Key result
MYH7 and MYH2 mutations increase the disordered-relaxed myosin head ratio ~15%, driving basal ATP demand.
Why the study?
It was unclear how MYH7 and MYH2 mutations disrupt myosin structure and function to cause skeletal muscle myopathies.
p-value: p=<0.05
Structural remodeling associated with LMM mutations in MYH7 and MYH2 induces a pathogenic state by impairing the formation of shutdown heads and increasing ATP demand, rather than directly affecting contractility.
May support myosin ATPase modulation in myopathies; leaves open clinical translation and outcomes impact.
Myosin heavy chains encoded by MYH7 and MYH2 are abundant in human skeletal muscle and important for muscle contraction. However, it is unclear how mutations in these genes disrupt myosin structure and function leading to skeletal muscle myopathies termed myosinopathies. Here, we used multiple approaches to analyze the effects of common MYH7 and MYH2 mutations in the light meromyosin (LMM) region of myosin. Analyses of expressed and purified MYH7 and MYH2 LMM mutant proteins combined with in silico modeling showed that myosin coiled coil structure and packing of filaments in vitro are commonly disrupted. Using muscle biopsies from patients and fluorescent ATP analog chase protocols to estimate the proportion of myosin heads that were super-relaxed, together with x-ray diffraction measurements to estimate myosin head order, we found that basal myosin ATP consumption was increased and the myosin super-relaxed state was decreased in vivo. In addition, myofiber mechanics experiments to investigate contractile function showed that myofiber contractility was not affected. These findings indicate that the structural remodeling associated with LMM mutations induces a pathogenic state in which formation of shutdown heads is impaired, thus increasing myosin head ATP demand in the filaments, rather than affecting contractility. These key findings will help design future therapies for myosinopathies.
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Carrington et al. (2023) studied Skeletal myosinopathies (n=30). MYH7 and MYH2 mutations vs. Wild-type (healthy controls) was evaluated on Proportion of myosin heads in the disordered-relaxed (DRX) vs super-relaxed (SRX) states (p=<0.05). MYH7 and MYH2 mutations increased the disordered-relaxed to super-relaxed myosin head ratio by 10-20%, increasing basal ATP demand without affecting cellular force-producing capacity.
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