Key result
Omecamtiv mecarbil reduces maximum velocity and actin-activated ATPase in models by inhibiting the myosin power-stroke.
Why the study?
Omecamtiv mecarbil was developed to enhance cardiac contraction, but its effects and underlying mechanisms governing contraction are still incompletely understood.
Computational modeling reveals that omecamtiv mecarbil alters cardiac contraction by reducing the binding free energy difference and increasing the activation energy for the myosin power-stroke.
Answers are grounded in this paper and cite their sources.
Should not change omecamtiv mecarbil use; leaves open translation of power-stroke inhibition to human myocardium.
Introduction: Small molecular compounds that affect the force, and motion-generating actin-myosin interaction in the heart have emerged as alternatives to treat or alleviate symptoms in severe debilitating conditions, such as cardiomyopathies and heart failure. Omecamtiv mecarbil (OM) is such a compound developed to enhance cardiac contraction. In addition to potential therapeutic use, its effects may help to elucidate myosin energy transduction mechanisms in health and disease and add insights into how the molecular properties govern contraction of large myosin ensembles in cardiac cells. Despite intense studies, the effects of OM are still incompletely understood. Methods: approach to elucidate the issue. First, we modify a model, previously used in studies of skeletal muscle, with molecular parameter values for human ventricular β-myosin to make it useful for studies of both myosin mutations and drugs. Repeated tests lead to at a set of parameter values that allow faithful reproduction of range of functional variables of cardiac myocytes. We then apply the model to studies of OM. Results and discussion: The results suggest that major effects of OM such as large reduction of the maximum velocity with more limited effects on maximum isometric force and slowed actin-activated ATPase can be accounted for by two key molecular effects. These encompass a reduced difference in binding free energy between the pre- and post-power-stroke states and greatly increased activation energy for the lever arm swing during the power-stroke. Better quantitative agreement, e.g., isometric force minimally changed from the control value by OM is achieved by additional changes in model parameter values previously suggested by studies of isolated proteins.
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Alf Månsson (2025) studied Heart failure. Omecamtiv mecarbil vs. Control (no drug) was evaluated on Simulated maximum velocity of shortening and actin-activated ATPase. Mechanokinetic modeling indicates that omecamtiv mecarbil reduces maximum velocity and actin-activated ATPase by inhibiting the myosin power-stroke and altering binding free energy states.
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