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Circulation Research. 1995;77:98-106

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(Circulation Research. 1995;77:98-106.)
© 1995 American Heart Association, Inc.


Articles

Expression of a Mutation Causing Hypertrophic Cardiomyopathy Disrupts Sarcomere Assembly in Adult Feline Cardiac Myocytes

A. J. Marian, Q.-T. Yu, D. L. Mann, F. L. Graham, R. Roberts

From the Section of Cardiology (A.J.M., Q.-T.Y., D.L.M., R.R.), Baylor College of Medicine, Houston, Tex, and the Departments of Biology and Pathology (F.L.G.), McMaster University, Hamilton, Ontario, Canada.

Correspondence to A.J. Marian, MD, Assistant Professor of Medicine, Baylor College of Medicine, One Baylor Plaza, 543E, Houston, TX 77030.

Abstract Mutations in the ß-myosin heavy chain (ßMyHC) induce hypertrophic cardiomyopathy (HCM), cardiac hypertrophy, and sarcomere disarray, with the latter being the characteristic hallmark. Thus, we sought to determine whether expression of mutant ßMyHC in adult feline cardiac myocytes, a species known to develop HCM with a phenotype identical to that in humans, induces sarcomere disarray. A full-length ßMyHC cDNA was cloned from a human heart cDNA library, and an HCM-causing mutation (Arg403Gln) was induced in the ßMyHC cDNA by site-directed mutagenesis using polymerase chain reaction (PCR). The normal and mutant ßMyHC cDNAs were cloned into p{Delta}E1spIB shuttle vector, downstream from a cytomegalovirus (CMV) promoter. Replication-deficient recombinant adenoviral constructs (Ad5/CMV/ßMyHC-N and Ad5/CMV/ßMyHC-403) were generated through homologous recombination of p{Delta}E1spIB/CMV/ßMyHC-N or Ad5/CMV/ßMyHC-403 and pBHG10 after cotransfection in 293 host cells. Infection of COS-1 cells with the ßMyHC construct resulted in the expression of a full-length myosin protein. Efficiency of infection of isolated adult cardiac myocytes was >95%. Expression of the ßMyHC constructs into mRNA at 48 hours after infection of feline cardiac myocytes was confirmed by reverse transcription–PCR. The net total protein and ß-myosin synthesis were determined by using the amount of incorporation of [3H]phenylalanine into total protein and ß-myosin, respectively. Although the total amount of protein synthesis was equal among experimental groups, the net myosin synthesis at 48 hours was greater in cardiac myocytes infected with normal or mutant ßMyHC constructs than control myocytes or those infected with vector alone (P<.05). Electron microscopic examination showed only minor changes in the structure of sarcomeres in all experimental groups at 48 hours after infection. However, disruption of the sarcomeric structures at 120 hours after infection with the mutant ßMyHC construct was observed in {approx}50% of the myocytes examined, whereas the structure of the sarcomeres remained largely intact in myocytes infected with normal ßMyHC construct, adenoviral vector alone, or control cardiocytes. Similar results were confirmed by immunofluorescence using MF-20 antibody to myosin. The results of this study indicate that disruption of sarcomere assembly and myofibrillar organization due to mutant ßMyHC protein is the primary defect in HCM.


Key Words: hypertrophic cardiomyopathy • ß-myosin heavy chain mutation • sarcomere assembly • cardiac myocytes • adenovirus




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