Cardiac myosin binding protein-C: a novel sarcomeric target for gene therapy.
Cardiac myosin binding protein-C: a novel sarcomeric target for gene therapy.
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DOI:
10.1007/s00424-013-1412-z
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发表时间:
2014-02
影响因子:
4.5
通讯作者:
Stelzer, Julian E.
中科院分区:
文献类型:
--
作者:
Mamidi, Ranganath;Li, Jiayang;Gresham, Kenneth S.;Stelzer, Julian E.
Through its ability to interact with both the thick and thin filament proteins within the sarcomere, cardiac myosin binding protein-C (cMyBP-C) regulates the contractile properties of the myocardium. The central regulatory role of cMyBP-C in heart function is emphasized by the fact that a large proportion of inherited hypertrophic cardiomyopathy cases in humans are caused by mutations in cMyBP-C. The primary dysfunction in cMyBP-C-related cardiomyopathies is likely to be abnormal myofilament contractile function; however, currently, there are no effective therapies for ameliorating these contractile defects. Thus, there is a compelling need to design novel therapies to restore normal contractile function in cMyBP-C-related cardiomyopathies. To this end, concepts gleaned from various structural, functional, and biochemical studies can now be utilized to engineer cMyBP-C proteins that, when incorporated into the sarcomere, can significantly improve contractile function. In this review, we discuss the rationale for cMyBP-C-based gene therapies that can be utilized to treat contractile dysfunction in inherited and acquired cardiomyopathies.
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