A Failure to Communicate

Background: Myosin motor function in muscle is dependent upon inter-domain interactions. Results: Charge reversal for either of two amino acids in the interacting relay or converter domains disables myosin function in vitro and in vivo, whereas the double mutation largely restores it. Conclusion: These residues link myosin relay and converter domains via a salt bridge. Significance: Disrupting this communication may cause human hypertrophic cardiomyopathy. Our molecular modeling studies suggest a charge-dependent interaction between residues Glu-497 in the relay domain and Arg-712 in the converter domain of human β-cardiac myosin. To test the significance of this putative interaction, we generated transgenic Drosophila expressing indirect flight muscle myosin with charge reversal mutations in the relay (E496R) or converter (R713E). Each mutation yielded dramatic reductions in myosin Ca-ATPase activity (∼80%) as well as in basal (∼67%) and actin-activated (∼84%) Mg-ATPase activity. E496R myosin-induced in vitro actin-sliding velocity was reduced by 71% and R713E myosin permitted no actin motility. Indirect flight muscles of late pupae from each mutant displayed disrupted myofibril assembly, with adults having severely abnormal myofibrils and no flight ability. To understand the molecular basis of these defects, we constructed a putative compensatory mutant that expresses myosin with both E496R and R713E. Intriguingly, ATPase values were restored to ∼73% of wild-type and actin-sliding velocity increased to 40%. The double mutation suppresses myofibril assembly defects in pupal indirect flight muscles and dramatically reduces myofibril disruption in young adults. Although sarcomere organization is not sustained in older flies and flight ability is not restored in homozygotes, young heterozygotes fly well. Our results indicate that this charge-dependent interaction between the myosin relay and converter domains is essential to the mechanochemical cycle and sarcomere assembly. Furthermore, the same inter-domain interaction is disrupted when modeling human β-cardiac myosin heavy chain cardiomyopathy mutations E497D or R712L, implying that abolishing this salt bridge is one cause of the human disease.

anochemical and myofibrillar defects in the Drosophila model system.
D. melanogaster serves as an excellent model for testing myosin function in that organisms lacking endogenous myosin in their indirect flight muscles are available to act as transgene recipients (7). This facilitates isolation of pure mutant myosin for in vitro studies (8). Because Drosophila has a single Mhc gene, which encodes multiple myosin heavy chain isoforms via alternative RNA splicing (9,10), there is no concern that isoforms produced by other muscle myosin genes will complicate the analysis. Furthermore, because indirect flight muscle function is not required for viability, the effects of expressing transgenic myosin on muscle structure and function can be assessed, no matter how severe the mutant phenotype.
For the current study, we employed an integrative approach to assess the roles of Drosophila residues Glu-496 and Arg-713 (corresponding to residues Glu-497 and Arg-712 of human MYH7) in myosin and muscle function. Molecular modeling predicted that relay domain residue Glu-496 interacts with converter residue Arg-713 via a salt bridge in both the prepower stroke and post-rigor states. We tested the importance of this interaction by employing mutagenesis to create transgenic lines expressing E496R, R713E, or a putative compensatory mutant (E496R/R713E) designed to restore function to the single-site mutants. Biochemical, ultrastructural, locomotory, and molecular modeling data reveal that this interaction is critical for proper myosin and muscle structure and function and is expected to alter communication of the nucleotide binding state to the power stroke-generating lever arm (11,12). The Drosophila model sheds light on the abnormality inherent in E497D and R712L human HCM mutations, suggesting that aberrations in relay-converter interaction are mechanistically linked to altered myosin function and abnormal muscle morphology that lead to induction of the HCM phenotype.

