Cellular Biology |
From the Department of Veterinary and Comparative Anatomy, Pharmacology and Physiology (O.C., M.H., M.M., Y.W., K.T., H.G.), Washington State University, Pullman, Wash; the Institut für Anästhesiologie und Operative Intensivmedizin (A.F., T.C., S.L.), Universitätsklinikum, Mannheim, Germany; and European Molecular Biology Laboratory (T.C., S.L.), Heidelberg, Germany.
Correspondence to Henk Granzier, Department of Veterinary and Comparative Anatomy, Pharmacology and Physiology, Wegner Hall 205, Washington State University, Pullman, WA 99164-6520. E-mail granzier{at}wsunix.wsu.edu
| Abstract |
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0.05 in mouse and
1.5 in pig. Differences in the expression ratio
were also found between atria and ventricles and between different
layers of the ventricular wall.
Immunofluorescence experiments with
isoform-specific antibodies suggest that coexpression of these isoforms
takes place at the single-myocyte level. The diastolic
properties of single cardiac myocytes isolated from various species
expressing high levels of the small (rat and mouse) or large (pig)
titin isoform were studied. On average, pig myocytes are significantly
less stiff than mouse and rat myocytes. Gel analysis indicates
that this result cannot be explained by varying amounts of titin in
mouse and pig myocardium. Rather, low stiffness of pig
myocytes can be explained by its high expression level of the large
isoform: the longer extensible region of this isoform results in a
lower fractional extension for a given sarcomere length and hence a
lower force. Implications of our findings to cardiac function are
discussed.
Key Words: compliance passive tension diastolic force mechanical properties myocyte connectin
| Introduction |
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The force of titin arises from its extensible I-band region, which consists of 2 main segment types: (1) a segment rich in proline (P), glutamate (E), valine (V), and lysine (K) residues (the so-called PEVK segment) and (2) serially linked immunoglobulin (Ig)like domains (tandem Ig segments) flanking this PEVK segment.6 Several titin isoforms are now known, all of which contain PEVK and tandem Ig segments. In addition to these common segments, the extensible region of the N2B isoform contains the N2B element (3 Ig domains and a 572-residue unique sequence), whereas the N2A class of isoforms contains the N2A element (4 Ig domains and a 106-residue unique sequence). N2B titin is found exclusively in cardiac muscle and contains within its central I-band region a 163-residue PEVK segment and tandem Ig segments with 37 Ig domains. N2A titins are found in skeletal muscles with PEVK and tandem Ig segments that differ in length in different muscles.6 Heart muscle expresses not only N2B transcripts but also N2A transcripts; the latter are associated with a larger PEVK segment than the N2B transcripts.6 Here we investigated cardiac titin isoform expression by high-resolution SDS-PAGE and by various immunolabeling techniques (Western blotting, immunoelectron microscopy [IEM], and immunofluorescence [IF]) with isoform-specific antibodies.
In slack sarcomeres, the extensible segment of titin has a short end-to-end length as a result of thermally induced bending motions that lead to a state of maximal entropy.7 8 Straightening of the extensible region by extending the sarcomere lowers the conformational entropy and results in a force, known as entropic force. The extensible region of titin does not straighten uniformly; rather, tandem Ig and PEVK segments extend sequentially.9 10 11 In addition, it was recently found that the 572-residue unique sequence of the N2B element is extensible as well, which explains why the extensible region of N2B titin can be stretched to lengths much longer than the combined contour length (end-to-end-length when completely straight) of the tandem Ig and PEVK segments.12 13 Variation in the length of the extensible region is predicted to influence the developed force on extension. Cardiac myocytes that express a larger isoform (referred to below as N2BA titin) have a longer extensible region and are predicted to develop less force than those that express N2B titin, as for a given SL the fractional extension (end-to-end length of extensible region divided by its contour length) of N2BA titin will be less than that of the N2B isoform (for details, see Discussion).
