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Cardiac Myosin Heavy Chain
Have Differential Effects on Sarcomeric Structure and
Assembly: An ATP Binding Site Change Disrupts Both
Thick and Thin Filaments, Whereas Hypertrophic
Cardiomyopathy Mutations Display Normal Assembly

* Department of Medicine, Center for Molecular Genetics, and American Heart Association Bugher Foundation Center for
Molecular Biology, University of California, San Diego, La Jolla, California 92093; and Hypertrophic cardiomyopathy is a human
heart disease characterized by increased ventricular
mass, focal areas of fibrosis, myocyte, and myofibrillar
disorganization. This genetically dominant disease can
be caused by mutations in any one of several contractile proteins, including
Institute for Cell Biology, Swiss Federal
Institute of Technology, 8093 Zurich, Switzerland
cardiac myosin heavy chain
(
MHC). To determine whether point mutations in human
MHC have direct effects on interfering with filament assembly and sarcomeric structure, full-length
wild-type and mutant human
MHC cDNAs were
cloned and expressed in primary cultures of neonatal
rat ventricular cardiomyocytes (NRC) under conditions
that promote myofibrillogenesis. A lysine to arginine change at amino acid 184 in the consensus ATP binding
sequence of human
MHC resulted in abnormal subcellular localization and disrupted both thick and thin
filament structure in transfected NRC. Diffuse
MHC
K184R protein appeared to colocalize with actin throughout the myocyte, suggesting a tight interaction
of these two proteins. Human
MHC with S472V mutation assembled normally into thick filaments and did
not affect sarcomeric structure. Two mutant myosins
previously described as causing human hypertrophic cardiomyopathy, R249Q and R403Q, were competent
to assemble into thick filaments producing myofibrils
with well defined I bands, A bands, and H zones. Coexpression and detection of wild-type
MHC and either
R249Q or R403Q proteins in the same myocyte showed these proteins are equally able to assemble into the sarcomere and provided no discernible differences in subcellular localization. Thus, human
MHC R249Q and
R403Q mutant proteins were readily incorporated into
NRC sarcomeres and did not disrupt myofilament formation. This study indicates that the phenotype of myofibrillar disarray seen in HCM patients which harbor either of these two mutations may not be directly due to
the failure of the mutant myosin heavy chain protein to
assemble and form normal sarcomeres, but may rather
be a secondary effect possibly resulting from the chronic stress of decreased
MHC function.
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