Experimental Procedures
DNA Constructs and P Element Transformation-Using the pwMhc2 genomic DNA construct (7) and site-directed mutagenesis, we constructed three transgenes: pwMhcE496R, pwMhcR713E, and pwMhcE496R-R713E. To produce pwMhcE496R, the wild-type genomic Mhc construct pwMhc2 containing P element ends and a white ϩ eye color marker was digested with EagI. A resulting 12.5-kb fragment was gel isolated and then subcloned into the pBluescriptKS EagI site (Stratagene, La Jolla, CA) to yield pMhc-3Ј. The remainder of the pwMhc2 clone from the EagI digest was re-ligated to yield pwMhc-5Ј. The pwMhc-5Ј subclone was further digested with EcoRV. A 2.9-kb EcoRV-digested fragment from pwMhc-5Ј was gel isolated and ligated into an EcoRV site in pBluescriptKS, to produce pMhc-5Ј-RV. The pMhc-5Ј-RV subclone was digested with SalI and the 0.8-kb SalI fragment was gel isolated and ligated into the SalI site of pBluescriptKS to produce pMhc-5Ј-Sal. The pMhc-5Ј-Sal subclone contains exon 9a of the relay domain. The pMhc-5Ј-Sal subclone was subjected to the QuikChange II kit (Stratagene) for in vitro mutagenesis. For this purpose, exon-specific primer 5Ј-GTTCGTCATGAGGCAA-GAGGAATA-3Ј was used to create the pE496R-Sal subclone (E496R nucleotide change shown as bold). The mutagenized subclone was sequenced to ensure presence of the appropriate mutated nucleotides with no other changes. Then this subclone was digested with SalI. The 0.8-kb SalI fragment was gel isolated and ligated back into the SalI site of the pMhc-5Ј-RV subclone to yield a pMhcE496R-5Ј-RV subclone. This was digested with AvrII and SphI, which produced a 2.4-kb fragment. This fragment was gel isolated and ligated into pwMhc-5Ј, which had been digested with AvrII and SphI to produce pwMhcE496R-5Ј.
We sequenced the entire coding region, splice junctions, and cloning sites of the final plasmids and detected no differences compared with wild-type, except for the expected amino acid changes arising from site-directed mutagenesis. Transgenic lines containing each of these plasmids were generated by Best-Gene, Inc. (Chino Hills, CA), using P element-mediated transformation (13). Transgenic lines were identified by the presence of pigmented eyes and transgenes were mapped to their chromosomal locations using balancer chromosomes and standard genetic crosses. Transgenes were crossed into an Mhc 10 background that is null for myosin heavy chain in the indirect flight muscles (14), resulting in expression of two copies of each transgene and no endogenous copies of Mhc in these muscles. Two such homozygous lines for each construct were analyzed in detail (Table 1).
Transgene Expression Verification-We confirmed that each transgene expressed RNA containing the appropriate mutation and that transcripts were correctly alternatively spliced by using reverse transcription and the polymerase chain reaction (RT-PCR) and DNA sequencing. RNA was extracted from upper thoraces of 2-day-old adult female flies from each transgenic line using a LiCl 2 method (15). The New England Biolabs Protoscript cDNA synthesis RT-PCR kit was used with 0.5 g of total RNA from each transgenic line and 3 mol of specific reverse primer (see below). PCR was performed using 1 l of cDNA and 3 mol of each specific primer pair (as noted below) using the following conditions: 60 s at 94°C, then 30 cycles of: 30 s at 94°C, 30 s at 55°C, and 2 min at 68°C. RT-PCR products were subcloned using the GeneJet PCR Cloning Kit from Fermentas and sequenced. At least 10 independent clones for each RT-PCR were analyzed. Alternative exons 3 and 7 were examined using a reverse primer specific to exon 8 (5Ј-GTTCGT-CACCCAGGGCCGTA-3Ј) and a forward primer specific to exon 2 (5Ј-TGGATCCCCGACGAGAAGGA-3Ј). Alternative exons 9 and 11 were examined using a reverse primer specific to exon 12 (5Ј-GAGCTTCTTGAAGCCCTTACGG-3Ј) and a forward primer specific to exon 8 (5Ј-TCTGGATACCCAG-CAGAAGCGT-3Ј). Alternative exon 15 was examined using a reverse primer specific to exon 16 (5Ј-GGGTGACAGACGCT-GCTTGGT-3Ј) and a forward specific primer to exon 14 (5Ј-CTCAAGCTCACCCAGGAGGCT-3Ј).
