Original Contributions |
From the Department of Pharmacology, United Medical and Dental Schools, St. Thomas's Hospital, London, UK.
Correspondence to Dr J.C. Kentish, Department of Pharmacology, United Medical and Dental Schools, St. Thomas's Hospital, London SE1 7EH, UK. E-mail j.kentish{at}umds.ac.uk
| Abstract |
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|
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5-fold faster in rat
(kact=14.4±0.9 s-1,
ktr=13.0±0.6 s-1) than in
guinea pig (kact=2.57±0.14
s-1, ktr=2.69±0.30
s-1) trabeculae. This too may be mainly due to
species differences in crossbridge kinetics. Both
kact and ktr
increased as [Ca2+] increased. This Ca2+
dependence of the rates of force development is consistent with
current models for the Ca2+ activation of the crossbridge
cycle, but these models do not explain the similarity in the maximal
rates of activation and relaxation within a given species.
Key Words: crossbridge photolysis Ca2+ activation cardiac myofibril relaxation
| Introduction |
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Little is also known about the factors that govern the kinetics
of Ca2+ activation and of relaxation of cardiac
myofibrils, although these are likely to be important in determining
the normal duration of the heartbeat. Theoretically, the maximum rates
of activation and relaxation could be governed by (1) the rate at which
Ca2+ binds to or dissociates from TnC or (2) the
rate of crossbridge cycling. A major aim of the present study was
therefore to examine the relative roles of Ca2+
and crossbridges in determining the intrinsic rates of myofibrillar
activation and relaxation rates, by comparing these rates in rat
myofibrils with those in guinea pig myofibrils, which have much slower
crossbridge kinetics12 13 but similar
myofibrillar Ca2+
sensitivities13 (and probably, therefore, similar
kinetics of Ca2+ interaction with TnC). The
measurement of the intrinsic rates of myofibrillar activation or
relaxation has recently been made possible by development of
"caged" Ca2+ compounds, which can be
photolysed to either release or chelate Ca2+
after they have diffused into the myofibrils. Photolysis of these
compounds causes solution [Ca2+] to change in
1 millisecond, so the subsequent force change takes place at a rate
that is limited by the intrinsic properties of the myofibrils rather
than by the rate of change of [Ca2+]. To study
the relaxation rate, we used the "caged" chelator of
Ca2+, diazo-2,14 15 whereas
for the activation rate, we used the "caged"
Ca2+ compound, nitrophenyl-EGTA
(NP-EGTA).16 17
A comparison of the maximum rate of Ca2+ activation of the thin filament (kact) with the maximum ktr can provide information on whether Ca2+-activated force development is limited by crossbridge kinetics rather than by kact. This was previously achieved using the caged Ca2+, nitr-7,11 but this compound did not lead to full activation of the myofibrils. We therefore repeated these experiments using NP-EGTA, which releases sufficient Ca2+ so that the maximal activation is achieved and kact can be compared with ktr. Our experiments also allowed the first comparison of maximum kact and relaxation rates in the same muscles. The above crossbridge models predict that the relaxation rate should be slower than the activation rate, and our experiments allowed us to test this.
| Materials and Methods |
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250 g) were stunned by a blow to the head and then
killed by cervical dislocation. Male Dunkin Hartley guinea pigs (
250
g) were killed directly by cervical dislocation. These
procedures were in accordance with UK Home Office guidelines (schedule
1). The hearts were removed, and trabeculae (diameter, 50
to 200 µm; length, 1.5 to 8 mm) were dissected from the
right ventricles in Tyrode's solution containing 25 mmol/L
2,3-butanedione monoxime to minimize cell contracture.
Trabeculae were skinned for 30 minutes in the standard
skinned muscle solution (see below) to which was added 1% Triton
X-100, 10 mmol/L K2EGTA, and 0.1 mmol/L
phenylmethylsulfonyl fluoride. A trabecula was then
mounted in monofilament snares attached to an isometric force
transducer (AE801, SensoNor) and to a servomotor (300S, Cambridge
Technology Inc). The muscle bath system included a bath of reduced
volume (10 µL) specially designed for photolysis
experiments.15 Bath temperature was 22°C or
12°C (±0.1°C). Sarcomere length (SL) was measured by laser
diffraction and was set to
2.1 µm in the relaxed muscle at
22°C. Diazo-2 and NP-EGTA were photolysed by light from a xenon flashlamp (Hi-Tech Ltd), filtered with a UG5 bandpass filter (300 to 400 nm). The light was focused, and its area of incidence on the muscle was optimized as described previously.15 PClamp software (Axon Instruments) was used to trigger the flashlamp or to impose rapid length changes on the trabeculae for ktr measurements (see below). Force, muscle length, and SL were recorded on a 4-channel chart recorder and on a computer using a 12-bit analog/digital board sampling at 2 kHz.
