Hypertrophic cardiomyopathy (HCM) is an inherited form of heart diseas
e that affects 1 in 500 individuals. Here it is shown that calcineurin
, a calcium-regulated phosphatase, plays a critical role in the pathog
enesis of HCM. Administration of the calcineurin inhibitors cyclospori
n and FK506 prevented disease in mice that were genetically predispose
d to develop HCM as a result of aberrant expression of tropomodulin, m
yosin Light chain-2, or fetal beta-tropomyosin in the heart. Cyclospor
in had a similar effect in a rat model of pressure-overload hypertroph
y. These results suggest that calcineurin inhibitors merit investigati
on as potential therapeutics for certain forms of human heart disease.