Review articleGetting the skinny on thick filament regulation in cardiac muscle biology and disease
Section snippets
Structural components of the cardiac motor
The major components within the cardiac thick filament that control muscle contraction include cardiac myosin and its regulatory proteins: (i) essential light chain (ELC), (ii) myosin regulatory light chain-2 (ventricular myosin light chain-2 (MLC2v) in cardiac muscle), and (iii) myosin-binding protein C (MyBP-C). Substructure analyses of myosin revealed that it is a hexameric protein consisting of a pair of myosin heavy chains and two pairs of light chains (two ELC and two MLC2) (Warrick and
MLC2v phosphorylation: at the heart of cross-bridge cycling kinetics and cardiac myofilament function
Compelling new evidence using integrated, computational, and genetic mouse models provided important mechanistic insights into a direct, independent, and indispensable role for MLC2v phosphorylation in regulating calcium-dependent cardiac muscle contraction and function (Sheikh et al., 2012). Most importantly, we were able to show the fluidity of these mechanisms to drive biological findings in cardiac muscle at increasing levels of complexity starting from the cross-bridge, to the myofilament,
Reconstructing a role for MLC2v phosphorylation in adult cardiac function and disease
MLC2v plays an essential role in early embryonic cardiac development and function (Chen et al., 1998); however, it was not until recent studies that its regulatory effects following phosphorylation were shown to play an essential role in adult heart physiology and function. Specifically, a growing number of genetic mouse models alongside human studies have paved the way toward identifying an essential role for MLC2v phosphorylation in adult cardiac torsion, function, and disease in vivo (Table 1
MLC2v phosphorylation as a potential therapeutic target for alleviating cardiac disease
A role for MLC2v phosphorylation in the adaptive response to stress-induced cardiac hypertrophy and disease was also identified when both young non-phosphorylatable MLC2v knock-in mutant mice, utilized at a stage when no structural defects or disease was observed, as well as cardiac MLCK null mice displayed an exacerbated response to cardiac dysfunction following pressure overload (Sheikh et al., 2012, Warren et al., 2012). Intriguingly, we showed that young mutant hearts displayed a
Conclusions and future directions
New findings from genetic mouse models strongly suggest critical roles for MLC2v phosphorylation in cardiac myosin cycling kinetics, contraction, torsion, function, and disease (Table 2). These studies have provided important relevance to human studies that highlighted a role for MLC2v phosphorylation in the pathogenesis of human cardiac disease (Table 1). Key to these findings is the identification of cardiac MLCK and myosin phosphatase, which provided additional proof toward an essential role
Acknowledgments
We thank Dr. Valeria Mezzano (UCSD, La Jolla, CA) for technical assistance with the figure. R.C.L. is a recipient of an American Heart Association Postdoctoral fellowship. F.S. and J.C are supported by grants from the National Institutes of Health.
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