Key result
Cryo-EM structures of cardiac thick filaments reveal similar molecular organization but varying interacting-heads motif stability.
Why the study?
Despite decades of research, an atomic model of the vertebrate striated muscle thick filament has been lacking.
This review synthesizes recent cryo-EM structures of the cardiac thick filament, providing a unified atomic model of myosin, titin, and MyBP-C organization that enhances our understanding of cardiac muscle relaxation and the structural effects of mavacamten.
Varying IHM stability leaves open relaxation mechanisms; hypothesis-generating for mavacamten effects without practice implications.
The thick filaments of muscle carry the myosin motors that generate contraction by interacting with actin filaments. Despite decades of research, an atomic model of the vertebrate striated muscle thick filament has been lacking. Three cryo-EM thick filament structures from cardiac muscle have now been reported, revealing the organization of myosin heads in interacting-heads motifs (IHMs) on the thick filament surface, and a complex arrangement of myosin tails, titin, and myosin-binding protein C (MyBP-C) in the filament backbone. The three studies are complementary, coming from two species (mouse and human), two techniques (cryo-electron tomography and single particle cryo-EM), and from muscles treated or untreated with the myosin-stabilizing drug mavacamten. The structures are remarkably similar, agreeing on most elements of molecular organization but differing on the degree of stability of the IHMs and the organization of MyBP-C. The differences arise from the different techniques used and the observation of filaments within, or isolated from, the filament lattice.
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Craig et al. (2026) studied this question. Three cryo-EM structures of cardiac muscle thick filaments revealed similar molecular organization but varying stability of interacting-heads motifs.
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