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The myosin mesa and the basis of hypercontractility caused by hypertrophic cardiomyopathy mutations
Suman Nag1, Darshan V Trivedi1, Saswata S Sarkar1
1Department of Biochemistry, Stanford University School of Medicine, Stanford, California, USA.
Insights
Hypertrophic cardiomyopathy (HCM) may stem from more accessible myosin heads. Myosin tail (S2) and MyBP-C interactions, regulated by phosphorylation and HCM mutations, influence this accessibility.
Area of Science:
- Biochemistry
- Molecular Biology
- Cardiovascular Research
Background:
- Hypertrophic cardiomyopathy (HCM) is a genetic heart muscle disease.
- Mutations in β-cardiac myosin and myosin-binding protein-C (MyBP-C) are primary causes of HCM.
- Existing explanations for HCM-related hypercontractility are insufficient.
Purpose of the Study:
- To investigate the role of myosin head accessibility in HCM-related hypercontractility.
- To explore the functional regulation of human β-cardiac myosin by its tail (S2) and MyBP-C.
Main Methods:
- Assessed actin-activated human β-cardiac myosin ATPase activity.
- Investigated binding interactions between myosin subfragments (S1, S2) and MyBP-C.
- Examined the effects of phosphorylation and HCM mutations on these interactions.
Main Results:
- Demonstrated S2-dependent regulation of myosin ATPase activity.
- Confirmed binding of S2 and MyBP-C to S1.
- Showed that phosphorylation and specific HCM mutations weaken S1-S2 and S1-MyBP-C interactions.
Conclusions:
- Propose that HCM hypercontractility results from increased accessible myosin heads (S1).
- Suggest a structural model where S2 and MyBP-C interactions sequester myosin.
- Highlight the impact of phosphorylation and HCM mutations on myosin regulation.
Abstract:
Hypertrophic cardiomyopathy (HCM) is primarily caused by mutations in β-cardiac myosin and myosin-binding protein-C (MyBP-C). Changes in the contractile parameters of myosin measured so far do not explain the clinical hypercontractility caused by such mutations. We propose that hypercontractility is due to an increase in the number of myosin heads (S1) that are accessible for force production. In support of this hypothesis, we demonstrate myosin tail (S2)-dependent functional regulation of actin-activated human β-cardiac myosin ATPase. In addition, we show that both S2 and MyBP-C bind to S1 and that phosphorylation of either S1 or MyBP-C weakens these interactions. Importantly, the S1-S2 interaction is also weakened by four myosin HCM-causing mutations but not by two other mutations. To explain these experimental results, we propose a working structural model involving multiple interactions, including those with myosin's own S2 and MyBP-C, that hold myosin in a sequestered state.
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