Key result
Omecamtiv mecarbil binds skeletal myosin more weakly than cardiac due to a larger binding pocket.
Why the study?
Little is known about the underlying reasons for omecamtiv mecarbil selectivity toward slow/beta-cardiac myosin compared to closely related isoforms like fast-type skeletal myosins.
Identification of structural differences in the omecamtiv mecarbil binding pocket between cardiac and skeletal myosin provides a basis for its cardiac selectivity and highlights a potential target for novel skeletal myotropes.
Animal data affirm cardiac selectivity; leaves open rational design of skeletal myotropes.
The development of small molecule myosin modulators has seen an increased effort in recent years due to their possible use in the treatment of cardiac and skeletal myopathies. Omecamtiv mecarbil (OM) is the first-in-class cardiac myotrope and the first to enter clinical trials. Its selectivity toward slow/beta-cardiac myosin lies at the heart of its function; however, little is known about the underlying reasons for selectivity to this isoform as opposed to other closely related ones such as fast-type skeletal myosins. In this work, we compared the structure and dynamics of the OM binding site in cardiac and in fasttype IIa skeletal myosin to identify possible reasons for OM selectivity. We found that the different shape, size, and composition of the binding pocket in skeletal myosin directly affects the binding mode and related affinity of OM, which is potentially a result of weaker interactions and less optimal molecular recognition. Moreover, we identified a side pocket adjacent to the OM binding site that shows increased accessibility in skeletal myosin compared with the cardiac isoform. These findings could pave the way to the development of skeletal-selective compounds that can target this region of the protein and potentially be used to treat congenital myopathies where muscle weakness is related to myosin loss of function.
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Antonovic et al. (2022) studied this question. Omecamtiv mecarbil vs. Skeletal myosin was evaluated on Binding affinity and pocket structure. Omecamtiv mecarbil binds more weakly to skeletal myosin than cardiac myosin due to a larger binding pocket, explaining its selectivity for the cardiac isoform.
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