Key result
There was no significant difference in the kinetic rates or spatial distribution of the myosin lever arm between the left and right ventricles of failing human hearts.
Why the study?
Are there differences in myosin kinetics and spatial distribution of the lever arm between the left and right ventricles of human failing hearts?
Observational (n=5)
Are there differences in myosin kinetics and spatial distribution of the lever arm between the left and right ventricles of human failing hearts?
The stronger pumping action of the left ventricle compared to the right ventricle in failing hearts is due to morphological differences rather than differences in myosin kinetics.
Suggests morphological factors drive LV-RV functional differences in HF; leaves open myosin roles in non-failing hearts or therapies.
The systemic circulation offers larger resistance to the blood flow than the pulmonary system. Consequently, the left ventricle (LV) must pump blood with more force than the right ventricle (RV). The question arises whether the stronger pumping action of the LV is due to a more efficient action of left ventricular myosin, or whether it is due to the morphological differences between ventricles. Such a question cannot be answered by studying the entire ventricles because any observed differences would be wiped out by averaging the information obtained from trillions of myosin molecules present in a ventricle. We therefore searched for the differences between single myosin molecules of the LV and RV of failing hearts in-situ. We show that the parameters that define the mechanical characteristics of working myosin (kinetic rates and the distribution of spatial orientation of myosin lever arm) were the same in both ventricles. These results suggest that there is no difference in the way myosin interacts with thin filaments in ventricles of failing hearts, and that the difference in pumping efficiencies are exclusively morphological.
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Duggal et al. (2017) conducted an observational in Heart Failure (n=5). Left Ventricle vs. Right Ventricle was evaluated on Full Width at Half Maximum (FWHM) of distribution of lever arm angles (p=0.505). There was no significant difference in the kinetic rates or spatial distribution of the myosin lever arm between the left and right ventricles of failing human hearts.
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