Key result
Omecamtiv mecarbil enhances force less in SA mutant murine myocardium vs wild-type, abolishing cross-bridge detachment differences.
Why the study?
Heart failure involves decreased cMyBPC phosphorylation, but the functional effects of omecamtiv mecarbil under conditions of altered cMyBPC phosphorylation were not established.
Does omecamtiv mecarbil affect force generation and cross-bridge kinetics differently in conditions of altered cMyBPC phosphorylation in murine myocardial preparations?
Does omecamtiv mecarbil affect force generation and cross-bridge kinetics differently in conditions of altered cMyBPC phosphorylation in murine myocardial preparations?
Omecamtiv mecarbil uncouples the sarcomere from cMyBPC phosphorylation levels, suggesting it may significantly alter the in vivo cardiac response to β-adrenergic stimulation in heart failure.
May alter β-adrenergic responses in murine HF models; hypothesis-generating for human translation with variable cMyBPC phosphorylation.
Omecamtiv mecarbil (OM), a direct myosin motor activator, is currently being tested as a therapeutic replacement for conventional inotropes in heart failure (HF) patients. It is known that HF patients exhibit dysregulated β-adrenergic signaling and decreased cardiac myosin-binding protein C (cMyBPC) phosphorylation, a critical modulator of myocardial force generation. However, the functional effects of OM in conditions of altered cMyBPC phosphorylation have not been established. Here, we tested the effects of OM on force generation and cross-bridge (XB) kinetics using murine myocardial preparations isolated from wild-type (WT) hearts and from hearts expressing S273A, S282A, and S302A substitutions (SA) in the M domain, between the C1 and C2 domains of cMyBPC, which cannot be phosphorylated. At submaximal Ca2+ activations, OM-mediated force enhancements were less pronounced in SA than in WT myocardial preparations. Additionally, SA myocardial preparations lacked the dose-dependent increases in force that were observed in WT myocardial preparations. Following OM incubation, the basal differences in the rate of XB detachment (krel) between WT and SA myocardial preparations were abolished, suggesting that OM differentially affects the XB behavior when cMyBPC phosphorylation is reduced. Similarly, in myocardial preparations pretreated with protein kinase A to phosphorylate cMyBPC, incubation with OM significantly slowed krel in both the WT and SA myocardial preparations. Collectively, our data suggest there is a strong interplay between the effects of OM and XB behavior, such that it effectively uncouples the sarcomere from cMyBPC phosphorylation levels. Our findings imply that OM may significantly alter the in vivo cardiac response to β-adrenergic stimulation.
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Mamidi et al. (2021) studied Murine myocardial preparations. Omecamtiv mecarbil vs. Wild-type vs SA mutant preparations was evaluated on Force generation and cross-bridge kinetics. Omecamtiv mecarbil-mediated force enhancements were less pronounced in SA mutant murine myocardial preparations than in wild-type, abolishing basal differences in cross-bridge detachment rates.
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