Here we investigated titin expression at the protein level. A number of mammalian species were surveyed for the expression of different cardiac titin isoforms. SDS-PAGE revealed that in most species both small and large isoforms are coexpressed but in widely varying ratios. Western blot studies with N2B and N2A antibodies suggest that the smaller isoform contains the N2B element (N2B titin), whereas the larger isoform contains both the N2B and N2A elements (N2BA titin). To test the hypothesis that the expression of the N2BA isoform leads to a decrease in cell stiffness, mechanical experiments were performed on single cardiac myocytes isolated from hearts showing a high- or low-N2BA expression level. The results indicate that expressing small and large titin isoforms at different ratios is a means to modulate cardiac myocyte stiffness.
| Materials and Methods |
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Gel Electrophoresis
Myocardial and skeletal muscle samples were quick-frozen
in liquid nitrogen, pulverized, and then rapidly
solubilized.14 The samples were analyzed with
SDS-PAGE (2% to 9.5% acrylamide gradient gels) and
stained with Coomassie blue. Titin and myosin heavy chain (MHC) bands
were analyzed as previously described14 with some
adaptations (see online Materials and Methods
[http://www.circresaha.org]).
Western Blotting
Western blotting was performed with affinity-purified anti-titin
antibodies (raised in rabbit) specific to the N-terminal end of titin
(Z1/Z2 and Zr), the C-terminal end of titin (T51), to Ig repeats at the
C-terminal end of the PEVK segment (bk283/4), N2A (X105 to X106), and
N2B (X150 to X151, X214 to X215, and X216 to X217)8 (for
details, see Figure 3A
and online Materials and Methods
[http://www.circresaha.org]).
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Immunofluorescence
Single- or double-labeling experiments with PEVK
(9D10)17 and N2B (X151 to X151) or N2A (X105 to X106)
antibodies were performed on cardiac myocytes (for details, see online
Materials and Methods [http://www.circresaha.org]).
Passive TensionSL Measurement of Cardiac Myocytes
For technical details of force and online SL measurement, see
References 12 and 1412 14 . The F-SL relationship of the cells was measured
by imposing a slow ramp stretch-release (0.1 length/s) on cells in
relaxing solution.
Electron Microscopy
Electron microcopy was used to obtain cross sections of
skinned cells to determine the myofibrillar fractional area.
Immunoelectron microscopy was used to study rat and pig left
ventricular cells labeled with N2A (X105 to X106) and N2B
(X150 to X151) antibodies.8 18
An expanded Materials and Methods section is available online at http://www.circresaha.org.
| Results |
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To follow up on these findings, we surveyed additional species,
examined ventricular and atrial myocardium in
some of them, and determined the ratio of the top to bottom T1 bands
using quantitative densitometry. Two T1 bands were consistently
found in many species, but the density of the bands varied greatly.
Rat, rabbit, and mouse myocardium contain barely detectable
levels of the top T1 band, in dog and human the 2 bands are present
at similar levels, and in pig and cow the top T1 band dominates
(Figures 2A
and 2B
). Furthermore, in the
2 species in which we examined both left ventricular and
left atrial myocardium, the expression ratio of the top to
the bottom band is much higher in the atrium than in the ventricle
(Figures 2A
and 2B
). For example, in the left ventricle of the
cow, the top T1 band is 1.8 times more abundant than the bottom band,
whereas in the left atrium the top band is 21 times more abundant.
Finally, we also studied titin expression in the subendocardial,
midwall, and subepicardial regions of the ventricular free
wall of the pig. Significantly higher levels of the large isoform were
found in the subendocardium (Figure 2C
).
|
Immunolabeling Experiments
Using the mobility of human soleus T1 (3.7 MDa) and rat cardiac
titin T1 (2.97 MDa) as standards suggests that the two T1 bands of pig
differ by
0.35 MDa in mass. To test whether both T1 bands
represent full-length titin molecules (and not degradation
products), Western blot experiments were performed with antibodies
against the terminal ends of the molecule (Figure 3A
). The presence of the N-terminal end
of titin was investigated with Z1/Z2 and Zr antibodies (Z1/Z2 labels
the 200 first N-terminal amino acid residues and Zr labels epitopes
500 residues from the N terminus),19 and the presence
of the C-terminal end of titin with T51 antibody (which labels
200
residues from the C terminus).20 Western blot results show
that all antibodies reacted with the two T1 bands (Figure 3B
).
Thus, it is likely that the two T1 bands represent full-length
titin molecules and thus distinct isoforms.
Cardiac muscle differentially expresses transcripts, which code for the
N2B and N2A elements, respectively.6 To determine the
identity of the titin bands seen on SDS gels, Western blot studies were
performed using a library of antibodies raised against sequences from
the N2B and N2A elements (see Figure 3A
). These antibodies were
first tested on skeletal muscle titin (human soleus), which is known to
contain only N2A titin,6 and, as expected, the N2A
elementspecific antibody reacted with skeletal muscle titin, whereas
the N2B elementspecific antibodies did not (Figure 3C
).
