Dynamics of the β-cardiac myosin auto-inhibited state explain cardiomyopathy pathogenesis

Daniel Auguin1,2, Laurie Lannes1, Carlos Kikuti1

  • 1Structural Motility, CNRS UMR144, Institut Curie, Sorbonne Université, Université Paris Sciences et Lettres, Paris, France.

Insights

Understanding the cardiac myosin interacting-heads motif (CarIHM) is key for cardiac contractility. This study reveals how CarIHM dynamics regulate muscle contraction and how mutations impact heart function.

Area of Science:

  • Cardiovascular Biology
  • Structural Biology
  • Biophysics

Background:

  • Cardiac contractility relies on precise myosin regulation.
  • The beta-cardiac myosin off-state, or Interacting-Heads Motif (CarIHM), is a critical regulator.
  • Structural dynamics of CarIHM are poorly understood, hindering insights into cardiac function and disease.

Purpose of the Study:

  • To structurally and dynamically characterize the CarIHM in solution and within the cardiac filament.
  • To elucidate the role of CarIHM conformational ensembles in myosin regulation.
  • To investigate the impact of the E525K dilated cardiomyopathy mutation on CarIHM structure and dynamics.

Main Methods:

  • Integration of near-atomic resolution cryo-electron microscopy (cryo-EM).
  • All-atom molecular dynamics simulations.
  • Analysis of intrinsically disordered regions in CarIHM and MyBP-C.

Main Results:

  • Characterization of CarIHM conformational ensembles regulated by dynamic interfaces.
  • Demonstration of the stabilizing effect of the E525K mutation, limiting S2 coiled-coil flexibility and impairing myosin activation.
  • Identification of modulation of dynamics by intrinsically disordered regions of CarIHM and MyBP-C.

Conclusions:

  • CarIHM ensembles balance myosin off/on states and anchor heads within the thick filament.
  • The study provides a mechanistic understanding of thick filament regulation.
  • Findings facilitate predictions for genetic variants in inherited cardiomyopathies.

Related Concept Videos

Myocarditis I: Introduction01:21

Myocarditis I: Introduction

Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
Pathophysiology of Cardiac Performance01:29

Pathophysiology of Cardiac Performance

Typical heart performance is influenced by heart rate, rhythm, myocardial contraction, and metabolism or blood flow. The cardiac muscle exhibits distinct electrophysiological features, including pacemaker activity and calcium channel control, which play a vital role in the heart's response to various drugs. The autonomic nervous system, comprising the sympathetic and parasympathetic branches, regulates heart rate. Sympathetic activation increases heart rate, while parasympathetic activation...
Cross-bridge Cycle01:26

Cross-bridge Cycle

As muscle contracts, the overlap between the thin and thick filaments increases, decreasing the length of the sarcomere—the contractile unit of the muscle—using energy in the form of ATP. At the molecular level, this is a cyclic, multistep process that involves binding and hydrolysis of ATP, and movement of actin by myosin.
Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
Cardiomyopathy I: Introduction and Classification01:25

Cardiomyopathy I: Introduction and Classification

Cardiomyopathy, or CMP, is a group of diseases affecting the myocardial structure, impairing its ability to pump blood effectively. This condition can lead to arrhythmias, heart failure, or sudden cardiac death.Cardiomyopathies are classified into primary and secondary categories:Primary Cardiomyopathy refers to conditions involving only the heart muscle that are often idiopathic (of unknown cause) or genetic. They primarily affect the myocardium without the involvement of other systemic...