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Myosin light chain 4 (MYL4) is a structural and regulatory component of the myosin complex in striated muscle, notably expressed in embryonic skeletal muscle and adult atrial myocardium[1][2][3]. It encodes the myosin alkali light chain (regulatory light chain), critical for normal atrial electrical conduction and contractile function[1][3]. MYL4 binds actin via its N-terminal domain, modulating contractile force and kinetics in muscle fibers[1][2]. Pathogenic variants in MYL4 have been linked to familial and early-onset atrial fibrillation and atrial myopathy, likely through impairment of sarcomeric structure and atrial electrical properties[1][3]. Despite its importance in heart physiology and disease, MYL4 is not currently a direct drug target, but its protein levels and expression patterns may be useful as biomarkers in cardiac disease[1].
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