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Deciphering the super relaxed state of human ?-cardiac myosin and the mode of action of mavacamten from myosin molecules to muscle fibers.


ABSTRACT: Mutations in ?-cardiac myosin, the predominant motor protein for human heart contraction, can alter power output and cause cardiomyopathy. However, measurements of the intrinsic force, velocity, and ATPase activity of myosin have not provided a consistent mechanism to link mutations to muscle pathology. An alternative model posits that mutations in myosin affect the stability of a sequestered, super relaxed state (SRX) of the protein with very slow ATP hydrolysis and thereby change the number of myosin heads accessible to actin. Here we show that purified human ?-cardiac myosin exists partly in an SRX and may in part correspond to a folded-back conformation of myosin heads observed in muscle fibers around the thick filament backbone. Mutations that cause hypertrophic cardiomyopathy destabilize this state, while the small molecule mavacamten promotes it. These findings provide a biochemical and structural link between the genetics and physiology of cardiomyopathy with implications for therapeutic strategies.

SUBMITTER: Anderson RL 

PROVIDER: S-EPMC6126717 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature

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Deciphering the super relaxed state of human β-cardiac myosin and the mode of action of mavacamten from myosin molecules to muscle fibers.

Anderson Robert L RL   Trivedi Darshan V DV   Sarkar Saswata S SS   Henze Marcus M   Ma Weikang W   Gong Henry H   Rogers Christopher S CS   Gorham Joshua M JM   Wong Fiona L FL   Morck Makenna M MM   Seidman Jonathan G JG   Ruppel Kathleen M KM   Irving Thomas C TC   Cooke Roger R   Green Eric M EM   Spudich James A JA  

Proceedings of the National Academy of Sciences of the United States of America 20180813 35


Mutations in β-cardiac myosin, the predominant motor protein for human heart contraction, can alter power output and cause cardiomyopathy. However, measurements of the intrinsic force, velocity, and ATPase activity of myosin have not provided a consistent mechanism to link mutations to muscle pathology. An alternative model posits that mutations in myosin affect the stability of a sequestered, super relaxed state (SRX) of the protein with very slow ATP hydrolysis and thereby change the number of  ...[more]

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