Abstract | RATIONALE: Approximately 40% of hypertrophic cardiomyopathy (HCM) is caused by heterozygous missense mutations in β- cardiac myosin heavy chain (β-MHC). Associating disease phenotype with mutation is confounded by extensive background genetic and lifestyle/environmental differences between subjects even from the same family. OBJECTIVE: To characterize disease caused by β- cardiac myosin heavy chain Val606Met substitution (VM) that has been identified in several HCM families with wide variation of clinical outcomes, in mice. METHODS AND RESULTS: Unlike 2 mouse lines bearing the malignant myosin mutations Arg453Cys (RC/+) or Arg719Trp (RW/+), VM/+ mice with an identical inbred genetic background lacked hallmarks of HCM such as left ventricular hypertrophy, disarray of myofibers, and interstitial fibrosis. Even homozygous VM/VM mice were indistinguishable from wild-type animals, whereas RC/RC- and RW/RW-mutant mice died within 9 days after birth. However, hypertrophic effects of the VM mutation were observed both in mice treated with cyclosporine, a known stimulator of the HCM response, and compound VM/RC heterozygous mice, which developed a severe HCM phenotype. In contrast to all heterozygous mutants, both systolic and diastolic function of VM/RC hearts was severely impaired already before the onset of cardiac remodeling. CONCLUSIONS: The VM mutation per se causes mild HCM-related phenotypes; however, in combination with other HCM activators it exacerbates the HCM phenotype. Double-mutant mice are suitable for assessing the severity of benign mutations.
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Authors | Robert Blankenburg, Katarzyna Hackert, Sebastian Wurster, René Deenen, J G Seidman, Christine E Seidman, Martin J Lohse, Joachim P Schmitt |
Journal | Circulation research
(Circ Res)
Vol. 115
Issue 2
Pg. 227-37
(Jul 07 2014)
ISSN: 1524-4571 [Electronic] United States |
PMID | 24829265
(Publication Type: Comparative Study, Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Copyright | © 2014 American Heart Association, Inc. |
Chemical References |
- MYH7 protein, human
- Myh6 protein, mouse
- Cyclosporine
- Cardiac Myosins
- Ventricular Myosins
- Myosin Heavy Chains
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Topics |
- Amino Acid Substitution
- Animals
- Cardiac Myosins
- Cardiomyopathy, Hypertrophic, Familial
(diagnostic imaging, genetics, pathology)
- Cyclosporine
(toxicity)
- Disease Models, Animal
- Gene Knock-In Techniques
- Genotype
- Humans
- Hypertrophy, Left Ventricular
(diagnostic imaging, genetics, pathology)
- Mice
- Models, Molecular
- Mutation, Missense
- Myocardial Contraction
- Myosin Heavy Chains
(genetics, physiology)
- Phenotype
- Point Mutation
- Protein Conformation
- Transcription, Genetic
- Ultrasonography
- Ventricular Myosins
(genetics, physiology)
- Ventricular Remodeling
(genetics, physiology)
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