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Published on: May 4, 2022
A gradient of force generation at rest differentiates cardiomyopathy outcomes with variants of actin located at the
Michael R Jones1,2, Chau Tran1,2, Jaskerat Singh1,2
1Department of Molecular & Cellular Biology, University of Guelph, Guelph, ON N1G 2W1, Canada.
Insights
Cardiac actin variants R312H and R312C cause different cardiomyopathies, challenging the calcium sensitivity hypothesis. Residual myosin activity, not calcium sensitivity, may drive distinct disease development in hypertrophic and dilated cardiomyopathy.
Area of Science:
- Cardiovascular Biology
- Molecular Cardiology
- Genetic Basis of Heart Disease
Background:
- The calcium sensitivity hypothesis links sarcomere calcium sensitivity to hypertrophic (HCM) and dilated (DCM) cardiomyopathies.
- Cardiac actin variants are implicated in HCM and DCM, generally supporting this hypothesis.
- Two specific mutations (R312H and R312C) in cardiac actin (ACTC) present opposing disease phenotypes.
Purpose of the Study:
- To investigate the molecular mechanisms differentiating HCM and DCM caused by ACTC R312H and R312C mutations.
- To determine if altered calcium sensitivity or other factors explain the divergent disease outcomes.
Main Methods:
- Characterization of recombinant R312H- and R312C-ACTC variant proteins.
- Assessment of calcium sensitivity and residual myosin activity under varying conditions.
Main Results:
- Both R312H and R312C ACTC variants showed identical changes in calcium sensitivity.
- A gradient of increased residual myosin activity was observed with both variants under relaxing conditions.
- These findings suggest calcium sensitivity alone does not explain the differing disease phenotypes.
Conclusions:
- Factors beyond sarcomere calcium sensitivity likely contribute to the development of HCM and DCM.
- Residual myosin activity may play a critical role in differentiating cardiomyopathy subtypes.
- These insights are crucial for developing targeted therapies for cardiomyopathies.
Abstract:
The calcium sensitivity hypothesis helps explain the development of different forms of cardiomyopathy: increased sensitivity to calcium in cardiac sarcomeres leads to hypertrophic cardiomyopathy (HCM) and decreased sensitivity results in dilated cardiomyopathy (DCM). This hypothesis has driven the development of next generation drugs targeting sarcomere proteins to correct the amount of force generated as a result of changes in calcium sensitivity (e.g. mavacamten decreases cardiac myosin activity to treat HCM). Characterization of variants of cardiac actin (ACTC) found in patients with HCM or DCM has generally supported the calcium sensitivity hypothesis. Of interest are two different substitution mutations at R312 on ACTC: R312H leads to DCM, while R312C was found in patients with HCM. To determine how changes in the same codon on the same gene lead to different disease phenotypes, we characterized recombinant R312H- and R312C-ACTC variant proteins. Both variants exhibited the same change in calcium sensitivity, suggesting that a factor other than calcium sensitivity is responsible for disease differentiation. We observed a gradient of increased residual myosin activity with R312-ACTC variant proteins under relaxing conditions which may trigger different disease development. Our findings suggest that factors other than calcium sensitivity may contribute to cardiomyopathy development and should be considered when planning treatments.
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