Levels of myosin expression were determined by SDS-PAGE of protein from upper thoraces, followed by digital scanning. One-dimensional SDS-PAGE gels were used to determine myosin expression levels of each transgenic line, as previously described (16). Briefly, each transgenic line was crossed into an Mhc 10 background to eliminate wild-type myosin accumulation in indirect flight and jump muscles. Six dissected upper thoraces from 2-day-old adult female flies for each transgenic line were homogenized in 60 l of SDS gel sample-loading buffer (Bio-Rad, Hercules, CA). Samples were boiled for 5 min prior to loading 6 l on a 9% polyacrylamide gel. Each transgenic line was examined at least five times, each time with a newly prepared sample. Coomassie Blue-stained polyacrylamide gels were digitally scanned using an Epson Expression 636 flatbed scanner. Myosin heavy chain and actin levels were determined by NIH image software and the myosin to actin ratio was compared with the ratio for wild-type flies. All lines examined expressed the expected mutations, splicing patterns, and wild-type levels of myosin in adult upper thoraces (Table 1).
Flight Assay-At least 100 4-h-old or 2-day-old adult flies from each transgenic line (homozygotes in an Mhc 10 background or heterozygotes in an Mhc 10 /ϩ background) were assayed for flight ability at 22°C in a Plexiglas box with a light at its top (17). Upward flight (U) was given a value of 6, horizontal (H) a value of 4, downward (D) a value of 2, and no flight (N) a value of 0. Flight index was calculated as 6U/T ϩ 4H/T ϩ 2D/T ϩ 0N/T, where T is the total number of flies tested (18).
Actin and Myosin Preparation, ATPase Activity, and in vitro Motility-Actin was prepared from chicken skeletal muscle after multiple steps of polymerization-depolymerization. Filamentous actin concentration was determined by spectrophotometry. Myosin was isolated from dissected dorsolongitudinal indirect flight muscles of ϳ250 transgenic flies and its concentration was determined by spectrophotometry. A typical yield was 150 -250 g. Steady-state ATPase activities of myosin were obtained using [␥-32 P]ATP and increasing concentrations of filamentous actin. Basal Mg-ATPase activities obtained in the absence of actin were subtracted from all data points, which were fit with the Michaelis-Menten equation to determine actin-stimulated ATPase (V max ) and actin affinity relative to ATPase (K m ). Ca-ATPase levels, although non-physiological, were measured to assess maximal ATPase activities in the absence of actin. In vitro motility assays were carried out by adding ATP and filamentous actin labeled with fluorescent phalloidin to coverslips coated with wild-type or mutant myosin. Video sequences captured under fluorescence optics were analyzed computationally to determine actin sliding velocity. A final concentration of 2.0 g/l of myosin was used for ATPase assays and 0.5 g/l was used for the in vitro motility assays. We recently described each of these procedures in detail (19). For all ATPase and motility assays (minimum of three independent experiments), statistical significance was determined by one-way analysis of variance followed by Tukey's post hoc test using KaleidaGraph software.
Analysis of Indirect Flight Muscle Ultrastructure-Myofibril assembly and stability were examined for lines expressing each transgene in an Mhc 10 background using transmission electron microscopy as previously described (20). Transverse and longitudinal thin sections were taken from fixed indirect flight muscles of each transgenic line and viewed on a Tecnai 12 transmission electron microscope. Three stages of development were assessed: pupa, 2-h-old adult, and 2-day-old adult. At least three different samples were examined from each stage of development for two transgenic lines expressing each construct.
