Perturbed length-dependent activation in human hypertrophic cardiomyopathy with missense sarcomeric gene mutations
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Perturbed length-dependent activation in human hypertrophic cardiomyopathy with missense sarcomeric gene mutations. / Sequeira, Vasco; Wijnker, Paul J M; Nijenkamp, Louise L A M; Kuster, Diederik W D; Najafi, Aref; Witjas-Paalberends, E Rosalie; Regan, Jessica A; Boontje, Nicky; Ten Cate, Folkert J; Germans, Tjeerd; Carrier, Lucie; Sadayappan, Sakthivel; van Slegtenhorst, Marjon A; Zaremba, Ruud; Foster, D Brian; Murphy, Anne M; Poggesi, Corrado; Dos Remedios, Cris; Stienen, Ger J M; Ho, Carolyn Y; Michels, Michelle; van der Velden, Jolanda.
In: CIRC RES, Vol. 112, No. 11, 24.05.2013, p. 1491-505.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Perturbed length-dependent activation in human hypertrophic cardiomyopathy with missense sarcomeric gene mutations
AU - Sequeira, Vasco
AU - Wijnker, Paul J M
AU - Nijenkamp, Louise L A M
AU - Kuster, Diederik W D
AU - Najafi, Aref
AU - Witjas-Paalberends, E Rosalie
AU - Regan, Jessica A
AU - Boontje, Nicky
AU - Ten Cate, Folkert J
AU - Germans, Tjeerd
AU - Carrier, Lucie
AU - Sadayappan, Sakthivel
AU - van Slegtenhorst, Marjon A
AU - Zaremba, Ruud
AU - Foster, D Brian
AU - Murphy, Anne M
AU - Poggesi, Corrado
AU - Dos Remedios, Cris
AU - Stienen, Ger J M
AU - Ho, Carolyn Y
AU - Michels, Michelle
AU - van der Velden, Jolanda
N1 - Wijnker für: Vrije Univ Amsterdam Med Ctr, Inst Cardiovasc Res, Physiol Lab, NL-1081 BT Amsterdam, Netherlands
PY - 2013/5/24
Y1 - 2013/5/24
N2 - RATIONALE: High-myofilament Ca(2+) sensitivity has been proposed as a trigger of disease pathogenesis in familial hypertrophic cardiomyopathy (HCM) on the basis of in vitro and transgenic mice studies. However, myofilament Ca(2+) sensitivity depends on protein phosphorylation and muscle length, and at present, data in humans are scarce.OBJECTIVE: To investigate whether high myofilament Ca(2+) sensitivity and perturbed length-dependent activation are characteristics for human HCM with mutations in thick and thin filament proteins.METHODS AND RESULTS: Cardiac samples from patients with HCM harboring mutations in genes encoding thick (MYH7, MYBPC3) and thin (TNNT2, TNNI3, TPM1) filament proteins were compared with sarcomere mutation-negative HCM and nonfailing donors. Cardiomyocyte force measurements showed higher myofilament Ca(2+) sensitivity in all HCM samples and low phosphorylation of protein kinase A (PKA) targets compared with donors. After exogenous PKA treatment, myofilament Ca(2+) sensitivity was similar (MYBPC3mut, TPM1mut, sarcomere mutation-negative HCM), higher (MYH7mut, TNNT2mut), or even significantly lower (TNNI3mut) compared with donors. Length-dependent activation was significantly smaller in all HCM than in donor samples. PKA treatment increased phosphorylation of PKA-targets in HCM myocardium and normalized length-dependent activation to donor values in sarcomere mutation-negative HCM and HCM with truncating MYBPC3 mutations but not in HCM with missense mutations. Replacement of mutant by wild-type troponin in TNNT2mut and TNNI3mut corrected length-dependent activation to donor values.CONCLUSIONS: High-myofilament Ca(2+) sensitivity is a common characteristic of human HCM and partly reflects hypophosphorylation of PKA targets compared with donors. Length-dependent sarcomere activation is perturbed by missense mutations, possibly via posttranslational modifications other than PKA hypophosphorylation or altered protein-protein interactions, and represents a common pathomechanism in HCM.
AB - RATIONALE: High-myofilament Ca(2+) sensitivity has been proposed as a trigger of disease pathogenesis in familial hypertrophic cardiomyopathy (HCM) on the basis of in vitro and transgenic mice studies. However, myofilament Ca(2+) sensitivity depends on protein phosphorylation and muscle length, and at present, data in humans are scarce.OBJECTIVE: To investigate whether high myofilament Ca(2+) sensitivity and perturbed length-dependent activation are characteristics for human HCM with mutations in thick and thin filament proteins.METHODS AND RESULTS: Cardiac samples from patients with HCM harboring mutations in genes encoding thick (MYH7, MYBPC3) and thin (TNNT2, TNNI3, TPM1) filament proteins were compared with sarcomere mutation-negative HCM and nonfailing donors. Cardiomyocyte force measurements showed higher myofilament Ca(2+) sensitivity in all HCM samples and low phosphorylation of protein kinase A (PKA) targets compared with donors. After exogenous PKA treatment, myofilament Ca(2+) sensitivity was similar (MYBPC3mut, TPM1mut, sarcomere mutation-negative HCM), higher (MYH7mut, TNNT2mut), or even significantly lower (TNNI3mut) compared with donors. Length-dependent activation was significantly smaller in all HCM than in donor samples. PKA treatment increased phosphorylation of PKA-targets in HCM myocardium and normalized length-dependent activation to donor values in sarcomere mutation-negative HCM and HCM with truncating MYBPC3 mutations but not in HCM with missense mutations. Replacement of mutant by wild-type troponin in TNNT2mut and TNNI3mut corrected length-dependent activation to donor values.CONCLUSIONS: High-myofilament Ca(2+) sensitivity is a common characteristic of human HCM and partly reflects hypophosphorylation of PKA targets compared with donors. Length-dependent sarcomere activation is perturbed by missense mutations, possibly via posttranslational modifications other than PKA hypophosphorylation or altered protein-protein interactions, and represents a common pathomechanism in HCM.
KW - Adolescent
KW - Adult
KW - Aged
KW - Animals
KW - Calcium
KW - Cardiac Myosins
KW - Cardiomyopathy, Hypertrophic
KW - Carrier Proteins
KW - Cyclic AMP-Dependent Protein Kinases
KW - Female
KW - Humans
KW - Isometric Contraction
KW - MAP Kinase Kinase Kinases
KW - Male
KW - Mice
KW - Middle Aged
KW - Mutation, Missense
KW - Myocardial Contraction
KW - Myocardium
KW - Myofibrils
KW - Myosin Heavy Chains
KW - Phosphorylation
KW - Sarcomeres
KW - Tropomyosin
KW - Troponin T
KW - Young Adult
U2 - 10.1161/CIRCRESAHA.111.300436
DO - 10.1161/CIRCRESAHA.111.300436
M3 - SCORING: Journal article
C2 - 23508784
VL - 112
SP - 1491
EP - 1505
JO - CIRC RES
JF - CIRC RES
SN - 0009-7330
IS - 11
ER -