Key result
Type 2 diabetes is linked to early myosin acetylations that destabilize the structural OFF-state.
Why the study?
Type 2 diabetes mellitus predisposes to adverse cardiac remodeling before cardiomyopathic symptoms develop, but the mechanisms of these early perturbations remain elusive.
Observational (n=26)
Myosin acetylation may mark early T2DM cardiac vulnerability; leaves open whether targeting OFF-state stabilization alters remodeling risk.
BACKGROUND: Type 2 diabetes mellitus (T2DM) predisposes patients to adverse cardiac remodeling even before the development of cardiomyopathic symptoms. The mechanisms for such early perturbations remain elusive. Given that myosin is the most abundant and energy‑demanding cardiac protein, we tested whether its regulation is impaired even in non‑failing human diabetic hearts. METHODS: Left ventricular strips were individually isolated from organ donors with and without T2DM. These strips were then subjected to a combination of acetyl‑proteomics, X-ray diffraction, in-silico simulations and Mant-ATP chase experiments. RESULTS: Strikingly, we identified nine cardiac myosin (MYH7) lysine residues with significantly altered acetylation levels in T2DM ventricles, many of which were predicted to destabilize the protein coiled‑coil regions. Consistently, X‑ray diffraction revealed increased lattice spacing and a shift towards myosin ON‑state in T2DM tissue. However, and surprisingly, Mant‑ATP chase analyses indicated no bioenergetic consequences at the myosin level. CONCLUSIONS: Human T2DM myocardium exhibits early, site‑specific myosin acetylations that destabilize myosin structural OFF‑state. This myosin 'preload' remodeling occurs at no energetic cost and may constitute a potential early marker of latent myocardial vulnerability in T2DM.
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Degezelle et al. (2026) conducted an observational in Type 2 diabetes mellitus (n=26). Type 2 diabetes mellitus vs. Non-T2DM was evaluated on Cardiac myosin (MYH7) lysine acetylation levels and structural OFF-state stability (p=<0.05). Type 2 diabetes mellitus myocardium exhibits early, site-specific myosin acetylations that destabilize the myosin structural OFF-state and increase inter-filament lattice spacing without altering bioenergetic super-relaxation.
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