To quantitate myofibril integrity at each developmental stage, sarcomere structure was rated on a 1-10 scale, with 10 signifying wild-type structure and 1 indicating complete disorganization. Intermediate levels of disorganization were rated based upon degree of disruption in M-and Z-lines and number and size of gaps within a sarcomere. Four sarcomeres from different myofibrils were examined for each of 25 longitudinal images taken from four flies expressing each construct, yielding a total of 100 sarcomeres rated per stage for each type of transgene. Mean scores Ϯ S.E. are reported.
Protein Structure Analysis-Scallop muscle myosin II crystal structures were utilized as templates to predict protein structures of the Drosophila myosin mutants in the pre-power stroke state (Protein Data Bank (PDB) code 1QVI) (21) and the actindetached post-rigor state (PDB code 1KK8) (22). The coordinates of scallop myosin II along with the amino acid sequence of Drosophila indirect flight muscle myosin S1 (with or without mutations) was submitted to the ESyPred3D 1.0 homology modeling server (23). Structures were viewed and interaction distances were measured using PyMOL. Human ␤-cardiac myosin (PDB code 4DB1) was also used for modeling in this manner.

Molecular Modeling Predicts Interaction between Relay Domain Residue Glu-496 and Converter Domain Residue
Arg-713-We modeled the Drosophila indirect flight muscle myosin heavy chain sequence onto scallop muscle myosin II crystal structures to study the location and orientation of the amino acid residues corresponding to human HCM mutations E497D and R712L (Fig. 1A). Drosophila Glu-496 is embedded in the helix of the relay domain (black), whereas Arg-713 is near the N terminus of the converter domain (green) and is adjacent to the SH1 helix (orange). The residues are in close apposition in both the pre-power stroke state (Fig. 1B) and the actin-detached post-rigor state (Fig. 1C). The charged residues form a salt bridge of 3-4 Å at both stages despite the re-orientation of the relay and converter domains relative to each other during the contractile cycle.
E496R, R713E, and E496R/R713E Transgenic Lines Lack Flight Ability, but Flight Is Restored in (E496R/R713E)/ϩ Heterozygotes-We generated three transgenes using in vitro mutagenesis techniques and inserted them into an indirect flight muscle myosin null background (Mhc 10 ) by P elementmediated germline transformation and standard genetic crosses. Two of the three transgenes encode single amino acid changes (E496R and R713E) and the third putative compensatory transgene contains both mutations (E496R/R713E). RT-PCR confirmed that the alternative splicing pattern for each transgenic line is the same as in wild-type and that each transgenic line contains the appropriate site-directed mutation (E496R, R713E, or E496R/R713E) (see "Experimental Procedures"). Myosin heavy chain accumulation levels were normal (Fig. 2), as determined by scanning of stained protein gels (Table 1). In contrast to control transgenics, where the flight index (18) is 4.1 at 4 h and 4.4 at 2 days (0 is no flight, 2 is downward, 4 is horizontal, 6 is upward), each of the transgenic lines examined (two for each construct) had absolutely no flight ability at either stage (Table 1). This was true for heterozygotes for each single mutation, E496R/ϩ or R713E/ϩ (Table 1). In contrast, the flight ability of (E496R/R713E)/ϩ approached normal levels (ϳ3.4 versus 4.6, respectively), but only at the earlier time point. Because one functional copy of the Mhc gene is not sufficient for flight (20), we conclude that the double mutation was capable of rescuing the flightless phenotype in the less restrictive heterozygous genetic background.
Based upon Mg-ATPase activity, additional ATPase parameters were compared among control, mutants, and the potential suppressor. The K m values, which measure actin affinity relative to ATPase stimulation, showed no substantial differences for both single mutants and the double mutant (0.39 Ϯ 0.12 m for E496R, 0.43 Ϯ 0.15 m for R713E, 0.35 Ϯ 0.09 m for E496R/R713E) as compared with control (0.31 Ϯ 0.12 m) (Fig.  3, D and G), suggesting that the mutant proteins remain appropriately folded to interact with actin. The significant reductions in the actin-stimulated Mg-ATPase (V max ) (Fig. 3, D and G) result in ϳ9-fold reduced catalytic efficiency (defined as V max / K m ) in both single mutants (0.74 Ϯ 0.18 M Ϫ1 s Ϫ1 for E496R    3E). The suppressor mutant (E496R/R713E) showed more than 5-fold enhancement of catalytic efficiency at 3.29 Ϯ 1.18 M Ϫ1 s Ϫ1 (p Ͻ 0.001) compared with both single mutants, but remains significantly lower than that for control myosin (p Ͻ 0.05). Thus although mutation of either residue associated with HCM dramatically reduces myosin ATPase activities, the double mutation (a putative suppressor) substantially rescues activities, suggesting that the interaction of the two residues is essential for myosin ATPase function.
