Key result
Cryo-EM reveals mavacamten-stabilized skeletal muscle thick filaments closely match cardiac filament structure.
Cryo-EM reconstruction reveals that the structural architecture of vertebrate skeletal muscle thick filaments is highly conserved with cardiac muscle, differing mainly in MyBP-C positioning.
Should not yet change practice; leaves open cross-translation of myosin-targeted therapies between cardiac and skeletal muscle.
Striated muscles consist of two filament types, one composed mostly of actin and the other composed mostly of myosin 1,2 . Actin filaments are highly similar across different muscle types and species both invertebrate and vertebrate 3 . Myosin filaments of vertebrate striated muscle are quite homogeneous in structure having identical lengths, governed by the giant protein titin 4,5 , and rotational symmetries while varying mostly in the isoforms of its proteins. Conversely, myosin filaments from invertebrate striated muscle are highly heterogeneous in multiple ways even within a single organism. Myosin filaments from vertebrate cardiac muscle have been shown to be highly similar in structure between mice and humans 6-8 . Conversely, thick filaments from the highly specialized insect indirect flight muscle have been shown to be highly variable in structure 9-14 . Here we used the drug mavacamten to stabilize a myosin head conformation known as the interacting heads motif in a fast skeletal muscle of rabbits, a highly studied model system. We show that the structure of relaxed rabbit skeletal muscle thick filaments is highly similar to those of relaxed human and mouse cardiac muscle, differing primarily in the positioning of some domains of myosin binding protein C vis-à-vis titin. In the context of the very different structures from indirect flight muscle, the result highlights different solutions to the same problems, control of muscle force and the requirements of endothermy, the internal generation of heat. In mammals, thick filaments are poised for varying levels of myosin activation 15 , while indirect flight muscle is poised for narrowly defined, high frequency contraction. In mammals, endothermy is a continuous problem; in insects, endothermy is primarily necessary for flight 16 .
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Tilko et al. (2026) studied this question. Mavacamten was evaluated on 3D structure of the 430Å repeating unit in the C-zone of native rabbit psoas myosin filaments. Using mavacamten to stabilize myosin heads, cryo-electron microscopy revealed that relaxed rabbit skeletal muscle thick filaments are structurally highly similar to cardiac muscle thick filaments.
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