Key result
Assessing transient cardiac myofilament calcium sensitivity requires simultaneous Ca2+ and TnC measurements with biophysical modeling.
Why the study?
Current gold-standard methods for assessing cardiac myofilament calcium sensitivity require permeabilisation, making them unsuitable for examining dynamic, twitch-to-twitch changes.
This review highlights the limitations of current methods for assessing dynamic changes in cardiac myofilament calcium sensitivity and proposes a new approach combining simultaneous measurements and biophysical modeling.
Current methods limit transient myofilament Ca2+ sensitivity assessment; leaves open simultaneous Ca2+/TnC measurements with biophysical modeling.
Myofilament calcium (Ca 2+ ) sensitivity is one of several mechanisms by which force production of cardiac muscle is modulated to meet the ever-changing demands placed on the heart. Compromised Ca 2+ sensitivity is associated with pathologies, which makes it a parameter of interest for researchers. Ca 2+ Sensitivity is the ratio of the association and dissociation rates between troponin C (TnC) and Ca 2+ . As it is not currently possible to measure these rates in tissue preparations directly, methods have been developed to infer myofilament sensitivity, typically using some combination of force and Ca 2+ measurements. The current gold-standard approach constructs a steady-state force-Ca 2+ relation by exposing permeabilised muscle samples to a range of Ca 2+ concentrations and uses the half-maximal concentration as a proxy for sensitivity. While a valuable method for steady-state investigations, the permeabilisation process makes the method unsuitable when examining dynamic, i.e., twitch-to-twitch, changes in myofilament sensitivity. The ability of the heart to transiently adapt to changes in load is an important consideration when evaluating the impact of disease states. Alternative methods have been proffered, including force-Ca 2+ phase loops, potassium contracture, hybrid experimental-modelling and conformation-based fluorophore approaches. This review provides an overview of the mechanisms underlying myofilament Ca 2+ sensitivity, summarises existing methods, and explores, with modelling, whether any of them are suited to investigating dynamic changes in sensitivity. We conclude that a method that equips researchers to investigate the transient change of myofilament Ca 2+ sensitivity is still needed. We propose that such a method will involve simultaneous measurements of cytosolic Ca 2+ and TnC activation in actively twitching muscle and a biophysical model to interpret these data.
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Dowrick et al. (2023) conducted a review in Cardiac myofilament calcium sensitivity. Methods for assessing cardiac myofilament calcium sensitivity was evaluated. Existing methods for assessing cardiac myofilament calcium sensitivity are inadequate for investigating transient changes, highlighting the need for simultaneous measurements of cytosolic Ca2+ and TnC activation combined with biophysical modeling.
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