Western blot experiments were also performed using pig
myocardium, because it contains high levels of both T1
bands (Figure 2
). The top T1 band reacted with both N2A- and
N2B-specific antibodies, whereas the bottom T1 band reacted only with
the N2B antibody (Figure 3D
). These results are
consistent with the top T1 band representing a
titin isoform containing both the N2B and N2A elements (referred to as
N2BA cardiac titin) and the bottom band an isoform that contains only
the N2B element (N2B cardiac titin).
To investigate titin in the sarcomere, immunoelectron microscopy was
performed on pig and rat ventricular cells using N2A- and
N2B-specific antibodies. Pig cells were positive for both N2B and N2A
antibodies and rat cells only for the N2B-specific antibodies (Figure 3E
). These results are consistent with the conclusion
that pig myocardium expresses the N2BA isoform and rat
myocardium predominately the N2B isoform. Furthermore, in
the pig cells the N2B epitope was on average closer to the Z-line than
the N2A epitope. For example, at a SL of 2.45 µm, the distance
between the epitope and the middle of the Z-line was 175±21 nm (n=9)
for the N2B epitope and 279±15 nm (n=10) for the N2A epitope. Thus, in
the N2BA isoform the N2B element is N-terminal of the N2A element. This
result is consistent with recent sequencing work on cardiac
titins (A. Freiburg and S. Labeit, unpublished results, 1999).
Immunofluorescence
The SDS-PAGE and Western blot results were performed at the tissue
level, and the results may be explained either by coexpression of
isoforms in cells or by discrete expression in cells (ie, cells either
express N2B or N2BA titin, but not both) with species variation in the
ratio of cells that are N2B or N2BA pure. To distinguish between
coexpression and discrete expression, IF studies were carried out on
single cardiac myocytes. Considering that only N2BA titin reacts with
the N2A elementspecific antibodies, discrete expression predicts that
a certain fraction of cells (N2B cells) will not stain with this
antibody. This fraction can be estimated from the expression ratio of
N2B and N2BA titins determined by solubilizing a large number of cells
from the cell suspension used for IF, followed by electrophoresis and
quantitative densitometry. Results indicate that 60±5% of total titin
in pig left ventricle is N2BA titin and 40±7% is N2B titin (Table 1
). Thus, the discrete expression
hypothesis predicts that only 60% of the pig cells stain with the N2A
antibodies. Antibodies specific for the N2B element are predicted to
stain all pig cells. For a comparison, mouse myocytes were studied as
well. Considering that mouse myocardium contains a barely
detectable N2BA band (Figure 2
), discrete expression predicts
that only few mouse cells are positive for the N2A antibodies whereas
all cells are predicted to be positive for the N2B elementspecific
antibodies.
|
Experiments with the N2B antibodies revealed that all pig and mouse
cells were positive (Table 1
; Figures 4A
and 4B
), consistent with the
results of the above-discussed Western blot studies. When using the N2A
antibodies, we obtained positive cells (Figures 4C
and 4E
) and
cells that contained a faint background fluorescence level
without a clear banding pattern (Figures 4D
and 4F
) similar to
that obtained in control experiments in which the primary antibodies
were omitted from the labeling protocol (noprimary antibody control).
To test whether absence of labeling with the N2A antibodies may have
resulted from titin degradation or inability of the N2A antibody to
penetrate some of the cells, experiments with the anti-titin antibody
9D10 were performed. 9D10 labels the PEVK region of
titin,11 a site that is sensitive to
degradation.21 Furthermore, 9D10 is an IgM type
antibody,17 which is the largest of all antibody types,
and, therefore, 9D10 is expected to diffuse slowly into the cells.
Results revealed that all cells were 9D10 positive (Figures 4G
and 4I
; Table 1
), suggesting that antibodies can fully penetrate
the cells and that all cells contain intact titin. Therefore, cells
that gave rise to a fluorescence similar to that of noprimary
antibody control cells were scored as N2A-negative cells.
|
It was found that 92% of the pig cells are positive for the N2A
antibody (Table 1
), a value much higher value than the 60±5%
positive cells predicted by the discrete expression hypothesis (cells
express only one of the isoforms). On the other hand, the coexpression
model (all cells coexpress isoforms at the same ratio) predicts that
all pig cells would be N2A positive, whereas we found that 8% of pig
cells are N2A negative. These findings may be explained by coexpression
that varies from cell to cell, with a small fraction of the cells
expressing predominantly one of the isoforms.
