General Information of Drug Off-Target (DOT) (ID: OT3YNCH1)

DOT Name Myosin-6 (MYH6)
Synonyms Myosin heavy chain 6; Myosin heavy chain, cardiac muscle alpha isoform; MyHC-alpha
Gene Name MYH6
Related Disease
Breast cancer ( )
Breast carcinoma ( )
Non-insulin dependent diabetes ( )
Advanced cancer ( )
Alzheimer disease ( )
Atrial fibrillation ( )
Atrial septal defect ( )
Cardiomyopathy ( )
Colorectal carcinoma ( )
Congestive heart failure ( )
Deafness ( )
Dilated cardiomyopathy 1A ( )
Epithelial ovarian cancer ( )
Familial dilated cardiomyopathy ( )
Hepatocellular carcinoma ( )
High blood pressure ( )
Hypertrophic cardiomyopathy 14 ( )
Hypoplastic left heart syndrome ( )
Hypoplastic left heart syndrome 1 ( )
Hypothyroidism ( )
Myocardial infarction ( )
Myopathy ( )
Neoplasm ( )
Obesity ( )
Ovarian cancer ( )
Ovarian neoplasm ( )
Sensorineural hearing loss disorder ( )
Sick sinus syndrome ( )
Sinoatrial node disorder ( )
Stroke ( )
Cardiac failure ( )
Familial atrial fibrillation ( )
Familial hypertrophic cardiomyopathy ( )
Keppen-Lubinsky syndrome ( )
Lung cancer ( )
Lung carcinoma ( )
Melanoma ( )
Wolff-Parkinson-White syndrome ( )
Obsolete familial isolated dilated cardiomyopathy ( )
Amyotrophic lateral sclerosis ( )
Arrhythmia ( )
Atrial septal defect 3 ( )
Dilated cardiomyopathy ( )
Hypertrophic cardiomyopathy ( )
Hypertrophic cardiomyopathy 1 ( )
Prostate cancer ( )
Prostate carcinoma ( )
UniProt ID
MYH6_HUMAN
3D Structure
Download
2D Sequence (FASTA)
Download
3D Structure (PDB)
Download
Pfam ID
PF00063 ; PF02736 ; PF01576
Sequence
MTDAQMADFGAAAQYLRKSEKERLEAQTRPFDIRTECFVPDDKEEFVKAKILSREGGKVI
AETENGKTVTVKEDQVLQQNPPKFDKIEDMAMLTFLHEPAVLFNLKERYAAWMIYTYSGL
FCVTVNPYKWLPVYNAEVVAAYRGKKRSEAPPHIFSISDNAYQYMLTDRENQSILITGES
GAGKTVNTKRVIQYFASIAAIGDRGKKDNANANKGTLEDQIIQANPALEAFGNAKTVRND
NSSRFGKFIRIHFGATGKLASADIETYLLEKSRVIFQLKAERNYHIFYQILSNKKPELLD
MLLVTNNPYDYAFVSQGEVSVASIDDSEELMATDSAFDVLGFTSEEKAGVYKLTGAIMHY
GNMKFKQKQREEQAEPDGTEDADKSAYLMGLNSADLLKGLCHPRVKVGNEYVTKGQSVQQ
VYYSIGALAKAVYEKMFNWMVTRINATLETKQPRQYFIGVLDIAGFEIFDFNSFEQLCIN
FTNEKLQQFFNHHMFVLEQEEYKKEGIEWTFIDFGMDLQACIDLIEKPMGIMSILEEECM
FPKATDMTFKAKLYDNHLGKSNNFQKPRNIKGKQEAHFSLIHYAGTVDYNILGWLEKNKD
PLNETVVALYQKSSLKLMATLFSSYATADTGDSGKSKGGKKKGSSFQTVSALHRENLNKL
MTNLRTTHPHFVRCIIPNERKAPGVMDNPLVMHQLRCNGVLEGIRICRKGFPNRILYGDF
RQRYRILNPVAIPEGQFIDSRKGTEKLLSSLDIDHNQYKFGHTKVFFKAGLLGLLEEMRD
ERLSRIITRMQAQARGQLMRIEFKKIVERRDALLVIQWNIRAFMGVKNWPWMKLYFKIKP
LLKSAETEKEMATMKEEFGRIKETLEKSEARRKELEEKMVSLLQEKNDLQLQVQAEQDNL
NDAEERCDQLIKNKIQLEAKVKEMNERLEDEEEMNAELTAKKRKLEDECSELKKDIDDLE
LTLAKVEKEKHATENKVKNLTEEMAGLDEIIAKLTKEKKALQEAHQQALDDLQVEEDKVN
SLSKSKVKLEQQVDDLEGSLEQEKKVRMDLERAKRKLEGDLKLTQESIMDLENDKLQLEE
KLKKKEFDINQQNSKIEDEQVLALQLQKKLKENQARIEELEEELEAERTARAKVEKLRSD
LSRELEEISERLEEAGGATSVQIEMNKKREAEFQKMRRDLEEATLQHEATAAALRKKHAD
SVAELGEQIDNLQRVKQKLEKEKSEFKLELDDVTSNMEQIIKAKANLEKVSRTLEDQANE
YRVKLEEAQRSLNDFTTQRAKLQTENGELARQLEEKEALISQLTRGKLSYTQQMEDLKRQ
LEEEGKAKNALAHALQSARHDCDLLREQYEEETEAKAELQRVLSKANSEVAQWRTKYETD
AIQRTEELEEAKKKLAQRLQDAEEAVEAVNAKCSSLEKTKHRLQNEIEDLMVDVERSNAA