E496R and R713E Mutations Decrease in vitro Motility, whereas the E496R/R713E Double Mutation Improves this Parameter-The in vitro actin-sliding assay essentially measures the unloaded velocity of actin filaments driven by myosin molecules and is dependent upon ATPase kinetics, myosin duty ratio, and working stroke size. We found that in vitro actin sliding velocity is greatly perturbed in both the E496R and R713E mutant myosins (Fig. 3F). E496R actin velocity was reduced more than 3-fold (p Ͻ 0.001) compared with wild-type transgenic control myosin (2.04 Ϯ 0.13 versus 6.60 Ϯ 0.21 m s Ϫ1 ). Mutant R713E, which possesses even lower ATPase activity than E496R, did not support actin movement. The actin sliding velocity of double mutant myosin (E496R/R713E) rescues the lack of motility of the R713E myosin and is significantly higher (1.3-fold; p Ͻ 0.05) than the E496R mutant myosin (2.62 Ϯ 0.06 versus 2.04 Ϯ 0.13 m s Ϫ1 ). However, it remains significantly (ϳ2.5-fold) lower (p Ͻ 0.001) than the control. The data suggest that interaction of relay domain residue 496 with converter residue 713 is important for driving in vitro actin motility.
E496R and R713E Mutations Disrupt Myofibril Assembly, whereas the E496R/R713E Double Mutation Rescues Assembly and Improves Myofibril Stability-Deficiencies in myosin function can be mirrored in defective assembly or stability of the myofibrillar apparatus (19,24). Therefore, we used transmission electron microscopy to assay the ultrastructure of the indirect flight muscles from wild-type (pwMhc2), E496R, R713E, and E496R/R713E transgenics at the late pupal stage, in 2-h-old and 2-day-old adults (Fig. 4). Late pupal stage organisms expressing E496R (Fig. 4B) and R713E (Fig. 4C) show assembly defects, with disrupted myofibril morphology and sarcomeres with gaps and peripheral fraying compared with controls (Fig.  4A). Myofibrils containing R713E appear more severely affected. In contrast, the putative compensatory mutant E496R/R713E shows normal hexagonal packing of thick and thin filaments that is essentially identical to wild-type muscle structure (Fig. 4D). Two-h-old adults of both single mutants (Fig. 4, F and G) show continued disruption in myofibril morphology, with thick and thin filaments poorly organized and scattered throughout the cytoplasm compared with controls (Fig. 4E). In contrast, the double mutant shows only minor myofibrillar gaps, with subtle disruption in the double hexagonal packing of thick and thin filaments (Fig. 4H). In 2-day-old adults, all three mutant lines show severe myofibrillar disruption (Fig. 4, J-L). Myofibril boundaries are not defined, thick and thin filaments are scattered throughout the cell and sarcomere structure is disrupted compared with controls that retain normal structure (Fig. 4I).
We visually rated the integrity of sarcomeres for the transgenic lines at each developmental stage ( Table 2). The quantitative results are in concordance with the images described above. Overall, our data indicate that defective myosin function induced by the single mutations in the relay or converter domains inhibits normal myofibril assembly, resulting in myofibril degeneration. In contrast, mutation E496R interacts with mutation R713E to re-establish proper myosin-driven myofibril assembly and to a lesser extent, muscle structure stability.

