2014
DOI: 10.1007/s00424-014-1442-1
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Cardiac myosin-binding protein-C is a critical mediator of diastolic function

Abstract: Diastolic dysfunction prominently contributes to heart failure with preserved ejection fraction (HFpEF). Owing partly to inadequate understanding, HFpEF does not have any effective treatments. Cardiac myosin-binding protein-C (cMyBP-C), a component of the thick filament of heart muscle that can modulate cross-bridge attachment/detachment cycling process by its phosphorylation status, appears to be involved in the diastolic dysfunction associated with HFpEF. In patients, cMyBP-C mutations are associated with di… Show more

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Cited by 37 publications
(31 citation statements)
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“…The rat develops HF in association with hyperglycemia and insulin resistance, and, therefore, while it may represent a good model for HFpEF with metabolic alterations, it is unlikely to be representative of all patients with HFpEF. Genetic modifications of titin and cardiac myosin binding protein C have also been proposed as models of HFpEF (12,25). These genetic models allow for the intrinsic changes to develop progressively as the mouse grows and ages, but do not reflect the clinical HFpEF syndrome.…”
Section: Discussionmentioning
confidence: 99%
“…The rat develops HF in association with hyperglycemia and insulin resistance, and, therefore, while it may represent a good model for HFpEF with metabolic alterations, it is unlikely to be representative of all patients with HFpEF. Genetic modifications of titin and cardiac myosin binding protein C have also been proposed as models of HFpEF (12,25). These genetic models allow for the intrinsic changes to develop progressively as the mouse grows and ages, but do not reflect the clinical HFpEF syndrome.…”
Section: Discussionmentioning
confidence: 99%
“…CARDIAC MYOSIN-BINDING PROTEIN-C. Cardiac myosin-binding protein-C (cMyBP-C) is a component of the thick filament in cardiomyocytes that modulates the cross-bridge attachment/ detachment cycling process (236). Experimental studies have suggested a potential role for cMyBP-C in diastolic function.…”
Section: Altered Signaling Pathways In Hfpef As Potential Targets Formentioning
confidence: 99%
“…Our structural measurements suggest that eight residues on the α-helix of the triple-helix bundle that are buried when the MyBP-C motif is unphosphorylated become exposed, and overall motif dynamics become more stable, upon phosphorylation. Because cMyBP-C is likely to be highly phosphorylated under resting physiological conditions in healthy humans and studied mouse models of human heart disease, this uncovered helix may be an important binding region critical to normal cardiac function (26,28,32,33) and would certainly be the dominant cMyBP-C site during β-adrenergic stimulation with high phosphorylation levels, as occurs with the fight-or-flight acute stress response. Furthermore, because cMyBP-C phosphorylation decreases in patients with heart failure and hypertrophic cardiomyopathy (30,32,34), the loss of this exposed binding site could have markedly detrimental effects on the contractility response in failing hearts.…”
Section: Allosteric and Propagating Effects Of Cmybp-c Phosphorylatiomentioning
confidence: 99%