AAALDKKQRNFDKILAEWKQKYEESQSELESSQKEARSLSTELFKLKNAYEESLEHLETF
KRENKNLQEEISDLTEQLGEGGKNVHELEKVRKQLEVEKLELQSALEEAEASLEHEEGKI
LRAQLEFNQIKAEIERKLAEKDEEMEQAKRNHQRVVDSLQTSLDAETRSRNEVLRVKKKM
EGDLNEMEIQLSHANRMAAEAQKQVKSLQSLLKDTQIQLDDAVRANDDLKENIAIVERRN
NLLQAELEELRAVVEQTERSRKLAEQELIETSERVQLLHSQNTSLINQKKKMESDLTQLQ
SEVEEAVQECRNAEEKAKKAITDAAMMAEELKKEQDTSAHLERMKKNMEQTIKDLQHRLD
EAEQIALKGGKKQLQKLEARVRELEGELEAEQKRNAESVKGMRKSERRIKELTYQTEEDK
KNLLRLQDLVDKLQLKVKAYKRQAEEAEEQANTNLSKFRKVQHELDEAEERADIAESQVN
KLRAKSRDIGAKQKMHDEE
Function Muscle contraction.
KEGG Pathway
cGMP-PKG sig.ling pathway (hsa04022 )
Cardiac muscle contraction (hsa04260 )
Adrenergic sig.ling in cardiomyocytes (hsa04261 )
Motor proteins (hsa04814 )
Cytoskeleton in muscle cells (hsa04820 )
Thyroid hormone sig.ling pathway (hsa04919 )
Hypertrophic cardiomyopathy (hsa05410 )
Dilated cardiomyopathy (hsa05414 )
Viral myocarditis (hsa05416 )
Reactome Pathway
Striated Muscle Contraction (R-HSA-390522 )

Molecular Interaction Atlas (MIA) of This DOT

47 Disease(s) Related to This DOT
Disease Name Disease ID Evidence Level Mode of Inheritance REF
Breast cancer DIS7DPX1 Definitive Biomarker [1]
Breast carcinoma DIS2UE88 Definitive Biomarker [1]
Non-insulin dependent diabetes DISK1O5Z Definitive Altered Expression [2]
Advanced cancer DISAT1Z9 Strong Biomarker [3]
Alzheimer disease DISF8S70 Strong Biomarker [4]
Atrial fibrillation DIS15W6U Strong Genetic Variation [5]
Atrial septal defect DISJT76B Strong Genetic Variation [6]
Cardiomyopathy DISUPZRG Strong Genetic Variation [7]
Colorectal carcinoma DIS5PYL0 Strong Altered Expression [8]
Congestive heart failure DIS32MEA Strong Biomarker [9]
Deafness DISKCLH4 Strong Biomarker [10]
Dilated cardiomyopathy 1A DIS0RK9Z Strong Biomarker [11]
Epithelial ovarian cancer DIS56MH2 Strong Biomarker [12]
Familial dilated cardiomyopathy DISBHDU9 Strong GermlineCausalMutation [13]
Hepatocellular carcinoma DIS0J828 Strong Biomarker [14]
High blood pressure DISY2OHH Strong Biomarker [15]
Hypertrophic cardiomyopathy 14 DISO7LHK Strong Autosomal dominant [16]
Hypoplastic left heart syndrome DISSLFZ4 Strong Genetic Variation [17]
Hypoplastic left heart syndrome 1 DISW3OY8 Strong Genetic Variation [17]
Hypothyroidism DISR0H6D Strong Biomarker [18]
Myocardial infarction DIS655KI Strong Biomarker [19]
Myopathy DISOWG27 Strong Biomarker [20]
Neoplasm DISZKGEW Strong Biomarker [21]
Obesity DIS47Y1K Strong Biomarker [15]
Ovarian cancer DISZJHAP Strong Biomarker [12]
Ovarian neoplasm DISEAFTY Strong Biomarker [12]
Sensorineural hearing loss disorder DISJV45Z Strong Genetic Variation [22]
Sick sinus syndrome DIS5AOLK Strong Genetic Variation [23]
Sinoatrial node disorder DISYJI6J Strong Biomarker [24]
Stroke DISX6UHX Strong Biomarker [25]
Cardiac failure DISDC067 moderate Biomarker [9]
Familial atrial fibrillation DISL4AGF moderate Biomarker [5]
Familial hypertrophic cardiomyopathy DISQ89HN moderate Genetic Variation [26]
Keppen-Lubinsky syndrome DISADE3A Moderate Autosomal dominant [27]
Lung cancer DISCM4YA moderate Biomarker [28]
Lung carcinoma DISTR26C moderate Biomarker [28]