Modeling Predicted Structures of E496R, R713E, and E496R/ R713E Myosin Mutants Indicates Disrupted, Re-established and New Ionic
Interactions-To define the predicted molecular effects of the single and double mutations, we modeled the Drosophila myosin sequence onto the scallop muscle myosin II crystal structures (Fig. 5) in the pre-power stroke state (left) and in the actin-detached post-rigor state (right). In wild-type (Fig.  5A), the closest distances between negatively charged Glu-496

myosin expression, and flight ability
Each transgenic line was crossed into an Mhc 10 (indirect flight and jump muscle myosin null) background to determine myosin protein accumulation relative to actin. Two of the three independent lines from each transgene are shown. Values are compared to pwMhc2 (wild-type transgenic). Protein amounts from 2-day-old adult female fly upper thoraces are mean Ϯ S.E. for at least five protein preparations and gels. Homozygous or heterozygous transgenic flies (4 h or 2 day-old) were assayed for the ability to fly up (U), horizontal (H), down (D), or not at all (N). Flight index equals 6U/T ϩ 4H/T ϩ 2D/T ϩ 0N/T; T is the total number of flies tested (18 and the positively charged Arg-713 residue is 3.0 Å (pre-power stroke) and 3.9 Å (post-rigor), allowing formation of a salt bridge as previously discussed (Fig. 1). In E496R (Fig. 5B), intro-duction of a positive charge creates repulsion with Arg-713 and increases inter-atomic distances to 4.0 Å (pre-power stroke) and 7.0 Å (post-rigor). In addition, the negatively charged Glu- 499 residue forms a more stable salt-bridge with Arg-713 (2.9 Å) compared with wild-type (4.5 Å) at the post-rigor state (Fig.  5B). For mutant R713E, molecular modeling indicates that disruption of the charge attraction interaction between Glu-496 and Arg-713 increases the closest interatomic distances to 4.2 and 5.7 Å in the pre-power stroke and post-rigor configurations, respectively (Fig. 5C).
In the case of the putative compensatory mutant E496R/ R713E (Fig. 5D), the charge interaction is predicted to be restored, but with some re-orientation of the side chains com- pared with wild type (Fig. 5A). The contact distance between E496R and R713E in the pre-power stroke state (Fig. 5D) is essentially the same as in wild-type (3.2 compared with 3.0 Å, respectively). In the post-rigor conformation, the contact distance of 2.9 Å (Fig. 5D) is less than in wild-type (3.94 Å). This reduced distance might hinder conformational changes that take place during transition states, which could account for the failure of the double mutation to fully rescue the wild-type phenotypes. In addition, absence of a weak salt bridge between residue 713 and Glu-499 that might be present in the wild-type post-rigor state (Fig. 5A, 4.5 Å) could have deleterious effects upon communication between the relay and converter domains. Furthermore, a new weak interaction between E496R and negatively charged residue Glu-499 (Fig. 5D, 4.7 Å) in the pre-power stroke state could dampen the flexibility of the relay helix.

Discussion
Mapping of myosin mutations that induce hypertrophic cardiomyopathy onto myosin crystal structures has identified hot spots that include loop 1 near the site of nucleotide exchange, the HCM loop near the actin binding site, the relay domain, and the converter domain (reviewed in Ref. 4). Several investigations have examined the effects of myosin HCM mutations on ATPase and in vitro motility properties after expressing these mutations in Dictyostelium myosin (25), smooth muscle myosin (26), transgenic mouse cardiac myosin (27), or human ␤-cardiac myosin from cultured mammalian muscle cells (28). Results have varied among the studies, but a consensus appears to be developing that increases in ATPase, in vitro motility, and/or force development are typical properties associated with HCM myosins (29). It thus appears that increased power (force X velocity) or alteration in the range of forces over which peak power occurs may be the basis for generating HCM (reviewed in Ref. 30).