Solutions
All solutions contained (mmol/L) BES 100,
Na2H2ATP 6.3,
Na2 phosphocreatine 10,
MgCl2 5.4 to 6.2 (to maintain
[Mg2+] at 1 mmol/L), potassium phosphate
1, glutathione 5, leupeptin 0.001, and potassium propionate 50 to 80
(to give an ionic strength of 200 mmol/L) (pH 7.1). Details of
solution manufacture and calculation of free ion concentrations have
been given elsewhere.15 18 For determination of
the force-pCa relationship and of ktr,
solutions also contained 10 mmol/L EGTA and 0 to 10 mmol/L
Ca2+, giving a pCa
(-log10[Ca2+]) of 9 to
4.5. For the photolysis experiments, solutions were as above but
contained 0.25 mmol/L diazo-2 and 0 to 0.25 mmol/L
CaCl2 (final pCa
7.5 to 4.9), or 2 mmol/L
NP-EGTA and 0.6 to 0.8 mmol/L Ca2+ (pCa
7.0 to 6.0). In the absence of caged compounds, relaxation or
maximal Ca2+ activation in the photolysis
experiments was produced by solutions containing 1 mmol/L EGTA
(pCa 8.5) or 1 mmol/L CaEGTA+0.1 mmol/L
CaCl2 (pCa 4.5), respectively. Diazo-2 and
NP-EGTA (tetrapotassium salts from Molecular Probes) were stored frozen
in aqueous stock solutions (25 and 10 mmol/L, respectively); other
chemicals were from Sigma or B.D.H.
Protocols
As previously described,15 each skinned
trabecula was first maximally activated several
times at 22°C until a reproducible level of force was obtained. For
the photolysis parts of the experiment, the muscle was placed in either
a diazo-2 solution or an NP-EGTA solution, with total [Ca] adjusted
so that the muscle developed 40% to 80% of maximum force in the
diazo-2 solution but only a small force (<10% maximum) in the NP-EGTA
solution. Once force had stabilized, the flashlamp was triggered,
giving a flash of near-UV light (160 mJ in
1 millisecond) to the
muscle. After the force response, each muscle was returned to the
relaxing solution. Any gradual decline in maximum force due to
deterioration of the muscles was corrected for by assuming a linear
decrease between activations. Muscles were discarded when maximum force
had fallen by 25%.
ktr after a rapid release and restretch of the muscle was measured at both 22°C and 12°C. During maximal activation, the muscle length was decreased by 20% in 1 millisecond, held for a 25- or 100-millisecond "holding period" (for rat and guinea pig trabeculae, respectively), and then stretched back to the original length in 1 millisecond. The force redevelopment was recorded. The muscle was subsequently relaxed. The procedure was repeated at various submaximal [Ca2+] levels, ending with a repeat of the maximal activation. The force-pCa relationship of the trabecula was thereby determined simultaneously with ktr.
In most trabeculae we could record at least 2 of the 3 sets of measurements (ktr, rapid activation, and rapid relaxation) before maximum force declined by 25%.
Data Analysis
The relationship between steady-state force and pCa in
each muscle was fitted by the Hill equation: relative force=maximum
forcex[Ca2+]nH/(KnH+[Ca2+]nH),
where nH is the Hill coefficient and
K is a dissociation constant. The changes of force after
diazo-2 or NP-EGTA photolysis and the release/restretch protocol were
fitted with single-exponential curves (except relaxation in the rat,
which was fitted with a double exponential) using Clampfit software
(Axon Instruments). Values are given as mean±SEM from n
trabeculae (each from a different heart). Unless stated
otherwise, unpaired t tests were applied, and a significant
difference was taken as P<0.05.
| Results |
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|
Rapid Relaxation of Myofibrils
We used flash photolysis of diazo-2, a caged chelator of
Ca2+, to produce a sudden drop in solution
[Ca2+] and thereby measure the intrinsic rate
of myofibrillar relaxation.14 15
Trabeculae were activated in solutions containing
Ca2+ and diazo-2, and once force was steady the
diazo-2 was photolysed (Figure 2
).