Melanoma DIS1RRCY moderate Biomarker [29]
Wolff-Parkinson-White syndrome DISW4TQ8 moderate Genetic Variation [30]
Obsolete familial isolated dilated cardiomyopathy DIS4FXO4 Supportive Autosomal dominant [31]
Amyotrophic lateral sclerosis DISF7HVM Limited Genetic Variation [32]
Arrhythmia DISFF2NI Limited Biomarker [33]
Atrial septal defect 3 DISCFPU5 Limited Autosomal dominant [16]
Dilated cardiomyopathy DISX608J Limited Autosomal dominant [34]
Hypertrophic cardiomyopathy DISQG2AI Limited Autosomal dominant [34]
Hypertrophic cardiomyopathy 1 DISFOPCJ Limited CausalMutation [35]
Prostate cancer DISF190Y Limited Biomarker [36]
Prostate carcinoma DISMJPLE Limited Biomarker [29]
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⏷ Show the Full List of 47 Disease(s)
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This DOT
This DOT Affected the Drug Response of 1 Drug(s)
Drug Name Drug ID Highest Status Interaction REF
Warfarin DMJYCVW Approved Myosin-6 (MYH6) affects the response to substance of Warfarin. [48]
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1 Drug(s) Affected the Post-Translational Modifications of This DOT
Drug Name Drug ID Highest Status Interaction REF
Valproate DMCFE9I Approved Valproate increases the methylation of Myosin-6 (MYH6). [37]
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14 Drug(s) Affected the Gene/Protein Processing of This DOT
Drug Name Drug ID Highest Status Interaction REF
Doxorubicin DMVP5YE Approved Doxorubicin decreases the expression of Myosin-6 (MYH6). [38]
Estradiol DMUNTE3 Approved Estradiol decreases the expression of Myosin-6 (MYH6). [39]
Arsenic trioxide DM61TA4 Approved Arsenic trioxide increases the expression of Myosin-6 (MYH6). [40]
Triclosan DMZUR4N Approved Triclosan decreases the expression of Myosin-6 (MYH6). [41]
Dexamethasone DMMWZET Approved Dexamethasone affects the expression of Myosin-6 (MYH6). [42]
Folic acid DMEMBJC Approved Folic acid decreases the expression of Myosin-6 (MYH6). [43]
Rifampicin DM5DSFZ Approved Rifampicin increases the expression of Myosin-6 (MYH6). [44]
Mitoxantrone DMM39BF Approved Mitoxantrone decreases the expression of Myosin-6 (MYH6). [38]
Daunorubicin DMQUSBT Approved Daunorubicin decreases the expression of Myosin-6 (MYH6). [38]
Genistein DM0JETC Phase 2/3 Genistein decreases the expression of Myosin-6 (MYH6). [39]
Benzo(a)pyrene DMN7J43 Phase 1 Benzo(a)pyrene increases the mutagenesis of Myosin-6 (MYH6). [45]
Ribavirin DMEYLH9 Phase 1 Trial Ribavirin decreases the expression of Myosin-6 (MYH6). [46]
PMID28460551-Compound-2 DM4DOUB Patented PMID28460551-Compound-2 increases the expression of Myosin-6 (MYH6). [47]
Bisphenol A DM2ZLD7 Investigative Bisphenol A decreases the expression of Myosin-6 (MYH6). [39]
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⏷ Show the Full List of 14 Drug(s)

References

1 Lentivirus-Mediated Knockdown of Myosin VI Inhibits Cell Proliferation of Breast Cancer Cell.Cancer Biother Radiopharm. 2015 Oct;30(8):330-5. doi: 10.1089/cbr.2014.1759. Epub 2015 Sep 25.