Diastolic Properties of Cardiac Myocytes
To investigate the functional significance of coexpressing titin
isoforms, mechanical experiments were performed on single cardiac
myocytes, and their F-SL relation was measured. The force generated by
the intermediate filament network was determined by extracting the thin
and thick filaments from the myocytes using KCl- and KI-containing
relaxing solutions (see Reference 1414 ). Extraction removes titin as a F
generator as the extraction-induced
depolymerization of actin and myosin removes the
anchors of titin in the sarcomere. The force after extraction was
subtracted from the force before extraction, resulting in data that
represent the force produced by titin alone. This force was
converted to tension (T) by dividing it by the cross-sectional area of
the cell. The cells studied had been isolated by either blending
myocardial tissue (cf Reference 1616 ) or by
enzymatic digestion of the heart (see figure legends). When
ventricular cells isolated by blending or digestion were
compared (data not shown), no statistically significant differences
were found in either the titin content or the titin-based stiffness of
the cells.
Titin-based T-SL curves of 15 mouse and 10 pig ventricular
cells are shown in Figure 5
. Results
indicate that the average stiffness of the mouse myocytes is much
higher than that of the pig (Figure 5
, inset). To test for
statistical differences between mouse and pig cells, the tension
developed at a SL of 2.4 µm was compared using a Mann-Whitney
test (this test was used because results were not normally
distributed). This revealed that mouse ventricular cells
are significantly stiffer than pig myocytes (P<0.05). To
determine whether the differences in stiffness may have resulted from
differences in the fractional area of myofibrils, cells were prepared
for electron microscopy and their cross sections were analyzed.
Results revealed that this explanation is unlikely, because mouse and
pig cells contain similar fractional areas of myofibrils (Table 2
). We also studied whether differences
in the cellular content of titin could explain the mechanical
differences between pig and mouse cells. The ratio of titin relative to
MHC was determined using quantitative densitometry (for details, see
Materials and Methods). It was found that the titin/MHC ratios of mouse
and pig cells are not significantly different (Table 2
). The
titin/MHC ratio was also used to determine the number of titin
molecules per half-thick filament (for details, see Materials and
Methods). Results indicate 6.0±0.3 and 6.5±0.4 titin molecules per
half-thick filament in mouse and pig cells, respectively (Table 2
). Thus, a difference in the titin content of mouse and pig
cells is an unlikely explanation for their different passive
properties.
|
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It may be noted from Figure 5
that a few of the pig cells are as
stiff as most of the mouse cells, whereas one of the mouse cells is as
compliant as most pig cells. Although experimental error may underlie
part of this variation, differences in cell behavior may also result
from cell-to-cell variation in the expression ratio of N2B and N2BA
titins. For example, the compliant mouse cells may express high levels
of N2BA titin. To further explore cell-to-cell variation in cell
stiffness, cells isolated from pig atrium and rat ventricle were also
studied. Results indicate that most of the pig atrial cells were
compliant (ie, their T-SL curves are shallow) and that a few cells were
rigid and behaved like the average mouse cell (Figure 6
, red curves). In contrast, rat cardiac
cells were all stiff (Figure 6
). Considering that the rat
expresses predominantly N2B titin, cell-to-cell variation appears more
prominent in cells isolated from tissue that coexpresses both titin
isoforms.
|
| Discussion |
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Cardiac Titin Isoforms
Previous reverse transcriptasepolymerase chain reaction (RT-PCR)
studies of human cardiac titin revealed the existence of N2A and N2B
isoform transcripts.6 Here we studied isoform expression
at the protein level. SDS-PAGE indicates that myocardium of
many species contains two T1 bands, a top band that reacts with N2A-
and N2B-elementspecific antibodies and a bottom band with only
N2B-specific antibodies. That the two T1 bands represent
full-length titin molecules is supported by Western blot experiments
with antibodies against the N-terminal end (Z1/Z2 and Zr) and the
C-terminal end (T51) of titin. These experiments showed that both T1
bands of pig are full-length molecules and not degradation
products. Absence of titin degradation is also supported by the
immunoelectron microscopy data. Degradation results in
retraction of titin toward the Z-line and the A-band,22
and no such retraction was found in the cells that we investigated.
