Familial hypertrophic cardiomyopathy (FHC) is caused by mutations in sarcomeric proteins including the myosin regulatory light chain (RLC). Two such FHC mutations, R58Q and N47K, located near the cationic binding site of the RLC, have been identified from population studies. To examine the molecular basis for the observed phenotypes, we exchanged endogenous RLC from native porcine cardiac myosin with recombinant human ventricular wild type (WT) or FHC mutant RLC and examined the ability of the reconstituted myosin to propel actin filament sliding using the in vitro motility assay. We find that, whereas the mutant myosins are indistinguishable from the controls (WT or native myosin) under unloaded conditions, both R58Q-and N47K-exchanged myosins show reductions in force and power output compared with WT or native myosin. We also show that the changes in loaded kinetics are a result of mutation-induced loss of myosin strain sensitivity of ADP affinity. We propose that the R58Q and N47K mutations alter the mechanical properties of the myosin neck region, leading to altered loaddependent kinetics that may explain the observed mutant-induced FHC phenotypes.in vitro motility | load-dependent kinetics | familial hypertrophic cardiomyopathy | R58Q | N47K F amilial hypertrophic cardiomyopathy (FHC), the leading cause of sudden cardiac death in people under 30 (1), is characterized by several changes in cardiac structure including myofibrillar disarray and thickening of the left ventricle, papillary muscles, and/or septum. FHC is a disease of the sarcomere, resulting from mutations of cardiac proteins (reviewed in refs. 1 and 2) including the regulatory (RLC) and essential (ELC) light chains of myosin.Each myosin molecule is a hexamer composed of two myosin heavy chains (MHC), two RLCs, and two ELCs (3). The α-helical neck region of the MHC has been proposed to act as a lever arm, amplifying small conformational changes that originate at the myosin catalytic site into large movements needed to produce contractile force. The α-helical neck, supported by the two light chains, has been proposed to function as a compliant element (4-6), with the light chains imparting stiffness to the lever arm. Therefore, disruption of the light chain binding to the MHC could conceivably impair force generation as well as the transmission of external loads to the myosin active site, leading to a loss of myosin strain sensitivity.The RLC is a calmodulin homology protein that contains an EF-hand Ca 2+ -Mg 2+ binding site and also a highly conserved phosphorylatable serine, both sites located at the N terminus of the RLC. It has also been shown that both phosphorylation of the RLC (7, 8) and the presence of bound cation (9) play important roles in the structure and function of myosin, reinforcing the notion that there is a high degree of interdomain communication between these sites.Given the functional importance of the RLC-containing neck domain of myosin, it is not surprising that mutations of the RLC can cause FHC. Population studies have i...