Biomechanical response of ultrathin slices of hypertrophic cardiomyopathy tissue to myosin modulator mavacamten - 05/01/24

Abstract |
Hypertrophic cardiomyopathy (HCM) is the most common inherited myocardial disorder of the heart, but effective treatment options remain limited. Mavacamten, a direct myosin modulator, has been presented as novel pharmacological therapy for HCM. The aim of this study was to analyze the biomechanical response of HCM tissue to Mavacamten using living myocardial slices (LMS). LMS (n = 58) from patients with HCM (n = 10) were cultured under electromechanical stimulation, and Verapamil and Mavacamten were administered on consecutive days to evaluate their effects on cardiac biomechanics. Mavacamten and Verapamil reduced contractile force and dF/dt and increased time-to-relaxation in a similar manner. Yet, the time-to-peak of the cardiac contraction was prolonged after administration of Mavacamten (221.0 ms (208.8 – 236.3) vs. 237.7 (221.0 – 254.7), p = 0.004). In addition, Mavacamten prolonged the functional refractory period (FRP) (330 ms (304 − 351) vs. 355 ms (313 − 370), p = 0.023) and better preserved twitch force with increasing stimulation frequencies, compared to Verapamil. As such, Mavacamten reduced (hyper-)contractility and prolonged contraction duration of HCM LMS, suggesting a reduction in cardiac wall stress. Also, Mavacamten might protect against the development of ventricular tachyarrhythmias due to prolongation of the FRP, and improve toleration of tachycardia due to better preservation of twitch force at tachycardiac stimulation frequencies.
Le texte complet de cet article est disponible en PDF.Graphical Abstract |
Mavacamten administered to living myocardial slices from patients with hypertrophic cardiomyopathy (HCM) decreased contractile force and dF/dt, and increased time-to-peak. Mavacamten administration prolonged the functional refractory period and better preserved contractile force at tachycardiac stimulation frequencies, compared to Verapamil.
Mavacamten administered to living myocardial slices from patients with hypertrophic cardiomyopathy (HCM) decreased contractile force and dF/dt, and increased time-to-peak. Mavacamten administration prolonged the functional refractory period and better preserved contractile force at tachycardiac stimulation frequencies, compared to Verapamil.ga1Le texte complet de cet article est disponible en PDF.
Highlights |
• | Living myocardial slices from HCM tissue present a strong pathophysiological model. |
• | Mavacamten reduced (hyper-)contractility of HCM living myocardial slices. |
• | Mavacamten prolonged the functional refractory period. |
• | Mavacamten better preserved contractility during tachycardia, compared to Verapamil. |
Keywords : Living myocardial slices, Hypertrophic cardiomyopathy, Myosin modulators, Translational research
Plan
Vol 170
Article 116036- janvier 2024 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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