y Ho2, Saskia Schlossarek3,4
1UCL Biological Mass Spectrometry Laboratory, Institute of Child Health and Great Ormond Street Hospital, 30 Guilford Street, London, UK.
Insights
Hypertrophic cardiomyopathy (HCM) arises from MYBPC3 mutations. This study reveals an early embryonic phenotype in mice, showing altered cardiac development, including abnormal crypts and mitral valves, mirroring human HCM features.
Area of Science:
- Cardiovascular Biology
- Developmental Biology
- Genetics
Background:
- Hypertrophic cardiomyopathy (HCM) is a genetic heart muscle disease often caused by mutations in sarcomeric protein genes, notably MYBPC3.
- HCM is characterized by left ventricular hypertrophy, but a pre-hypertrophic phenotype with cardiac developmental anomalies also exists.
- Understanding the early developmental basis of HCM is crucial for identifying therapeutic targets.
Purpose of the Study:
- To investigate the embryonic cardiac development in a mouse model of hypertrophic cardiomyopathy (HCM) caused by Mybpc3 gene mutations.
- To characterize the presence and significance of cardiac crypts, mitral valve abnormalities, and trabecular compaction during embryogenesis in wildtype and Mybpc3-knockout mice.
- To determine if the pre-hypertrophic features observed in human HCM are recapitulated in an animal model.
Main Methods:
- Utilized high-resolution episcopic microscopy to examine embryonic mouse hearts at various developmental stages.
- Compared cardiac development in wildtype, homozygous (HO), and heterozygous (HET) Mybpc3-targeted knock-out (KO) mouse embryos.
- Analyzed the formation and resolution of cardiac crypts, mitral valve development, and trabecular compaction.
Main Results:
- Cardiac crypts are a normal, transient feature of wildtype mouse heart development, typically resolving by birth.
- Homozygous and heterozygous Mybpc3-knockout embryos exhibited a significant increase in persistent cardiac crypts.
- Abnormal mitral valve formation and altered cardiac trabecular compaction were observed in Mybpc3-knockout embryos, indicating an early embryological HCM phenotype.
Conclusions:
- This study demonstrates an embryological phenotype associated with hypertrophic cardiomyopathy (HCM) in a mouse model, linked to Mybpc3 gene mutations.
- Features such as cardiac crypts, mitral valve anomalies, and trabecular alterations during development are influenced by the presence of truncating Mybpc3 mutations.
- The findings highlight the utility of the Mybpc3-KO mouse model for studying the developmental origins of HCM and associated pre-hypertrophic phenotypes.
Abstract:
Hypertrophic cardiomyopathy (HCM) is caused by mutations in sarcomeric proteins, the commonest being MYBPC3 encoding myosin-binding protein C. It is characterised by left ventricular hypertrophy but there is an important pre-hypertrophic phenotype with features including crypts, abnormal mitral leaflets and trabeculae. We investigated these during mouse cardiac development using high-resolution episcopic microscopy. In embryonic hearts from wildtype, homozygous (HO) and heterozygous (HET) Mybpc3-targeted knock-out (KO) mice we show that crypts (one or two) are a normal part of wildtype development but they almost all resolve by birth. By contrast, HO and HET embryos had increased crypt presence, abnormal mitral valve formation and alterations in the compaction process. In scarce normal human embryos, crypts were sometimes present. This study shows that features of the human pre-hypertrophic HCM phenotype occur in the mouse. In an animal model we demonstrate that there is an embryological HCM phenotype. Crypts are a normal part of cardiac development but, along with the mitral valve and trabeculae, their developmental trajectory is altered by the presence of HCM truncating Mybpc3 gene mutation.
Related Concept Videos
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Cardiomyopathy I: Introduction and Classification
Cardiomyopathy II: Dilated Cardiomyopathy
Heart Failure II: Pathophysiology
Cardiomyopathy V: Interprofessional Care
Myocarditis I: Introduction