Our novel approach demonstrated that interactions between residues analogous to human ␤-cardiac myosin (MYH7) Glu-497 and Arg-712 are required for normal motor function and myofibril assembly. We find that a salt bridge of 2.7 Å links these residues in human ␤-cardiac myosin (Fig. 6A). Furthermore, the Drosophila myosin sequence modeled onto the human ␤-cardiac myosin backbone yields an identical interresidue distance, supporting the use of the Drosophila protein to predict human myosin domain interactions (Fig. 6B). Although the Drosophila mutations did not duplicate the human mutations affiliated with HCM, and thus would not necessarily mirror the changes in biochemical and physiologi-cal properties that arise in the human HCM patients, they were designed to test the concept that the mutated residues are critical for communication between the relay helix and converter domain of the molecule. Based on our results, it appears likely that disruption of the relay-converter communication pathway in human cardiomyopathy patients results in myosin dysfunction that leads to HCM in the human mutant alleles.
In patients, the E497D mutation results in apical hypertrophic cardiomyopathy, which is limited to the left ventricular apex (5). The effects of this mutation can be compounded by coronary artery disease, in that a relative of the proband with both coronary artery disease and the HCM mutation displayed massive concentric hypertrophy (5). Although the mutant E497D residue retains its negative charge, its reduced bulkiness results in a greater distance between residues 497 and 712, obviating a strong charge interaction (Fig. 6C). For the R712L mutation, the proband displayed electrocardiogram and echocardiograph evidence diagnostic of HCM, and six patients with the mutation showed a moderate to severe clinical course that was age dependent (6). This mutation disrupts the salt bridge to Glu-497 (Fig. 6D) as did the Drosophila E496R mutation. Unlike the Drosophila allele, it would not create a repulsive force. For the human E497D and R712L mutations, it remains to be tested whether mutations in the human myosin backbones yield enhanced or reduced power production.
Another human mutation that affects the residue 497 equivalent, E498G in the MYH3 gene, causes Freeman-Sheldon syndrome, a severe form of distal arthrogryposis (31). MYH3 is primarily expressed in fetal skeletal muscle and Freeman-Sheldon syndrome causes multiple contractures in feet and hands of the affected children. Based upon molecular modeling, Toydemir et al. (31) predicted that the E498G mutation would disrupt the salt bridge interaction with Arg-712. Our study verifies this thesis and shows that this salt bridge is indispensable for normal motor function, myofibril stability, and locomotion.
Several computational studies have provided evidence for the relay functioning as a communication pathway between the nucleotide-binding pocket and the converter domain. This pathway links the state of the nucleotide pocket to the ability of the lever arm to be cocked in the pre-power stroke state or for its release to produce the power stroke. Fischer et al. (32) used the conjugate peak refinement method in conjunction with crystal structures to build a model that transitions myosin from the post-power stroke to the pre-power stroke state via the ATP-induced recovery stroke. By using multiple myosin sequence alignments and physical proximity, Tang et al. (12)  Electron micrographs of indirect flight muscles for each transgenic homozygote at multiple developmental stages were scored as to sarcomere integrity. Twenty-five longitudinal images collected from four organisms were examined at each stage of development for flies expressing each transgenic construct. For each image examined, one sarcomere was assessed from four different myofibrils. Sarcomeres were assigned values ranging from 1 to 10, with 1 indicating complete sarcomere disorganization and 10 resembling wild-type sarcomere structure. Disorganization was defined by degree of disruption in M-or Z-lines and/or gaps within a sarcomere. The mean determined from the assigned scores is reported along with the mean Ϯ S.E. calculated the shortest paths between the catalytic site and the lever arm to identify conserved interacting residues in pre-and post-power stroke structures. Some of these residues had been shown previously to be functionally important via mutagenesis experiments. Interestingly, all of the rigor and post-rigor structures have the equivalent of human residue Glu-497 identified as a pathway member, although not by