Key result
Combined S100A1 and calcium significantly lowered passive myocardial stiffness compared to either alone, suggesting titin-actin interaction acts as a viscous break.
Titin-actin interaction contributes to passive myocardial stiffness and is regulated by S100A1/calcium, acting as a 'viscous break' during diastole.
Animal data implicate titin-actin in passive stiffness; leaves open S100A1-targeted therapies for human diastolic dysfunction.
Titin, also known as connectin, is a large filamentous protein that greatly contributes to passive myocardial stiffness. In vitro evidence suggests that one of titin's spring elements, the PEVK, interacts with actin and that this adds a viscous component to passive stiffness. Differential splicing of titin gives rise to the stiff N2B and more compliant N2BA isoforms. Here we studied the titin-isoform dependence of titin-actin interaction and studied the bovine left atrium (BLA) that expresses mainly N2BA titin, and the bovine left ventricle (BLV) that expresses a mixture of both N2B and N2BA isoforms. For comparison we also studied mouse left ventricular (MLV) myocardium which expresses predominately N2B titin. Using the actin-severing protein gelsolin, we obtained evidence that titin-actin interaction contributes significantly to passive myocardial stiffness in all tissue types, but most in MLV, least in BLA, and an intermediate level in BLV. We also studied whether titin-actin interaction is regulated by S100A1/calcium and found that calcium alone or S100A1 alone did not alter passive stiffness, but that combined they significantly lowered stiffness. We propose that titin-actin interaction is a "viscous break" that is on during diastole and off during systole.
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Fukushima et al. (2010) studied this question. S100A1 and calcium vs. Calcium alone or S100A1 alone was evaluated on Passive myocardial stiffness. Combined S100A1 and calcium significantly lowered passive myocardial stiffness compared to either alone, suggesting titin-actin interaction acts as a viscous break.
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