Relaxation of rat trabeculae followed a double-exponential
curve, the initial fast phase of which represents the maximum
intrinsic rate of myofibrillar relaxation. However, the guinea pig
relaxation was fitted best by a single-exponential curve. As found with
rat muscles,15 the relaxation rate of guinea pig
trabeculae was independent of both preflash
[Ca2+] and force (results not shown).
|
As shown in Figure 2
, guinea pig trabeculae relaxed much
more slowly than did rat trabeculae. The rate constants for
the 2 phases of relaxation in rat muscles were 16.1±0.9
s-1 and 0.97±0.13 s-1
(n=11) at 22°C and that for guinea pig muscles was 2.99±0.26
s-1 (n=7). The maximum rate of myofibrillar
relaxation in rat myofibrils was therefore 5 times faster
(P<0.01) than that of the guinea pig. This difference was
not due to the different fitting protocols, because fitting the rat
data with a single-exponential fit (over the first 200 milliseconds)
gave a rate constant of 18.9±0.9 s-1 (n=11,
results not shown).
It could be argued that both muscles had a slow phase of relaxation but that only the rat muscle also had a fast phase; however, this is untenable because the rate constant for the slow phase in the rat was significantly less (P<0.01) than the guinea pig single rate constant. The origin of the slow phase of the biexponential relaxation remains unclear.
Rapid Activation of Myofibrils
The rate constant for Ca2+ activation
of force, kact, in the
trabeculae was measured using flash photolysis of the
"caged" Ca2+ compound, NP-EGTA, to produce a
sudden elevation of solution
[Ca2+].16 17 As shown in
Figure 3A
, photolysis of NP-EGTA produced
rapid activation of force in trabeculae from both species,
and full Ca2+ activation from the resting state
was achieved with a 160-mJ flash. In some cases, peak force (expressed
relative to the maximum steady-state force) exceeded 1.0 in the few
seconds after photolysis. This overshoot of force occurred in all the
guinea pig muscles and in a subset of the rat muscles (Figure 3B
and 3C
). The reasons for the secondary decrease of force are unclear but
could include time-dependent SL rearrangement or accumulation of
Pi inside the muscles. The postflash rise in
force was well fitted by a single-exponential curve, with a
kact at maximum flash energy (160 mJ) of
14.4±0.9 s-1 (n=20) in the rat compared with
2.57±0.14 s-1 (n=8, P<0.01) in the
guinea pig (Figure 3A
). Thus rat trabeculae
activated 5-fold faster than did trabeculae from
guinea pigs. These rates were not significantly different from the
corresponding maximum rates of relaxation.
|
To determine whether kact varied with
postflash [Ca2+], the energy of the flash was
altered between 50 and 160 mJ to vary the degree of NP-EGTA photolysis.
The peak force achieved after photolysis gave an indirect measure of
postflash [Ca2+]. (Calculation of the postflash
[Ca2+] was precluded because the precise degree
of photolysis of NP-EGTA was unknown.) Plotting this peak force against
kact (Figure 3B
and 3C
) clearly
demonstrated that the rate of activation increased with postphotolysis
force (and hence [Ca2+]) in
trabeculae from both rat and guinea pig. In both cases, the
relationship between kact and force was
curved upward.
Rate of Redevelopment of Force
We investigated whether the difference in
kact between species (Figure 3
) was
paralleled by a difference in crossbridge kinetics, as measured at
constant [Ca2+] by
ktr after forcible detachment of the
crossbridges.2 Crossbridges were detached by
releasing the muscles by 20% (to allow unloaded shortening to occur)
and then restretching them rapidly. SL was not controlled in these
experiments, partly to make the results comparable to those from the
flash photolysis experiments and partly because the sarcomere
diffraction pattern was usually lost during maximal activation at
22°C. We found that the value of ktr
depended on the duration of the holding period, becoming faster in both
species as the duration of the holding period was shortened (Figure 4
). This may reflect incomplete
detachment of crossbridges at short holding durations. On the other
hand, when the holding period was increased beyond 25 milliseconds for
rat and 100 milliseconds for guinea pig, force started to redevelop
during the holding period once the slack in the muscle had been taken
up. Thus, we used different optimal holding periods (25 and 100
milliseconds for rat and guinea pig, respectively) to ensure that
minimal numbers of crossbridges were attached before redevelopment of
force after the restretch.
