Pathogenic hypertrophic cardiomyopathy myosin variants in mouse cardiomyocytes and iPSC-CMs exhibit hypercontractility and abnormal relaxation that is normalized by interacting heads motif restabilization with MYK-461.
A, Mouse cardiomyocytes (×40 image) shows precise striations attributable to a well-organized sarcomere. B, Typical contractile waveform obtained by tracking strings of mouse cardiomyocyte sarcomeres during 1 Hz pacing. C and D, Sarcomere shortening (C) and relaxation durations (D) in WT, Myh6R403Q/+, Myh6V606M/+, and Myh6R719W/+ mouse cardiomyocytes taken from 3 hearts per genotype. E and F, Dose-dependent effects of acute MYK-461 application on sarcomere contractility (E, percent shortening) and relaxation (F) in paced mouse WT, Myh6R403Q/+, Myh6V606M/+, and Myh6R719W/+ cardiomyocytes from 3 hearts per genotype. G, Image of titin-green fluorescent protein–tagged iPSC-CM imaged at 100×, showing z-discs labeled by green fluorescence. H, Contractile waveform of a single sarcomere defined by a z-disc pair during 1 Hz pacing. I and J, Sarcomere shortening (I) and relaxation durations (J) in paced isogenic WT, MYH7R403Q/+, MYH7V606M/+, and MYH7R719W/+ iPSC-CMs from 3 separate differentiations. K and L, Dose-dependent effect of acute MYK-461 application on sarcomere contractility (K) and relaxation durations (L) in paced isogenic WT, MYH7R403Q/+, MYH7V606M/+, and MYH7R719W/+ iPSC-CMs from 3 separate differentiations. Significant differences to WT were assessed by 2-way ANOVA with post hoc Bonferroni correction from multiple comparisons, significances of P<0.05 indicated by *. All data are displayed as mean±SEM. iPSC-CMs indicates isogenic cardiomyocytes derived from induced pluripotent stem cells; and WT, wild type cardiomyocytes.