Hence, we conclude that the two T1 bands represent distinct
isoforms. This conclusion is in accordance with recent RT-PCR studies
using rabbit cardiac mRNA, which revealed that differential splicing
gives rise to 2 main classes of cardiac titin isoforms, the N2B and
N2BA titins, so named because they contain either the N2B element or
both the N2B and N2A elements (A. Freiburg and S. Labeit, unpublished
results, 1999). Cardiac N2B titin is the smallest isoform known to date
and the small size results from skipping the I20 to I75 segment and
splicing together the I19 to I76 encoding exons. The splicing of the
exon coding for I19 to exons in the I47 to I60 segment leads to a
family of isoforms, all including the N2A segment, and thus these
isoforms are referred to as N2BA titins.
Because of the sequence differences, the molecular mass of the cardiac
titin isoforms varies from
3.3 MDa for the N2BA titin isoform to
3.0 MDa for N2B titin (Reference 66 and A. Freiburg and S. Labeit,
unpublished results, 1999). Our current work indicates that this mass
difference is large enough to allow separation of N2B and N2BA titins
on high-resolution gels (Figures 1 through 3![]()
![]()
).
This enables studies of the expression levels of the isoforms in
different species and in different locations within the heart. Results
establish that coexpression of isoforms takes places in a wide range of
species, but at widely varying ratios, and that atria express higher
N2BA levels than the ventricles. The quantitative densitometric study
of titin in mouse and pig (expressing high levels of N2B and N2BA
titin, respectively) reveals that while the expression ratio of titin
isoforms varies greatly, the number of titin molecules per half-thick
filament appears constant (Table 2
). Thus, the stoichiometry of
titin is well controlled, whereas the isoform expression ratio is
variable.
Coexpression of Titin Isoforms at the SingleCardiac Myocyte
Level
The titin isoform coexpression results were obtained with SDS-PAGE
and Western blot techniques using myocardial tissue as starting
material. Coexpression of isoforms at the tissue level can be explained
by assuming (1) that individual cells express only one of the isoforms
(discrete expression hypothesis) and (2) that the ratio of N2B cells to
N2BA cells determines the isoform expression ratio of the myocardial
tissue. However, we found that the ratio of positive and negative cells
is inconsistent with a discrete expression of isoforms (Table 1
, see Results). Instead, results are consistent with a
coexpression of titin isoforms within individual cells. The small
fraction of negative cells can be explained by cell-to-cell variation
in the coexpression ratios resulting in some cells with predominantly
one isoform. This "variable coexpression" hypothesis is also
consistent with recent immunoelectron microscopy studies that
revealed coexpression of isoforms within the same I-band and
cell-to-cell variation in the coexpression level (K. Trombitás,
S. Labeit, and H. Granzier, unpublished data, 1999). In summary, our
findings indicate that the titin isoform coexpression seen at the
myocardial level results from coexpression at the level of the single
cardiac myocyte.
Diastolic Properties of Cardiac Myocytes
Whether diastolic properties of N2B cells are
predicted to be different from those of N2BA cells can be ascertained
from the molecular mechanism of titin-based F development. The
molecular mechanism that underlies the force of titin has been
investigated in dynamic light-scattering studies on titin in
solution,23 mechanical studies on single titin
molecules,24 25 26 27 and immunoelectron microscopic studies on
skeletal and cardiac muscle titin.11 28 29 From these, a
model has emerged in which the tandem-Ig segments (containing folded
Ig domains) and the PEVK segment (acting largely as an unfolded
polypeptide) behave as serially linked entropic springs. In short
sarcomeres, these springs are in a contracted state with high entropy,
and on sarcomere extension the springs straighten, lowering their
conformational entropy and resulting in a force, known as entropic
force. This force increases with the fractional extension of the
segment (end-to-end length divided by the contour length) (see
Reference 88 ).
The serially linked entropic-springs model of F development may be
applied to size variants of the elastic segment of titin by adapting
the entropic forces to the fractional extensions multiplied by the
contour lengths of the size variants tandem Ig and PEVK segments. The
contour lengths of tandem Ig and PEVK segments are
100 and
250 nm
longer, respectively, in N2BA than in N2B titin (assuming a 5-nm repeat
per Ig domain and 3.8 Å per PEVK residue; see References 11 and 1211 12 ).
