Key result
nNOS inhibition preferentially enhances sarcomere shortening in right versus left ventricular cardiomyocytes.
Why the study?
The chamber-specific role of neuronal nitric oxide synthase (nNOS) in right ventricular cardiomyocytes remains incompletely understood.
p-value: p=0.0008
Myofilament-associated nNOSβ predominantly regulates right ventricular contractility through cTnI phosphorylation-mediated Ca2+ desensitization, highlighting chamber-specific regulatory differences in the heart.
Chamber-specific nNOS effects in RV cardiomyocytes warrant caution extrapolating LV data; leaves open targeted RV therapies in humans.
Neuronal nitric oxide (NO) synthase (nNOS) is an important regulator of excitation-contraction coupling in cardiomyocytes, yet its chamber-specific role in right ventricular cardiomyocytes (RVCMs) remains incompletely understood. In this study, we compared the effects of nNOS inhibition on contractile function, Ca2+ signaling, and myofilament-associated regulation in RVCMs and left ventricular cardiomyocytes (LVCMs). Pharmacological inhibition of nNOS with S-methyl-L-thiocitrulline (SMTC) enhanced sarcomere shortening and impaired relaxation in both cell types, with markedly greater effects observed in RVCMs. In contrast, SMTC-induced changes in Ca2+ transients and L-type Ca2+ current were more pronounced in LVCMs than in RVCMs, indicating a dissociation between Ca2+ signaling and mechanical responses in the SMTC-treated RVCMs. Analysis of dynamic Ca2+-sarcomere length coupling indicated that nNOS inhibition in RVCMs preferentially altered the relationship between intracellular Ca2+ signaling and sarcomere response, particularly during relaxation, rather than simply reflecting changes in Ca2+ magnitude. Consistent with this interpretation, inhibition of nNOS reduced cardiac troponin I (cTnI) Ser23/24 phosphorylation and was associated with altered endogenous Ca2+ buffering properties in RVCMs. Moreover, myofilament-enriched fractions from RVCMs exhibited higher levels of Ser1417-phosphorylated nNOSβ. Collectively, these data indicate that myofilament-associated nNOSβ predominantly regulates RV contractility through cTnI phosphorylation-mediated Ca2+ desensitization.
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Kwon et al. (2026) studied Normal cardiac physiology (n=55). S-methyl-L-thiocitrulline (SMTC) vs. Control (untreated cardiomyocytes) was evaluated on Change in sarcomere shortening (ΔSL) in RVCMs vs LVCMs (p=0.0008). Inhibition of nNOS enhanced sarcomere shortening to a significantly greater extent in right ventricular cardiomyocytes compared to left ventricular cardiomyocytes (p=0.0008 for interaction).
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