Cardiac myosin binding protein C, adrenergic stimulation and cardiac contractility

Myosin binding protein C remained a perplexing although integral component of the sarcomeric thick filament until the discovery that genetic defects in its corresponding gene is a frequent cause of hypertrophic cardiomyopathy. Basic science investigation subsequently revealed that it is one of the m...

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Main Authors: Amsha Ramburan, Lundi Korkie, Johanna C. Moolman-Smook
Format: Article
Language:English
Published: South African Heart Association 2017-04-01
Series:SA Heart Journal
Subjects:
Online Access:https://www.journals.ac.za/index.php/SAHJ/article/view/1966
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author Amsha Ramburan
Lundi Korkie
Johanna C. Moolman-Smook
author_facet Amsha Ramburan
Lundi Korkie
Johanna C. Moolman-Smook
author_sort Amsha Ramburan
collection DOAJ
description Myosin binding protein C remained a perplexing although integral component of the sarcomeric thick filament until the discovery that genetic defects in its corresponding gene is a frequent cause of hypertrophic cardiomyopathy. Basic science investigation subsequently revealed that it is one of the most potent regulators of cardiac contractility. Phosphorylation of its N-terminus upon adrenergic stimulation, causes increased order in myosin heads as well as increased ATPase activity, Fmax and Ca2+-sensitivity of contraction, while its dephosphorylation upon cholinergic stimulation or during low flow ischaemia leads to changes in the sarcomeric thick filament that diminish interaction between myosin heads and actin. This dynamic flux in phosphorylation upon adrenergic stimulation is not only crucial to normal cardiac function and structure, but also vital for protection against ischaemic injury. Genetically-driven deficiency or inadequacy in cMyBPC leads to severe cardiac dysfunction and structural changes, including cardiac hypertrophy and dilation, and particularly attenuates the adaptive increase in left ventricular contractility that follows on β-adrenergic stimulation or pressure overload, resulting in decreased systolic function, and reduced cardiac output.
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spelling doaj.art-d41b372101a849ac8d99c07d15e6327d2022-12-21T19:53:14ZengSouth African Heart AssociationSA Heart Journal1996-67412071-46022017-04-0171384710.24170/7-1-1966Cardiac myosin binding protein C, adrenergic stimulation and cardiac contractilityAmsha Ramburan0Lundi Korkie1Johanna C. Moolman-Smook2University of StellenboschUniversity of StellenboschUniversity of StellenboschMyosin binding protein C remained a perplexing although integral component of the sarcomeric thick filament until the discovery that genetic defects in its corresponding gene is a frequent cause of hypertrophic cardiomyopathy. Basic science investigation subsequently revealed that it is one of the most potent regulators of cardiac contractility. Phosphorylation of its N-terminus upon adrenergic stimulation, causes increased order in myosin heads as well as increased ATPase activity, Fmax and Ca2+-sensitivity of contraction, while its dephosphorylation upon cholinergic stimulation or during low flow ischaemia leads to changes in the sarcomeric thick filament that diminish interaction between myosin heads and actin. This dynamic flux in phosphorylation upon adrenergic stimulation is not only crucial to normal cardiac function and structure, but also vital for protection against ischaemic injury. Genetically-driven deficiency or inadequacy in cMyBPC leads to severe cardiac dysfunction and structural changes, including cardiac hypertrophy and dilation, and particularly attenuates the adaptive increase in left ventricular contractility that follows on β-adrenergic stimulation or pressure overload, resulting in decreased systolic function, and reduced cardiac output.https://www.journals.ac.za/index.php/SAHJ/article/view/1966myosin binding protein ccardiac contractility
spellingShingle Amsha Ramburan
Lundi Korkie
Johanna C. Moolman-Smook
Cardiac myosin binding protein C, adrenergic stimulation and cardiac contractility
SA Heart Journal
myosin binding protein c
cardiac contractility
title Cardiac myosin binding protein C, adrenergic stimulation and cardiac contractility
title_full Cardiac myosin binding protein C, adrenergic stimulation and cardiac contractility
title_fullStr Cardiac myosin binding protein C, adrenergic stimulation and cardiac contractility
title_full_unstemmed Cardiac myosin binding protein C, adrenergic stimulation and cardiac contractility
title_short Cardiac myosin binding protein C, adrenergic stimulation and cardiac contractility
title_sort cardiac myosin binding protein c adrenergic stimulation and cardiac contractility
topic myosin binding protein c
cardiac contractility
url https://www.journals.ac.za/index.php/SAHJ/article/view/1966
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