|
A comparison of ktr in rat and guinea pig
is shown in Figure 5
. Generally, the
residual force (the point from which force redevelops after the length
increase) was larger in the guinea pig than in the rat. Force
redevelopment was well fitted by a single exponential curve in both
species. The mean ktr during maximal
activation (pCa 4.5) was 13.0±0.6 s-1 for the
rat (n=17) and 2.69±0.30 s-1 for the guinea pig
(n=9) (P<0.01). The large (4.5-fold) difference in
ktr between species was not due to the
different holding periods used, since ktr
recorded from guinea pig trabeculae using a holding
period of 25 milliseconds (as for rat) was 2.80±0.20
s-1 (n=3), which was still much slower than
ktr recorded from rat
trabeculae (Figure 5
). The ktr
values above were not significantly different from the maximum values
of kact measured in the same species. Thus,
the different rates of Ca2+ activation in the 2
species apparently reflect the relative rates of the force-generating
processes.
|
The relationship between ktr and
steady-state force was also determined for each species (Figure 5C
and 5F
) in order to compare the dependencies of
ktr and of kact
on force. Force was varied by altering the
[Ca2+] of the activating solutions. Because
there was scatter in the data between muscles, particularly for the
guinea pig (Figure 5F
), to compare ktr
values at different force levels we pooled data for each muscle. Values
of ktr in the relative force range of 0.5
to 0.7 were not significantly different (P>0.05, paired
t test) from those in the force range of 0.1 to 0.3 in
either rat or guinea pig but were significantly lower
(P<0.005) than maximal ktr
values (relative force, 1.0) in both species. Thus,
ktr was independent of force below
60%
of maximum but increased at higher force levels. The data in Figure 5C
and 5F
were averaged and replotted as ktr
against pCa (Figure 6
). As
[Ca2+] rose from pCa 6.0 to 4.5,
ktr increased 2-fold in the guinea pig and
10-fold in the rat. In both species, the pCa required to give 50% of
the maximal ktr value (
5.4, Figure 6
)
was less than the pCa50 for force (5.6, Figure 1
). Thus, force was more sensitive than ktr
to Ca2+, which may account for the downward
curvature in the force-ktr relationships
(Figure 5
).
|
Role of Compliance in Determining
ktr
Brenner and Eisenberg19 showed that force
redevelopment is slowed considerably if there is internal shortening in
muscles due to end compliance. Thus, the slower force kinetics
recorded in guinea pig compared with rat trabeculae
could have been due to greater internal shortening in the guinea pig
muscles. Although at 22°C the sarcomere pattern was usually lost
during activation, at 12°C it was more stable, and we were able to
measure SL during ktr determinations at
12°C in 1 guinea pig trabecula and 8 rat
trabeculae. The resting SL was increased for these
experiments (to 2.23±0.01 µm for rat [n=8
trabeculae] and 2.25 µm for the one guinea pig
trabecula) to increase the SL during maximal
activation, which helped to maintain the sarcomere pattern in the
active muscle. As shown in Figure 7
, force redevelopment at 12°C was much slower than at 22°C,
but ktr was still markedly faster in the
rat (6.41±0.51 s-1, n=8) than in the guinea pig
(0.97 s-1, n=1). During force
redevelopment, SL varied by <3% in both rat and guinea pig
trabeculae. Thus, the 6-fold faster
ktr value for the rat is unlikely to be
explained by greater internal shortening in the guinea pig.
|
| Discussion |
|---|
|
|
|---|
Activation Rate Is Determined by Properties of
Crossbridges
Although measurements were made without SL control, and internal
shortening could have slowed force development,19
our ktr value of 13.0
s-1 at 22°C in maximally activated rat
trabeculae was similar to, or faster than, that found in
other studies with SL control8 9 10 when
differences in temperature were taken into account.
ktr, which reflects the rate of crossbridge
reattachment and transition to force-generating
states,2 was measured under constant activation
by Ca2+, thus bypassing any direct influence of
[Ca2+] or species on the rate at which
Ca2+ triggers conformational changes in the
regulatory proteins of the thin filament. Our finding that in a given
species, and under identical conditions,
kact is similar to
ktr suggests that the maximum rate of
Ca2+-activated force development is
limited by the rate at which detached or weakly bound crossbridges
enter the force-generating state rather than by the rate at which the
thin filament is switched on by Ca2+ binding to
TnC.
