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Updated: Jul 25, 2025

Investigating the Pathogenesis of MYH7 Mutation Gly823Glu in Familial Hypertrophic Cardiomyopathy using a Mouse Model
Published on: August 8, 2022
Cardiac proteomic profiling suggests that hypertrophic and dilated cardiomyopathy share a common pathogenetic pathway
Wenjuan Yang1, Yu Zhu1,2, Fuqin Tang1
1Department of Cardiovascular Surgery, The Second Affiliated Hospital of Army Medical University, Chongqing, China.
Insights
Hypertrophic cardiomyopathy (HCM) and dilated cardiomyopathy (DCM) share molecular pathways, particularly involving calcium signaling. Targeting these calcium-related processes and key proteins offers promising therapeutic strategies beyond genetic research for both heart conditions.
Area of Science:
- Cardiovascular Biology
- Molecular Medicine
- Proteomics
Background:
- Hypertrophic cardiomyopathy (HCM) and dilated cardiomyopathy (DCM) are distinct heart diseases with overlapping genetic and clinical features.
- Previous research has primarily focused on genetic mutations, necessitating exploration of underlying molecular mechanisms.
- Identifying shared pathogenic pathways is crucial for developing effective therapeutic targets for both HCM and DCM.
Purpose of the Study:
- To identify key molecular mechanisms common to both HCM and DCM.
- To explore potential therapeutic targets by analyzing differentially expressed proteins (DEPs).
- To compare molecular differences and similarities between HCM and DCM.
Main Methods:
- Proteomic analysis using liquid chromatography-tandem mass spectrometry on myocardial tissue from HCM, DCM, and control groups.
- Gene Ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analyses to identify DEPs.
- Western blotting to validate the expression levels of selected proteins.
Main Results:
- Significant differences in protein expression were observed between control, HCM, and DCM groups.
- Proteins related to contraction and actin binding were commonly affected in HCM and DCM.
- The calcium signaling pathway emerged as a significantly altered pathway when comparing HCM and DCM, with upregulation of calcium regulation-related proteins like FKBP1A.
Conclusions:
- HCM and DCM share common pathogenetic pathways, with calcium ion regulation being a critical factor.
- Interfering with key calcium-related pathways or regulating linchpin protein expression may be more effective therapeutic strategies than solely focusing on genetic research for HCM and DCM.
- This study highlights novel molecular targets for managing these complex cardiomyopathies.
Objective:
Hypertrophic cardiomyopathy (HCM) and dilated cardiomyopathy (DCM) are classified as different diseases but have many similar pathogenic genes and clinical symptoms. Previous research has focused on mutated genes. This study was conducted to identify key molecular mechanisms and explore effective therapeutic targets.
Methods:
Myocardial tissue was harvested from patients with HCM (n = 3) or DCM (n = 4) during surgery. Hearts donated by healthy traffic accident victims were treated as controls (n = 4). Total proteins were extracted for liquid chromatography-tandem mass spectrometry. Differentially expressed proteins (DEPs) were annotated via GO and KEGG analyses. Selected distinguishing protein abundance was confirmed by western blotting.
Results:
Compared with the control group, there were 121 and 76 DEPs in the HCM and DCM groups, respectively. GO terms for these two comparisons are associated with contraction-related components and actin binding. Additionally, the most significantly upregulated and downregulated proteins were periostin and tropomyosin alpha-3 chain in both comparisons. Moreover, when comparing the HCM and DCM groups, we found 60 significant DEPs, and the GO and KEGG terms are related to the calcium signalling pathway. Expression of the calcium regulation-related protein peptidyl-prolyl cis-trans isomerase (FKBP1A) was significantly upregulated in multiple samples.
Conclusion:
HCM and DCM have many mutual pathogenetic pathways. Calcium ion-related processes are among the most significant factors affecting disease development. For HCM and DCM, research on regulating linchpin protein expression or interfering with key calcium-related pathways may be more beneficial than genetic research.
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