It follows that at a given SL the fractional extension of tandem Ig and
PEVK segments is considerably less for N2BA titin than for N2B titin
and, therefore, F will be lower. This prediction is qualitatively
unaffected by the extensibility of the unique N2B
sequence,12 because both cardiac titin isoforms contain
this sequence. In conclusion, the serially linked entropic-springs
model of F development predicts that the F-SL relation will increase
less steeply (ie, the compliance is higher) for N2BA containing cells
than for N2B cells.
We studied the passive tensionSL relation of single cardiac myocytes
isolated from mouse, rat, and pig myocardium. The mouse and
rat were chosen because their cardiac myocytes are predicted to be
stiff (they express high levels of N2B titin), and the pig because its
cells are predicted to be compliant (high levels of N2BA titin).
Consistent with the predicted tension differences, pig myocytes
are on average significantly more compliant than rat and mouse cells
(Figures 5
and 6
). Considering the similar fractional
cell areas of myofibrils and the similar number of titin molecules per
halfthick filament (Table 2
), it is unlikely that these
mechanical results can be explained by differences in the amount of
titin per unit cross-sectional cell area. Rather, it is likely that
these mechanical differences result from within titin itself. It is
also worthwhile to point out that studies performed more than 20 years
ago by Fabiato and Fabiato30 are consistent with
our findings. In this earlier work, it was shown that dog myocytes are
more compliant than rat myocytes, consistent with the high
levels of N2BA titin that we found in dog myocardium and
high levels of N2B titin in rat (Figure 2
). Finally,
Brady31 has reported the passive stiffness modulus
(normalized to the cross-sectional area) of myocytes from several
species, and this revealed lower stiffness in rabbit than in rat. This
finding is in agreement with the higher N2BA levels of rabbit (Figure 3
).
Mechanical results of cells isolated from the same ventricle often
showed considerable variation (Figures 5
and 6
). Although
some of this variation may result from experimental error (such as
errors in the cross-sectional area measurement), it seems more likely
that additional sources of variation exist as well. It is also worth
noting that variation in mechanical properties has been reported in
intact guinea pig ventricular cells by Gannier et
al32 and Cazorla et al,33 with a tendency of
the cells to separate into stiff and compliant subpopulations.
Variation in cellular stiffness is consistent with the
variable coexpression hypothesis that was derived from the IF study
(see above). Variation in the titin isoform coexpression ratio of
cardiac myocytes is expected to give rise to variation in the level of
passive tension for a given SL, with an increase in cell compliance as
the N2BA expression level increases.
In summary, our mechanical studies reveal cell-to-cell variation in cell stiffness, but on average cells isolated from myocardium that expresses high levels of N2B titin are stiff and those from myocardium that expresses N2BA titin are more compliant. Thus, the diastolic properties of cardiac myocytes isolated from different species are not the same, but instead they vary with the expression ratio of the titin isoforms.
Functional Significance
Work on rat cardiac muscle has shown that both titin and collagen
are major contributors to passive stiffness of the
myocardium, with the contribution of titin dominating at
shorter lengths to midrange of the physiological SL
range and with collagen contributing more at longer
lengths.14 Although comparative muscle studies in
different species remain to be done, it is likely that variation in
titin-based stiffness of the myocytes will translate into variation in
stiffness at the level of the myocardium. Thus, we
speculate that as the expression level of N2BA titin increases and cell
stiffness decreases, myocardial stiffness will decrease as well.
Variation in myocardial stiffness is expected to influence filling of
the heart. For example, lower myocardial stiffness will allow for
faster filling and larger end-diastolic volumes for a given
filling pressure. The variation in expression levels of titin isoforms
in different species may thus be related to variation in filling rate
and/or filling volume of the heart. We speculate that the cell-to-cell
stiffness variation within species is related to strain equalization of
muscle fibers in different layers of the wall. Consistent with
this explanation is the variation in the N2BA/N2B isoform expression
ratio that was found in different layers of the ventricular
wall (Figure 2C
).
In conclusion, this work revealed that the myocardium coexpresses titin isoforms and that the expression ratio of the isoforms varies between and within species in different locations of the heart. Coexpression of titin isoforms at different levels modulates cellular stiffness, and we hypothesize that this influences filling of the heart. Research at the multicellular and organ levels will be required to test this hypothesis and to fully elucidate the functional significance of the present findings.
| Acknowledgments |
|---|
| Footnotes |
|---|
Received July 1, 1999; accepted October 6, 1999.
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