Overall, we found that the maximum values for
kact, ktr, and
the rate of relaxation were
5 times faster in rats compared with
guinea pigs, even when internal shortening was minimal (Figure 7
). It
seems likely that the different activation and relaxation rates of the
2 species relate to differences in their crossbridges. Rat ventricle
contains mostly V1 myosin (composed of

-myosin heavy chains), whereas in guinea pig
V2 and V3 myosins (
ß-
and ßß-myosin heavy chains) predominate.12
Unpublished experiments (1997), performed by Dr P. Reiser (Ohio State
University), showed that our rat muscles contained 80% to 90%
-myosin heavy chains (ie, mostly V1 myosin),
whereas guinea pig contained only 40% to 50%
-myosin heavy chains.
In general, crossbridges composed of V1 myosin
have a 2- to 6-fold higher cycling rate than crossbridges with
V3 myosin, as judged by various biochemical and
mechanical assays.12 13 21 22 The faster
crossbridge kinetics of V1 compared with
V3 myosin probably explain a large part of the
faster activation and relaxation rates in rats compared with guinea
pigs, although there may be other species differences that lead to
differing crossbridge kinetics between the corresponding myosin
isoforms.
Another factor that could potentially explain, or at least contribute
to, the species-specific difference in maximal activation and
relaxation rates is the cooperative activation of the thin filament by
the attachment of strongly binding
crossbridges.3 4 5 This phenomenon tends to slow
ktr, particularly at low
[Ca2+].5 Thus, if
cooperative activation due to attachment of strong-binding crossbridges
were greater in guinea pig myofilaments than in rat myofilaments, this
could explain why ktr,
kact, and possibly the rate of relaxation
were slower in the guinea pig. However, we think this explanation is
unlikely, because (1) this effect of strongly binding crossbridges is
small at maximal Ca2+
activation4 5 and thus would have little effect
on the maximum values of ktr and
kact, and (2) enhanced cooperativity of
strongly bound crossbridges in guinea pig myofilaments would tend to
make the force-pCa relationship steeper for guinea pig than for rat,
yet there was no evidence for this (Figure 1
).
kact and ktr
Are Ca2+ Dependent
The values of kact and
ktr increased as
Ca2+-activated force rose above 60% of
maximum in both rat and guinea pig trabeculae (Figures 3
, 5
, and 6
). There is currently controversy over a possible
Ca2+ dependence of
ktr in cardiac muscle. Hancock and
colleagues7 8 reported no change in
ktr when Ca2+ was
varied in intact7 and
skinned8 cardiac muscles, whereas a
Ca2+ dependence of
ktr was observed by other groups using rat
skinned trabeculae9 and
myocytes.10 11 In the present study, we
confirm that ktr is increased as
[Ca2+] rises. Possible reasons why Hancock and
colleagues7 8 reached the opposite conclusion
have been discussed elsewhere5 8 9 10 ; one
difference is that some of their experiments used a length change with
a minimal holding period, which leads to a higher value (Figure 4
), and
possibly a Ca2+ independence, of
ktr. Our results (Figure 4
) show the
importance of defining the optimal holding period for
ktr measurements. Although we found that
ktr was activated by
Ca2+ in both species, this was less for the
guinea pig (
2-fold, Figure 6
) than for the rat (
10-fold), which
is similar to the observation that activation of
ktr is greater in fast skeletal than in
slow skeletal fibers.6 The significance of the
Ca2+ dependence of
ktr (and kact)
remains to be clarified: as with previous studies, our finding that
ktr and kact
are Ca2+ dependent could support Brenner's
kinetic model,2 in which
Ca2+ regulates force by increasing
fapp, or could be the result of cooperative
binding of strong crossbridges in the steric blocking
model.3 4 5
The present report, which represents the first
comparison of activation and relaxation rates in the same muscles,
shows that the maximum relaxation rate can be as fast as maximum
ktr or kact.