2 Sex Differences in Cardiac Mitochondria in the New Zealand Obese Mouse.Front Endocrinol (Lausanne). 2018 Dec 4;9:732. doi: 10.3389/fendo.2018.00732. eCollection 2018.
3 Competition between two high- and low-affinity protein-binding sites in myosin VI controls its cellular function.J Biol Chem. 2020 Jan 10;295(2):337-347. doi: 10.1074/jbc.RA119.010142. Epub 2019 Nov 19.
4 Filamin-A and Myosin VI colocalize with fibrillary Tau protein in Alzheimer's disease and FTDP-17 brains.Brain Res. 2010 Jul 23;1345:182-9. doi: 10.1016/j.brainres.2010.05.007. Epub 2010 May 10.
5 Biobank-driven genomic discovery yields new insight into atrial fibrillation biology.Nat Genet. 2018 Sep;50(9):1234-1239. doi: 10.1038/s41588-018-0171-3. Epub 2018 Jul 30.
6 Novel Genetic Variants of Sporadic Atrial Septal Defect (ASD) in a Chinese Population Identified by Whole-Exome Sequencing (WES).Med Sci Monit. 2018 Mar 5;24:1340-1358. doi: 10.12659/msm.908923.
7 Transcription Factor EB Activation Rescues Advanced B-Crystallin Mutation-Induced Cardiomyopathy by Normalizing Desmin Localization.J Am Heart Assoc. 2019 Feb 19;8(4):e010866. doi: 10.1161/JAHA.118.010866.
8 Downregulation of myosin VI reduced cell growth and increased apoptosis in human colorectal cancer.Acta Biochim Biophys Sin (Shanghai). 2016 May;48(5):430-6. doi: 10.1093/abbs/gmw020. Epub 2016 Apr 3.
9 Control of p21Cip by BRCA1-associated protein is critical for cardiomyocyte cell cycle progression and survival.Cardiovasc Res. 2020 Mar 1;116(3):592-604. doi: 10.1093/cvr/cvz177.
10 Genotype-phenotype relationship in three cases with overlapping 19p13.12 microdeletions.Eur J Hum Genet. 2010 Dec;18(12):1302-9. doi: 10.1038/ejhg.2010.115. Epub 2010 Jul 21.
11 Cardiac-Specific Cre Induces Age-Dependent Dilated Cardiomyopathy (DCM) in Mice.Molecules. 2019 Mar 26;24(6):1189. doi: 10.3390/molecules24061189.
12 Diverse functions of myosin VI elucidated by an isoform-specific -helix domain.Nat Struct Mol Biol. 2016 Apr;23(4):300-308. doi: 10.1038/nsmb.3187. Epub 2016 Mar 7.
13 Coding sequence rare variants identified in MYBPC3, MYH6, TPM1, TNNC1, and TNNI3 from 312 patients with familial or idiopathic dilated cardiomyopathy. Circ Cardiovasc Genet. 2010 Apr;3(2):155-61. doi: 10.1161/CIRCGENETICS.109.912345. Epub 2010 Mar 9.
14 Knockdown of Myosin VI Inhibits Proliferation of Hepatocellular Carcinoma Cells In Vitro.Chem Biol Drug Des. 2015 Oct;86(4):723-30. doi: 10.1111/cbdd.12544. Epub 2015 Mar 17.
