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Updated: Jan 23, 2026

Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
β-Cardiac myosin hypertrophic cardiomyopathy mutations release sequestered heads and increase enzymatic activity
Arjun S Adhikari1,2, Darshan V Trivedi1,2, Saswata S Sarkar1,2
1Department of Biochemistry, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Insights
Hypertrophic cardiomyopathy mutations disrupt myosin
Area of Science:
- Molecular biology
- Cardiovascular research
- Biochemistry
Background:
- Hypertrophic cardiomyopathy (HCM) affects 1 in 500 individuals, causing heart hyper-contractility.
- Approximately 40% of HCM cases stem from mutations in human β-cardiac myosin.
- Previous research on HCM mutations' effects on myosin activity lacked clear molecular-level explanations for hypercontractility.
Purpose of the Study:
- To investigate how specific HCM mutations impact the functional accessibility of myosin heads.
- To explore the molecular mechanisms underlying HCM-related hypercontractility.
- To determine if disrupting intramolecular interactions in myosin contributes to HCM.
Main Methods:
- Functional analysis of four distinct HCM mutations (R249Q, H251N, D382Y, R719W) in human β-cardiac myosin.
- Examination of mutations at the myosin head-tail and head-head interfaces within the interacting heads motif (IHM).
- Assessment of the impact of these mutations on the number of myosin heads accessible for actin interaction.
Main Results:
- Four specific HCM mutations significantly increase the number of myosin heads available for actin binding.
- These mutations are located at critical interfaces (head-tail and head-head) within the interacting heads motif (IHM).
- Disruption of intramolecular interactions within the sequestered IHM state is implicated.
Conclusions:
- HCM mutations can alter myosin activity by disrupting intramolecular interactions in the IHM.
- This disruption leads to increased functional accessibility of myosin heads, potentially causing molecular-level hypercontractility.
- The findings offer a molecular explanation for HCM pathogenesis.
Abstract:
Hypertrophic cardiomyopathy (HCM) affects 1 in 500 people and leads to hyper-contractility of the heart. Nearly 40 percent of HCM-causing mutations are found in human β-cardiac myosin. Previous studies looking at the effect of HCM mutations on the force, velocity and ATPase activity of the catalytic domain of human β-cardiac myosin have not shown clear trends leading to hypercontractility at the molecular scale. Here we present functional data showing that four separate HCM mutations located at the myosin head-tail (R249Q, H251N) and head-head (D382Y, R719W) interfaces of a folded-back sequestered state referred to as the interacting heads motif (IHM) lead to a significant increase in the number of heads functionally accessible for interaction with actin. These results provide evidence that HCM mutations can modulate myosin activity by disrupting intramolecular interactions within the proposed sequestered state, which could lead to hypercontractility at the molecular level.
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