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2 Department of Pediatrics and
3 Department of Physiology,
University of Wisconsin Medical School, Madison, Wisconsin 53706;
4 Department of Medicine and
Pathology, Albert Einstein College of Medicine, Bronx, New York
10461; 5 Department of Medicine,
Myosin is a
chemomechanical motor that converts chemical energy into the mechanical
work of muscle contraction. More than 40 missense mutations in the
cardiac myosin heavy chain (MHC) gene and several mutations in the two
myosin light chains cause a dominantly inherited heart disease called
familial hypertrophic cardiomyopathy. Very little is known about the
biochemical defects in these alleles and how the mutations lead to
disease. Because removal of the light chain binding domain in the lever
arm of MHC should alter myosin's force transmission but not its
catalytic function, we tested the hypothesis that such a mutant MHC
would act as a dominant mutation in cardiac muscle. Hearts from
transgenic mice expressing this mutant myosin are asymmetrically
hypertrophied, with increases in mass primarily restricted to the
cardiac anterior wall. Histological examination demonstrates marked
cellular hypertrophy, myocyte disorganization, small vessel coronary
disease, and severe valvular pathology that included thickening and
plaque formation. Skinned myocytes and multicellular preparations from
transgenic hearts exhibited decreased
Ca2+ sensitivity of tension and
decreased relaxation rates after flash photolysis of diazo 2. These
experiments demonstrate that alterations in myosin force transmission
are sufficient to trigger the development of hypertrophic cardiomyopathy.
transgenic mice; valve disease; myosin heavy chain
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