15 Maternal diet-induced obesity programmes cardiac dysfunction in male mice independently of post-weaning diet.Cardiovasc Res. 2018 Aug 1;114(10):1372-1384. doi: 10.1093/cvr/cvy082.
16 Mutation in myosin heavy chain 6 causes atrial septal defect. Nat Genet. 2005 Apr;37(4):423-8. doi: 10.1038/ng1526. Epub 2005 Feb 27.
17 Impact of MYH6 variants in hypoplastic left heart syndrome.Physiol Genomics. 2016 Dec 1;48(12):912-921. doi: 10.1152/physiolgenomics.00091.2016. Epub 2016 Oct 27.
18 Changes in myosin and creatine kinase mRNA levels with cardiac hypertrophy and hypothyroidism.Basic Res Cardiol. 1990 Sep-Oct;85(5):481-94. doi: 10.1007/BF01931494.
19 Impact of cardiac-specific expression of CD39 on myocardial infarct size in mice.Life Sci. 2017 Jun 15;179:54-59. doi: 10.1016/j.lfs.2016.10.016. Epub 2016 Oct 15.
20 Myosin VI localization and expression in striated muscle pathology.Anat Rec (Hoboken). 2014 Sep;297(9):1706-13. doi: 10.1002/ar.22967.
21 Differential gene expression analysis of HNSCC tumors deciphered tobacco dependent and independent molecular signatures.Oncotarget. 2019 Oct 22;10(58):6168-6183. doi: 10.18632/oncotarget.27249. eCollection 2019 Oct 22.
22 A humanized mouse model, demonstrating progressive hearing loss caused by MYO6 p.C442Y, is inherited in a semi-dominant pattern.Hear Res. 2019 Aug;379:79-88. doi: 10.1016/j.heares.2019.04.014. Epub 2019 Apr 26.
23 Novel mutation in the -myosin heavy chain gene is associated with sick sinus syndrome.Circ Arrhythm Electrophysiol. 2015 Apr;8(2):400-8. doi: 10.1161/CIRCEP.114.002534. Epub 2015 Feb 25.
24 A rare variant in MYH6 is associated with high risk of sick sinus syndrome.Nat Genet. 2011 Mar 6;43(4):316-20. doi: 10.1038/ng.781.
25 An intermediate along the recovery stroke of myosin VI revealed by X-ray crystallography and molecular dynamics.Proc Natl Acad Sci U S A. 2018 Jun 12;115(24):6213-6218. doi: 10.1073/pnas.1711512115. Epub 2018 May 29.
26 Early remodeling of repolarizing K(+) currents in the MHC(403/+) mouse model of familial hypertrophic cardiomyopathy.J Mol Cell Cardiol. 2017 Feb;103:93-101. doi: 10.1016/j.yjmcc.2017.01.006. Epub 2017 Jan 13.
27 Spatial distribution of "tissue-specific" antigens in the developing human heart and skeletal muscle. II. An immunohistochemical analysis of myosin heavy chain isoform expression patterns in the embryonic heart. Anat Rec. 1991 Mar;229(3):355-68. doi: 10.1002/ar.1092290309.
28 Lentivirus-Mediated Silencing of Myosin VI Inhibits Proliferation and Cell Cycle Progression in Human Lung Cancer Cells.Chem Biol Drug Des. 2015 Oct;86(4):606-13. doi: 10.1111/cbdd.12528. Epub 2015 Feb 19.
29 Knockdown of myosin VI by lentivirus-mediated short hairpin RNA suppresses proliferation of melanoma.Mol Med Rep. 2015 Nov;12(5):6801-6. doi: 10.3892/mmr.2015.4261. Epub 2015 Aug 28.
30 Exome analysis of a family with Wolff-Parkinson-White syndrome identifies a novel disease locus.Am J Med Genet A. 2015 Dec;167A(12):2975-84. doi: 10.1002/ajmg.a.37297. Epub 2015 Aug 18.
31 Alpha-myosin heavy chain: a sarcomeric gene associated with dilated and hypertrophic phenotypes of cardiomyopathy. Circulation. 2005 Jul 5;112(1):54-9. doi: 10.1161/CIRCULATIONAHA.104.507699.
