Evidence map›Paper›PMID 41034214›Full record

ArticleNature communications2025

Hypertrophic cardiomyopathy mutations Y115H and E497D disrupt the folded-back state of human β-cardiac myosin allosterically.

Neha Nandwani, Debanjan Bhowmik, Camille Glaser, Matthew Carter Childers, Rama Reddy Goluguri, Aminah Dawood, Michael Regnier, Anne Houdusse, James A Spudich, Kathleen M Ruppel

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Thick filament molecular interfaces play a critical role in the pathogenesis of hypertrophic cardiomyopathy.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Understanding hypertrophic cardiomyopathy and its regulation by myosin drugs.Protein science : a publication of the Protein Society · 2025
    Article
  8. Article
  9. A FRET assay to monitor different structural states of human β-cardiac myosin including the interacting-heads motif.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Neha Nandwani *Department of Biochemistry, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-6958-3756
Debanjan Bhowmik *Department of Biochemistry, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-3480-7940
Camille Glaser *Structural Motility, Institut Curie, CNRS, UMR144, PSL Research University, Paris, France.
Matthew Carter ChildersBioengineering, University of Washington, Seattle, WA, USA.
Rama Reddy GoluguriDepartment of Biochemistry, Stanford University School of Medicine, Stanford, CA, USA.
Aminah DawoodDepartment of Biochemistry, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0009-0007-5095-1989
Michael RegnierBioengineering, University of Washington, Seattle, WA, USA.
Anne HoudusseStructural Motility, Institut Curie, CNRS, UMR144, PSL Research University, Paris, France.ORCID http://orcid.org/0000-0002-8566-0336
James A SpudichDepartment of Biochemistry, Stanford University School of Medicine, Stanford, CA, USA. jspudich@stanford.edu.ORCID http://orcid.org/0000-0002-4324-4254
Kathleen M RuppelDepartment of Biochemistry, Stanford University School of Medicine, Stanford, CA, USA. kruppel@stanford.edu.ORCID http://orcid.org/0000-0002-0971-5331

Funding

MYOSIN MOVEMENT IN VITRO: MOLECULAR CHARACTERIZATIONR01GM033289 · NIGMS · STANFORD UNIVERSITY · PI SPUDICH, JAMES · 1985 to 2024
$13.6M
From proteins to cells to tissues: A multi-scale assessment of biomechanical regulation by the myosin molecular motorRM1GM131981 · NIGMS · STANFORD UNIVERSITY · PI BERNSTEIN, DANIEL, MACK, DAVID LEE · 2019 to 2023
$10.3M
UW Center for Translational Muscle Research (Overall Application)P30AR074990 · NIAMS · UNIVERSITY OF WASHINGTON · PI MICHAEL REGNIER · 2019 to 2026
$7.5M
American Heart Association (American Heart Association, Inc.) 22POST908934American Heart Association (American Heart Association, Inc.) 23POST1027175NIAMS NIH HHS P30 AR074990NIGMS NIH HHS R01 GM033289NIGMS NIH HHS RM1 GM131981U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) GM131981U.S. Department of Health & Human Services | NIH | National Institute of General Medical Sciences (NIGMS) GM131981 and GM033289
6 · The paper itself

Abstract

At the molecular level, clinical hypercontractility associated with many hypertrophic cardiomyopathy (HCM)-causing mutations in β-cardiac myosin appears to be driven by their disruptive effect on the energy-conserving, folded-back 'OFF'-state of myosin, which results in increased number of heads free to interact with actin and produce force. While many characterized mutations likely act by directly perturbing intramolecular interfaces stabilizing the OFF-state, others may function allosterically by altering conformational states of the myosin motor. We investigate two such allosteric HCM mutations, Y115H (Transducer) and E497D (Relay helix), which do not directly contact OFF-state interfaces. Biochemical analyses and high-resolution crystallography reveal that both mutations increase active myosin head availability likely by destabilizing the pre-powerstroke conformation required for OFF-state formation. We propose that destabilization of the folded-back state of myosin, either directly or allosterically, represents a common molecular mechanism underlying hypercontractility in HCM across a broader spectrum of pathogenic mutations than previously recognized.

Indexed as

Cardiac MyosinsCardiomyopathy, HypertrophicMutationVentricular MyosinsAllosteric RegulationCrystallography, X-RayHumansModels, MolecularMyosin Heavy ChainsProtein ConformationProtein FoldingCardiac MyosinsMYH7 protein, humanMyosin Heavy ChainsVentricular Myosins

Identifiers

PMID41034214
PMCPMC12489053

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.