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October 13, 2017Nature CommunicationsOpen Access

The giant protein titin regulates the length of the striated muscle thick filament

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Key result

Deletion of two titin C-zone super-repeats in mice reduced thick filament length by 173 nm in cardiac muscle, leading to reduced force generation and a dilated cardiomyopathy phenotype.

Population

Male mice at 62-74 days of age.

Comparison

Genetic deletion of two of titin's C-zone… vs Wild-type (WT) mice.

Design

Preclinical

Authors

PTPaola ToninoUniversity of ArizonaBKBalázs KissSemmelweis UniversityJSJoshua StromHeart Failure & Transplant

Discussion

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Implication

Establishes a mechanistic basis for titin-truncating variants in dilated cardiomyopathy; leaves open.

Structured PICO

P
Population
Genetically engineered mice lacking two C-zone repeats in titin (TtnΔC1-2) and wild-type littermates, evaluated at approximately 8 weeks of age to assess thick filament length and muscle function.
I
Intervention
Genetic deletion of two of titin's C-zone super-repeats (C1 and C2) to create the TtnΔC1-2 mouse model.
C
Comparator
Wild-type (WT) mice.
O
Outcome
Thick filament length in cardiac and skeletal muscles, force generation, and cardiac pressure-volume hemodynamics.surrogate

Main Result

Mean Difference: -173

Absolute Event Rate: 1435% vs 1608%

p-value: p=<0.0001

Deletion of titin's C-zone super-repeats in mice reduces thick filament length and causes a dilated cardiomyopathy phenotype, demonstrating titin's essential role as a molecular ruler for thick filaments.

Limitations

  • The exact mechanism by which the C-zone repeats regulate thick filament length remains to be fully elucidated.
  • Potential compensatory changes in protein turnover, such as the upregulation of N2BA titin, may offset some effects.

Cite This Study

Tonino et al. (2017) studied Dilated cardiomyopathy and muscle physiology. Deletion of titin C-zone super-repeats 1 and 2 (TtnΔC1-2) vs. Wild-type (WT) littermates was evaluated on Shrinkage-corrected A-band width (thick filament length) in cardiac muscle (MD -173 nm, p=<0.0001). Deletion of two titin C-zone super-repeats in mice reduced thick filament length by 173 nm in cardiac muscle, leading to reduced force generation and a dilated cardiomyopathy phenotype.

synapsesocial.com/papers/6a8dede2dd2086a929373fdahttps://doi.org/10.1038/s41467-017-01144-9
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Deleting titin’s I-band/A-band junction reveals critical roles for titin in biomechanical sensing and cardiac function2014 · 99 citations
  2. 2Three-dimensional structure of vertebrate cardiac muscle myosin filaments2008 · 277 citations
  3. 3Targeted deletion of titin N2B region leads to diastolic dysfunction and cardiac atrophy2007 · 174 citations
  4. 4Titin isoform expression in normal and hypertensive myocardium2003 · 124 citations
  5. 5Role of Titin Missense Variants in Dilated Cardiomyopathy2015 · 94 citations