Why the study?
The vast majority of titin immunoglobulin and fibronectin type III domains have not had their high-resolution structure determined experimentally, despite missense variants being linked to cardiac and skeletal myopathies.
How do rare missense variants in titin Fn3 domains affect protein structure and stability in the context of hypertrophic cardiomyopathy?
How do rare missense variants in titin Fn3 domains affect protein structure and stability in the context of hypertrophic cardiomyopathy?
Structural analysis of titin Fn3 domains reveals that HCM-linked missense variants cause thermal destabilization or prevent folding without altering the overall wild-type conformation.
Rare titin variants' destabilizing effects require validation in HCM patients; leaves open their contribution to disease mechanisms.
Titin is the largest protein found in nature and spans half a sarcomere in vertebrate striated muscle. The protein has multiple functions, including in the organisation of the thick filament and acting as a molecular spring during the muscle contraction cycle. Missense variants in titin have been linked to both cardiac and skeletal myopathies. Titin is primarily composed of tandem repeats of immunoglobulin and fibronectin type III (Fn3) domains in a variety of repeat patterns; however, the vast majority of these domains have not had their high-resolution structure determined experimentally. Here, we present the crystal structures of seven wild type titin Fn3 domains and two harbouring rare missense variants reported in hypertrophic cardiomyopathy (HCM) patients. All domains present the typical Fn3 fold, with the domains harbouring variants reported in HCM patients retaining the wild-type conformation. The effect on domain folding and stability were assessed for five rare missense variants found in HCM patients: four caused thermal destabilization of between 7 and 13 °C and one prevented the folding of its domain. The structures also allowed us to locate the positions of residues whose mutations have been linked to congenital myopathies and rationalise how they convey their deleterious effects. We find no evidence of physiological homodimer formation, excluding one hypothesised mechanism as to how titin variants could exert pathological effects.
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Rees et al. (2023) studied this question.
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