interaction with Arg-712. This is likely because the authors chose an alternative pathway termination point, even though Arg-712 was identified as a part of a residue cluster near the beginning of the lever arm (12). In another study, Yu et al. (33) used targeted molecular dynamics to define amino acid residues important to the recovery stroke. They indicated that breaking of a hydrogen bond between Glu-497 and Met-493 occurs when the relay helix unwinds (also see Ref. 32), but that Glu-497 subsequently interacts with Arg-712 and then Arg-712 interacts with Glu-500 to stabilize a kink in the relay helix. Clearly the interacting Glu-497 and Arg-712 residues we focused on in this study are key elements in relaying information from the active site to the converter domain/lever arm. Additional mutagenesis studies have shown that other residues at this interface serve a critical role in relay-converter interaction (19,34). A remarkable aspect of our analysis is that ultrastructural defects in sarcomere assembly can arise from mutations in the relay or converter domains. This is consistent with our previous studies on mutants and isoform domain switches (19,35,36), and suggests that a functional relay-converter interface permits necessary interactions required for myofibrillogenesis. Structural defects may be exacerbated by altered actin-myosin interactions during attempted muscle use. Our results raise the question as to whether such abnormalities in sarcomere assembly, even if they are subtle, might arise due to HCM mutations in human cardiac muscle. Perhaps these sorts of structural defects, in conjunction with myosin biochemical abnormalities, trigger the compensatory program that eventually results in hypertrophy. It is possible that structural defects in the myofibril in the absence of motor abnormalities can lead to HCM, which could explain the ability of rod domain mutations to induce HCM (4), even though they are unlikely to affect myosin motor activity.

Stage
In summary, we found that two myosin residues implicated in HCM interact via a salt bridge and that disruption of this bridge by charge reversal mutations results in severe defects in the myosin ATPase, actin sliding velocity, myofibril assembly/ stability, and muscle function. Using a unique genetic suppres- FIGURE 5. Potential interactions of amino acid residues in mutants E496R, R713E, and in putative compensatory mutant E496R/R713E. Location of residues 496, 499, and 713 in Drosophila indirect flight muscle myosin were mapped onto the crystal structure of scallop myosin S1 in the pre-power stroke state (PDB code 1QVI; left panels) and the post-power stroke, actindetached state (PDB code 1KK8; right panels). A, in wild-type myosin, negatively charged Glu-496 is predicted to form a salt bridge with positively charged Arg-713 in the pre-(3.0 Å) and post-(3.9 Å) power stroke states. Residue Glu-499 is distant from both Arg-713 (5.9 Å) and Glu-496 (7.3 Å) in the pre-power stroke state, but shows propensity for a weak interaction with oppositely charged Arg-713 (4.5 Å) in the post-power stroke state. B, for mutant E496R, the salt bridge with Arg-713 is disrupted, although the residues remain in close proximity in the pre-power stroke state only (4.0 Å). In addition, negatively charged Glu-499 has a reduced contact distance from positively charged Arg-713 compared with wild-type at both the pre-(4.8 versus 5.9 Å) and post-(2.9 versus 4.5 Å) power stroke stages. Other distances measured between the residues would not allow significant interactions. C, for mutant R713E, the salt bridge with Glu-496 is disrupted, although the residues remain in relatively close proximity in the pre-power stroke state (4.2 Å). All other interactions previously mapped are neither stabilized via salt bridges, nor within close enough proximity to be significant. D, putative compensatory mutant E496R/R713E, restores the salt bridge of wild-type in both the pre-(3.2 Å versus 3.0 Å) and post-(2.9 Å versus 3.9 Å) power stroke states. The double mutation disrupts any propensity for a salt bridge to form between glutamic acid residues 713 and 499 (4.4 Å), but allows a unique weak interaction between E496R and Glu-499 at the pre-power stroke state (4.7 Å). Drosophila muscle myosin numbering is used throughout. sion approach, we showed that compensatory mutations could rescue many of these defects, thereby verifying that this specific interaction between the relay helix and the converter domain is absolutely critical to myosin function and that its disruption is the likely primary cause of two varieties of HCM.