2016
DOI: 10.1016/j.cell.2016.04.002
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A Tension-Based Model Distinguishes Hypertrophic versus Dilated Cardiomyopathy

Abstract: SUMMARY The heart either hypertrophies or dilates in response to familial mutations in genes encoding sarcomeric proteins, which are responsible for contraction and pumping. These mutations typically alter calcium-dependent tension generation within the sarcomeres, but how this translates into the spectrum of hypertrophic versus dilated cardiomyopathy is unknown. By generating a series of cardiac-specific mouse models that permit the systematic tuning of sarcomeric tension generation and calcium fluxing, we id… Show more

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Cited by 203 publications
(249 citation statements)
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“…As discussed above, failing cardiomyocytes with the PLN R9C/+ mutation shared considerable expression overlap with Cdk8-transgenic samples. Humans with this mutation develop DCM, and patient-derived iPSC cardiomyocytes have a negative tension-time integral consistent with other DCM-causing mutations (52).…”
Section: Discussionmentioning
confidence: 99%
“…As discussed above, failing cardiomyocytes with the PLN R9C/+ mutation shared considerable expression overlap with Cdk8-transgenic samples. Humans with this mutation develop DCM, and patient-derived iPSC cardiomyocytes have a negative tension-time integral consistent with other DCM-causing mutations (52).…”
Section: Discussionmentioning
confidence: 99%
“…A recent study demonstrates that calcineurin is activated in models of both hypertrophic cardiomyopathy (HCM) and dilated cardiomyopathy (DCM) [256]. The HCM phenotype was caused by a mutation in cardiac troponin C (cTnC) that increased both Ca 2+ affinity and tension, whereas the DCM cTnC mutation decreased Ca 2+ affinity and myofilament tension.…”
Section: Not All Calcineurin Activity Is Pathologicalmentioning
confidence: 99%
“…Although attractive, the idea that myosin mutations causing hypercontractility lead to HCM and those causing hypocontractility lead to DCM has not been definitively established (Spudich, 2014). However, changes in calcium sensitivity (higher in HCM, decreased in DCM) have been discussed, and a direct link between calcium sensitivity, which induces heart growth via tension generation, and HCM has recently been established (Davis et al, 2016). …”
Section: Thick Filament Mutations Associated With Hcmmentioning
confidence: 99%