Key result
Super-resolution and tomographic electron microscopy have revised classical views of cardiac couplon and t-tubule nanoscale geometries in healthy and failing hearts.
Advanced nanoscale microscopy techniques have provided unprecedented insights into the structural determinants of cardiac excitation-contraction coupling.
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Nanoscale revisions to cardiac couplons inform mechanistic research; should not yet change clinical heart failure management.
Remodelling of the membranes and protein clustering patterns during the pathogenesis of cardiomyopathies has renewed the interest in spatial visualisation of these structures in cardiomyocytes. Coincidental emergence of single molecule (super-resolution) imaging and tomographic electron microscopy tools in the last decade have led to a number of new observations on the structural features of the couplons, the primary sites of excitation-contraction coupling in the heart. In particular, super-resolution and tomographic electron micrographs have revised and refined the classical views of the nanoscale geometries of couplons, t-tubules and the organisation of the principal calcium handling proteins in both healthy and failing hearts. These methods have also allowed the visualisation of some features which were too small to be detected with conventional microscopy tools. With new analytical capabilities such as single-protein mapping, in situ protein quantification, correlative and live cell imaging we are now observing an unprecedented interest in adapting these research tools across the cardiac biophysical research discipline. In this article, we review the depth of the new insights that have been enabled by these tools towards understanding the structure and function of the cardiac couplon. We outline the major challenges that remain in these experiments and emerging avenues of research which will be enabled by these technologies.
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Jayasinghe et al. (2018) conducted a review in Cardiomyopathies and cardiac couplon function. Nanoscale microscopy (super-resolution and tomographic EM) vs. Conventional microscopy was evaluated. Super-resolution and tomographic electron microscopy have revised classical views of cardiac couplon and t-tubule nanoscale geometries in healthy and failing hearts.
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