MYH9-related disorders are autosomal dominant syndromes, variably affecting platelet formation, hearing, and kidney function, and result from mutations in the human nonmuscle myosin-IIA heavy chain gene. To understand the mechanisms by which mutations in the rod region disrupt nonmuscle myosin-IIA function, we examined the in vitro behavior of 4 common mutant forms of the rod (R1165C, D1424N, E1841K, and R1933Stop) compared with wild type. We used negative-stain electron microscopy to analyze paracrystal morphology, a model system for the assembly of individual myosin-II molecules into bipolar filaments. Wild-type tail fragments formed ordered paracrystal arrays, whereas mutants formed aberrant aggregates. In mixing experiments, the mutants act dominantly to interfere with the proper assembly of wild type. Using circular dichroism, we find that 2 mutants affect the ␣-helical coiled-coil structure of individual molecules, and 2 mutants disrupt the lateral associations among individual molecules necessary to form higher-order assemblies, helping explain the dominant effects of these mutants. These results demonstrate that the most common mutations in MYH9, lesions in the rod, cause defects in nonmuscle myosin-IIA assembly. Further, the application of these methods to biochemically characterize rod mutations could be extended to other myosins responsible for disease.
IntroductionThe autosomal dominant, giant-platelet disorders-May-Hegglin anomaly (MHA), Fechtner (FTNS), Sebastian (SBS), Epstein (EPS), and Alport-like syndromes with macrothrombocytopeniasresult from mutations in the human MYH9 gene, which encodes nonmuscle myosin-IIA heavy chain. [1][2][3][4][5] Virtually all patients exhibit platelet macrocytosis, thrombocytopenia, and leukocyte inclusions. Some individuals also exhibit high-tone sensorineural deafness, cataracts, and nephritis to varying degrees. Additional genetic or environmental factors may contribute to the variable penetrance of the nonhematologic clinical manifestations. 6,7 A single family with predominantly hearing loss has been reported. 8 Together, these illnesses represent a spectrum of disorders collectively termed MYH9-related disorders. 6,7,9 Of the 82 mutations identified in MYH9-related disorder families, only 21 amino acids, out of a possible 1961, are mutated. 3,7,10 Identical MYH9 mutations occur in unrelated families and can arise spontaneously, suggesting that these disorders result from highly specific disruption of the MYH9 structure and/or function. Mutations at other sites may occur and remain undetected owing to (1) a completely recessive alteration in myosin-II function, (2) a weakly penetrant dominant effect that escapes clinical detection, or (3) severe dysfunction that is incompatible with life.In humans, the 3 nonmuscle myosin-II heavy chains (IIA, IIB, and IIC) are encoded by distinct genes (MYH9, MYH10, and MYH14, respectively). 11 Only nonmuscle myosin-IIA is expressed in platelets, 12,13 and no mutations in nonmuscle myosin-IIB or myosin-IIC have been reported. ...