Key result
HCM mutation TnT R95H attenuates length-dependent myofilament Ca2+ sensitivity increases by ~44% vs wild-type.
Absolute Event Rate: 0.05% vs 0.09%
The hypertrophic cardiomyopathy-linked TnT R95H mutation attenuates length-dependent activation of cardiac myofilaments by differentially enhancing Ca2+ sensitivity at short versus long sarcomere lengths.
TnT R95H findings in animal models should not change practice; hypothesis-generating for HCM myofilament mechanisms pending human validation.
The central region of cardiac troponin T (TnT) is important for modulating the dynamics of muscle length-mediated cross-bridge recruitment. Therefore, hypertrophic cardiomyopathy mutations in the central region may affect cross-bridge recruitment dynamics to alter myofilament Ca 2+ sensitivity and length-dependent activation of cardiac myofilaments. Given the importance of the central region of TnT for cardiac contractile dynamics, we studied if hypertrophic cardiomyopathy-linked mutation (TnT R94H )-induced effects on contractile function would be differently modulated by sarcomere length (SL). Recombinant wild-type TnT (TnT WT ) and the guinea pig analog of the human R94H mutation (TnT R95H ) were reconstituted into detergent-skinned cardiac muscle fibers from guinea pigs. Steady-state and dynamic contractile measurements were made at short and long SLs (1.9 and 2.3 µm, respectively). Our results demonstrated that TnT R95H increased pCa 50 (−log of free Ca 2+ concentration) to a greater extent at short SL; TnT R95H increased pCa 50 by 0.11 pCa units at short SL and 0.07 pCa units at long SL. The increase in pCa 50 associated with an increase in SL from 1.9 to 2.3 µm (ΔpCa 50 ) was attenuated nearly twofold in TnT R95H fibers; ΔpCa 50 was 0.09 pCa units for TnT WT fibers but only 0.05 pCa units for TnT R95H fibers. The SL dependency of rate constants of cross-bridge distortion dynamics and tension redevelopment was also blunted by TnT R95H . Collectively, our observations on the SL dependency of pCa 50 and rate constants of cross-bridge distortion dynamics and tension redevelopment suggest that mechanisms underlying the length-dependent activation cardiac myofilaments are attenuated by TnT R95H . NEW & NOTEWORTHY Mutant cardiac troponin T (TnT R95H ) differently affects myofilament Ca 2+ sensitivity at short and long sarcomere length, indicating that mechanisms underlying length-dependent activation are altered by TnT R95H . TnT R95H enhances myofilament Ca 2+ sensitivity to a greater extent at short sarcomere length, thus attenuating the length-dependent increase in myofilament Ca 2+ sensitivity.
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Mickelson et al. (2017) studied Hypertrophic cardiomyopathy. TnT R95H mutation vs. TnT WT (wild-type) was evaluated on Change in pCa50 associated with an increase in sarcomere length from 1.9 to 2.3 µm (ΔpCa50). The hypertrophic cardiomyopathy mutation TnT R95H attenuated the length-dependent increase in myofilament Ca2+ sensitivity (ΔpCa50 0.05 vs 0.09 pCa units for wild-type).
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