This similarity is difficult to reconcile with any of the models for
the Ca2+ dependence of
ktr. From the kinetic
model,2 the rate constant of force change after a
sudden alteration of [Ca2+] should equal
f'app+gapp,
where f'app is the new
fapp at the final
[Ca2+] level, and
gapp is the
Ca2+-independent rate of crossbridge detachment;
thus, f'app when
[Ca2+] is low after photolysis of diazo-2 will
be much smaller than when [Ca2+] is high after
photolysis of NP-EGTA or during maximal ktr
measurements, and the maximum relaxation rate should correspondingly be
substantially smaller than the maximum kact
or ktr. We observed no such difference in
rates. Our calculations using Campbell's cooperative
model5 indicate that relaxation in this model
should also be slower than kact or
ktr (results not shown). Thus, the rapidity
of relaxation remains to be explained. It is unlikely to be due to SL
changes during relaxation, since the sarcomeres would relengthen during
relaxation and (from the force-velocity relationship) this would tend
to maintain force, thereby slowing relaxation. Another possibility is
that relaxation involves a reversal of the crossbridge working stroke.
It is well established that the force-generating step (which is closely
associated with the Pi release step) is
reversible.23 Neither of the above models
includes this concept. We suggest that during relaxation a substantial
fraction of crossbridges may lose force by a reversal of the
force-generating transition rather than by the slower forward
detachment step. The net rate of the backward strong-weak transition is
relatively fast (
8 s-1 for rat at 1.7
mmol/L Pi and 15°C; estimated from Reference
1717 ), and a contributory loss of crossbridge force via this route could
potentially account for the fast rate of relaxation.
In conclusion, (1) the relaxation rate is not limited by the rate of dissociation of Ca2+ from TnC but reflects the kinetics of the crossbridges, (2) faster myofibrillar activation and relaxation rates in rat trabeculae compared with guinea pig trabeculae most likely relate to myosin type, and (3) the similarity of the rates of relaxation and activation (or force redevelopment) in a given species is difficult to reconcile with previous crossbridge models for the Ca2+ regulation of ktr but may be explained if a reversal of the crossbridge working stroke contributes to relaxation.
| Acknowledgments |
|---|
Received November 5, 1997; accepted April 30, 1998.
| References |
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M Kruger, S Zittrich, C Redwood, N Blaudeck, J James, J Robbins, G Pfitzer, and R Stehle Effects of the mutation R145G in human cardiac troponin I on the kinetics of the contraction-relaxation cycle in isolated cardiac myofibrils J. Physiol., April 15, 2005; 564(2): 347 - 357. [Abstract] [Full Text] [PDF] |
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P. Coutu and J. M. Metzger Genetic manipulation of calcium-handling proteins in cardiac myocytes. II. Mathematical modeling studies Am J Physiol Heart Circ Physiol, February 1, 2005; 288(2): H613 - H631. [Abstract] [Full Text] [PDF] |
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S. Sakthivel, N. L. Finley, P. R. Rosevear, J. N. Lorenz, J. Gulick, S. Kim, P. VanBuren, L. A. Martin, and J. Robbins In Vivo and in Vitro Analysis of Cardiac Troponin I Phosphorylation J. Biol. Chem., January 7, 2005; 280(1): 703 - 714. [Abstract] [Full Text] [PDF] |
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M. C. Olsson, J. R. Patel, D. P. Fitzsimons, J. W. Walker, and R. L. Moss Basal myosin light chain phosphorylation is a determinant of Ca2+ sensitivity of force and activation dependence of the kinetics of myocardial force development Am J Physiol Heart Circ Physiol, December 1, 2004; 287(6): H2712 - H2718. [Abstract] [Full Text] [PDF] |
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R. S. Haworth, F. Cuello, T. J. Herron, G. Franzen, J. C. Kentish, M. Gautel, and M. Avkiran Protein Kinase D Is a Novel Mediator of Cardiac Troponin I Phosphorylation and Regulates Myofilament Function Circ. Res., November 26, 2004; 95(11): 1091 - 1099. [Abstract] [Full Text] [PDF] |
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M. Regnier, H. Martin, R. J. Barsotti, A. J. Rivera, D. A. Martyn, and E. Clemmens Cross-Bridge versus Thin Filament Contributions to the Level and Rate of Force Development in Cardiac Muscle Biophys. J., September 1, 2004; 87(3): 1815 - 1824. [Abstract] [Full Text] [PDF] |
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