Evidence map›Paper›PMID 31877118›Full record

ArticleJCI insight2020

Effects of MYBPC3 loss-of-function mutations preceding hypertrophic cardiomyopathy.

Adam S Helms, Vi T Tang, Thomas S O'Leary, Sabrina Friedline, Mick Wauchope, Akul Arora, Aaron H Wasserman, Eric D Smith, Lap Man Lee, Xiaoquan W Wen and 4 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed
5.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 92 citations in OpenAlex.

  1. Article
  2. Review
  3. Mapping and rewiring thebioRxiv : the preprint server for biology · 2026
    Article
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  5. Biologics for cardiovascular diseases: from bench to bedside.Signal transduction and targeted therapy · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. RNA-Based Therapies for Treating Monogenic Cardiomyopathies.The Canadian journal of cardiology · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Missense variants in the myosin binding domains ofbioRxiv : the preprint server for biology · 2025
    Article
  14. Article
  15. Hypertrophic cardiomyopathy.Nature reviews. Disease primers · 2025
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 2 countries.

Adam S HelmsDepartment of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Vi T TangDepartment of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Thomas S O'LearyDepartment of Molecular Physiology & Biophysics, University of Vermont, Burlington, Vermont, USA.
Sabrina FriedlineDepartment of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Mick WauchopeDepartment of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Akul AroraDepartment of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Aaron H WassermanDepartments of Molecular and Integrative Physiology.
Eric D SmithDepartment of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Lap Man LeeMechanical Engineering.
Xiaoquan W WenBiostatistics.
Jordan A ShavitPediatrics, and.
Allen P LiuMechanical Engineering.
Michael J PrevisDepartment of Molecular Physiology & Biophysics, University of Vermont, Burlington, Vermont, USA.
Sharlene M DayDepartment of Internal Medicine, Division of Cardiovascular Medicine, University of Michigan, Ann Arbor, Michigan, USA.
Michigan Medicine · USUniversity of Vermont · USCancer Research And Biostatistics · USLaboratoire d’immunologie intégrative du cancer · FRPediatrics and Genetics · USUniversity of Michigan · US

Funding

Genome-Engineered Stem Cell Models to Determine Disease Mechanisms in MYBPC3 Hypertrophic CardiomyopathyK08HL130455 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HELMS, ADAM S · 2016 to 2020
$818k
Molecular Modulation of Actomyosin Mechanics by Cardiac Myosin-Binding Protein CR00HL124041 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI PREVIS, MICHAEL JOSEPH · 2016 to 2018
$747k
Molecular Modulation of Actomyosin Mechanics by Cardiac Myosin-Binding Protein CK99HL124041 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI PREVIS, MICHAEL JOSEPH · 2014 to 2015
$287k
NHLBI NIH HHS K08 HL130455NHLBI NIH HHS K99 HL124041NHLBI NIH HHS L30 HL115786NHLBI NIH HHS R00 HL124041
6 · The paper itself

Abstract

Mutations in cardiac myosin binding protein C (MyBP-C, encoded by MYBPC3) are the most common cause of hypertrophic cardiomyopathy (HCM). Most MYBPC3 mutations result in premature termination codons (PTCs) that cause RNA degradation and a reduction of MyBP-C in HCM patient hearts. However, a reduction in MyBP-C has not been consistently observed in MYBPC3-mutant induced pluripotent stem cell cardiomyocytes (iPSCMs). To determine early MYBPC3 mutation effects, we used patient and genome-engineered iPSCMs. iPSCMs with frameshift mutations were compared with iPSCMs with MYBPC3 promoter and translational start site deletions, revealing that allelic loss of function is the primary inciting consequence of mutations causing PTCs. Despite a reduction in wild-type mRNA in all heterozygous iPSCMs, no reduction in MyBP-C protein was observed, indicating protein-level compensation through what we believe is a previously uncharacterized mechanism. Although homozygous mutant iPSCMs exhibited contractile dysregulation, heterozygous mutant iPSCMs had normal contractile function in the context of compensated MyBP-C levels. Agnostic RNA-Seq analysis revealed differential expression in genes involved in protein folding as the only dysregulated gene set. To determine how MYBPC3-mutant iPSCMs achieve compensated MyBP-C levels, sarcomeric protein synthesis and degradation were measured with stable isotope labeling. Heterozygous mutant iPSCMs showed reduced MyBP-C synthesis rates but a slower rate of MyBP-C degradation. These findings indicate that cardiomyocytes have an innate capacity to attain normal MyBP-C stoichiometry despite MYBPC3 allelic loss of function due to truncating mutations. Modulating MyBP-C degradation to maintain MyBP-C protein levels may be a novel treatment approach upstream of contractile dysfunction for HCM.

Indexed as

MutationAllelesCardiomyopathy, HypertrophicCarrier ProteinsCell LineCodon, NonsenseFrameshift MutationGene EditingGenetic Predisposition to DiseaseHeterozygoteHumansMuscle DevelopmentMyocytes, CardiacMyosin Binding Protein CRNA, MessengerSarcomeresCarrier ProteinsCodon, NonsenseMyosin Binding Protein CRNA, MessengerCardiologyCardiovascular diseaseChaperonesMonogenic diseases

Identifiers

PMID31877118
PMCPMC7098724
OpenAlexW2997876005

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.