Target intelligence / Profile preview

Beta-cardiac myosin heavy chain (MYH7) (MYH7)

Target
MYH7
Molecular classification
Motor protein, Enzyme, ATPase
01

Overview

Cardiac myosin is the fundamental motor protein of the thick filament in the cardiac sarcomere, primarily composed of the beta-cardiac myosin heavy chain (MYH7) in the adult human ventricle (UniProt: P12883) [1]. It consists of a globular head (S1 fragment) that contains the ATPase activity and actin-binding site, and a neck/tail region (S2 fragment) that acts as a lever arm (Spudich, 2014) [4]. This protein is responsible for converting chemical energy from ATP hydrolysis into mechanical force, driving myocardial contraction. Mutations in MYH7 are a primary cause of hypertrophic cardiomyopathy (HCM), often leading to hypercontractility and impaired relaxation (NIH: MedlinePlus) [5]. Therapeutic agents targeting cardiac myosin include inhibitors like mavacamten, which stabilize the super-relaxed state to treat HCM (Heitner et al., 2019) [2], and activators like omecamtiv mecarbil, which enhance force production in heart failure (Teerlink et al., 2021) [3].

Other names
Cardiac myosin heavy chain 7Myosin-7Beta-myosin heavy chainCardiac myosin S1 fragmentCardiac myosin S2 fragmentMYH7
02

Mechanism of action

Cardiac myosin inhibitors (e.g., mavacamten) reduce the number of myosin heads entering the force-generating state by stabilizing the super-relaxed (SRX) state [2]. Cardiac myosin activators (e.g., omecamtiv mecarbil) increase the rate of phosphate release, accelerating the transition to the force-generating state without increasing intracellular calcium [3].

03

Biological functions

Muscle contractionATP hydrolysisForce generationSarcomere assembly
04

Disease associations

Hypertrophic cardiomyopathy (HCM)Dilated cardiomyopathy (DCM)Heart failure with reduced ejection fraction (HFrEF)Restrictive cardiomyopathy
05

Safety considerations

Risk of heart failure due to excessive reduction in left ventricular ejection fraction (LVEF) [2, 6]Requirement for frequent echocardiographic monitoring [6]Drug-drug interactions via CYP450 enzymes (e.g., CYP2C19, CYP3A4) [6]Potential embryo-fetal toxicity [6]
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Interacting drugs

Mavacamten

3 more in the full profile.

07

Biomarkers

N-terminal pro-b-type natriuretic peptide (NT-proBNP) [2]Cardiac troponin I/T [2]Left ventricular outflow tract (LVOT) gradient [2]Left ventricular ejection fraction (LVEF) [6]

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