Evidence map›Paper›PMID 32284968›Full record

ArticleScience advances2020

The hypertrophic cardiomyopathy mutations R403Q and R663H increase the number of myosin heads available to interact with actin.

Saswata S Sarkar, Darshan V Trivedi, Makenna M Morck, Arjun S Adhikari, Shaik N Pasha, Kathleen M Ruppel, James A Spudich

Open access · goldAbstract read
In one paragraph

Article in Science advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
9.1field-weighted citation impact, top 1% 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

67 citing papers in PubMed, 97 citations in OpenAlex.

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  6. Genetic loci responsible for atrioventricular block in children.Frontiers in cell and developmental biology · 2026
    Review
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  8. Resolving zone-specific regulation of cardiac myosin.The Journal of general physiology · 2025
    Article
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  11. Review
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  15. Article
  16. Review
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  20. Article

7 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

7 authors at 2 institutions in 2 countries.

Saswata S SarkarDepartment of Biochemistry, Stanford University School of Medicine, Stanford, CA 94305, USA.ORCID 0000-0003-0535-9330
Darshan V TrivediDepartment of Biochemistry, Stanford University School of Medicine, Stanford, CA 94305, USA.ORCID 0000-0002-4188-3570
Makenna M MorckDepartment of Biochemistry, Stanford University School of Medicine, Stanford, CA 94305, USA.ORCID 0000-0001-7561-892X
Arjun S AdhikariDepartment of Biochemistry, Stanford University School of Medicine, Stanford, CA 94305, USA.
Shaik N PashaNational Centre for Biological Sciences (TIFR), GKVK Campus, Bellary Road, Bangalore, India.
Kathleen M RuppelDepartment of Biochemistry, Stanford University School of Medicine, Stanford, CA 94305, USA.ORCID 0000-0002-0971-5331
James A SpudichDepartment of Biochemistry, Stanford University School of Medicine, Stanford, CA 94305, USA.ORCID 0000-0002-4324-4254
Cardiovascular Institute of the South · USNational Centre for Biological Sciences · IN

Funding

Stanford Center for Clinical & Translational Education and Research (Spectrum)UL1TR003142 · NCATS · STANFORD UNIVERSITY · PI O'HARA, RUTH M · 2019 to 2023
$45.0M
Spectrum Stanford Center for clinical and Translational Research and EducationUL1TR001085 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$37.1M
MYOSIN MOVEMENT IN VITRO: MOLECULAR CHARACTERIZATIONR01GM033289 · NIGMS · STANFORD UNIVERSITY · PI SPUDICH, JAMES · 1985 to 2024
$13.6M
Molecular Characterization of Cardiomyopathy Mutations in Human Cardiac MyosinR01HL117138 · NHLBI · UNIVERSITY OF COLORADO · PI LEINWAND, LESLIE ANNE, PERKINS, THOMAS TUPPER · 2013 to 2021
$4.2M
NCATS NIH HHS UL1 TR001085NCATS NIH HHS UL1 TR003142NHLBI NIH HHS R01 HL117138NIGMS NIH HHS R01 GM033289
6 · The paper itself

Abstract

Hypertrophic cardiomyopathy (HCM) mutations in β-cardiac myosin and myosin binding protein-C (MyBP-C) lead to hypercontractility of the heart, an early hallmark of HCM. We show that hypercontractility caused by the HCM-causing mutation R663H cannot be explained by changes in fundamental myosin contractile parameters, much like the HCM-causing mutation R403Q. Using enzymatic assays with purified human β-cardiac myosin, we provide evidence that both mutations cause hypercontractility by increasing the number of functionally accessible myosin heads. We also demonstrate that the myosin mutation R403Q, but not R663H, ablates the binding of myosin with the C0-C7 fragment of MyBP-C. Furthermore, addition of C0-C7 decreases the wild-type myosin basal ATPase single turnover rate, while the mutants do not show a similar reduction. These data suggest that a primary mechanism of action for these mutations is to increase the number of myosin heads functionally available for interaction with actin, which could contribute to hypercontractility.

Indexed as

AllelesAmino Acid SubstitutionMutationActinsBinding SitesCardiomyopathy, HypertrophicGenetic Predisposition to DiseaseHumansModels, MolecularMyocardial ContractionMyosinsProtein BindingProtein ConformationStructure-Activity RelationshipVentricular MyosinsActinsMyosinsVentricular Myosins

Identifiers

PMID32284968
PMCPMC7124958
OpenAlexW3014347982

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.