32 Defects in optineurin- and myosin VI-mediated cellular trafficking in amyotrophic lateral sclerosis.Hum Mol Genet. 2015 Jul 1;24(13):3830-46. doi: 10.1093/hmg/ddv126. Epub 2015 Apr 9.
33 CRISPR/Cas9 editing in human pluripotent stem cell-cardiomyocytes highlights arrhythmias, hypocontractility, and energy depletion as potential therapeutic targets for hypertrophic cardiomyopathy. Eur Heart J. 2018 Nov 14;39(43):3879-3892. doi: 10.1093/eurheartj/ehy249.
34 Technical standards for the interpretation and reporting of constitutional copy-number variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics (ACMG) and the Clinical Genome Resource (ClinGen). Genet Med. 2020 Feb;22(2):245-257. doi: 10.1038/s41436-019-0686-8. Epub 2019 Nov 6.
35 Mutations in MYH7 reduce the force generating capacity of sarcomeres in human familial hypertrophic cardiomyopathy.Cardiovasc Res. 2013 Aug 1;99(3):432-41. doi: 10.1093/cvr/cvt119. Epub 2013 May 13.
36 NDP52 activates nuclear myosin VI to enhance RNA polymerase II transcription.Nat Commun. 2017 Nov 30;8(1):1871. doi: 10.1038/s41467-017-02050-w.
37 Integrative omics data analyses of repeated dose toxicity of valproic acid in vitro reveal new mechanisms of steatosis induction. Toxicology. 2018 Jan 15;393:160-170.
38 Identification of genomic biomarkers for anthracycline-induced cardiotoxicity in human iPSC-derived cardiomyocytes: an in vitro repeated exposure toxicity approach for safety assessment. Arch Toxicol. 2016 Nov;90(11):2763-2777.
39 Convergent transcriptional profiles induced by endogenous estrogen and distinct xenoestrogens in breast cancer cells. Carcinogenesis. 2006 Aug;27(8):1567-78.
40 Essential role of cell cycle regulatory genes p21 and p27 expression in inhibition of breast cancer cells by arsenic trioxide. Med Oncol. 2011 Dec;28(4):1225-54.
41 Transcriptome and DNA methylome dynamics during triclosan-induced cardiomyocyte differentiation toxicity. Stem Cells Int. 2018 Oct 29;2018:8608327.
42 Neuronal and cardiac toxicity of pharmacological compounds identified through transcriptomic analysis of human pluripotent stem cell-derived embryoid bodies. Toxicol Appl Pharmacol. 2021 Dec 15;433:115792. doi: 10.1016/j.taap.2021.115792. Epub 2021 Nov 3.
43 Folic acid supplementation dysregulates gene expression in lymphoblastoid cells--implications in nutrition. Biochem Biophys Res Commun. 2011 Sep 9;412(4):688-92. doi: 10.1016/j.bbrc.2011.08.027. Epub 2011 Aug 16.
44 Integrated analysis of rifampicin-induced microRNA and gene expression changes in human hepatocytes. Drug Metab Pharmacokinet. 2014;29(4):333-40.
45 Exome-wide mutation profile in benzo[a]pyrene-derived post-stasis and immortal human mammary epithelial cells. Mutat Res Genet Toxicol Environ Mutagen. 2014 Dec;775-776:48-54. doi: 10.1016/j.mrgentox.2014.10.011. Epub 2014 Nov 4.
46 Inhibition of cardiomyocyte differentiation of human induced pluripotent stem cells by Ribavirin: Implication for its cardiac developmental toxicity. Toxicology. 2020 Apr 15;435:152422. doi: 10.1016/j.tox.2020.152422. Epub 2020 Feb 26.
47 Cell-based two-dimensional morphological assessment system to predict cancer drug-induced cardiotoxicity using human induced pluripotent stem cell-derived cardiomyocytes. Toxicol Appl Pharmacol. 2019 Nov 15;383:114761. doi: 10.1016/j.taap.2019.114761. Epub 2019 Sep 15.
48 Association of the MYH6 Gene Polymorphism with the Risk of Atrial Fibrillation and Warfarin Anticoagulation Therapy. Genet Test Mol Biomarkers. 2021 Sep;25(9):590-599. doi: 10.1089/gtmb.2021.0025. Epub 2021 Sep 9.