| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Molecular Medicine |
700-kDa Titin Isoform, and Its Interaction With Obscurin Identify a Novel Z-Line to I-Band Linking System
From the Institut für Anästhesiologie und Operative Intensivmedizin (M.L.B., T.C., F.F., C.C.W., D.L., S.L.), Universitätsklinikum Mannheim, Germany; the Department of Veterinary and Comparative Anatomy, Pharmacology, and Physiology (M.G., M.M., H.G.), Washington State University, Pullman, Wash; and the Department of Cell Biology and Anatomy (A.J.G., C.C.G.), University of Arizona, Tucson, Ariz.
Correspondence to Siegfried Labeit, Klinikum Mannheim, Theodor-Kutzer-Ufer, 68167 Mannheim, Germany. Email Labeit{at}embl-heidelberg.de
| Abstract |
|---|
|
|
|---|
700 kDa in size and spans from Z1-Z2 (titins N-terminus) to novex-3 (C-terminal exon). Novex-3 titin specifically interacts with obscurin, a 721-kDa myofibrillar protein composed of 57 Ig/FN3 domains, followed by one IQ, SH3, DH, and a PH domain at its C-terminus. The obscurin domains Ig48/Ig49 bind to novex-3 titin and target to the Z-line region when expressed as a GFP fusion protein in live cardiac myocytes. Immunoelectron microscopy detected the C-terminal Ig48/Ig49 obscurin epitope near the Z-line edge. The distance from the Z-line varied with sarcomere length, suggesting that the novex-3 titin/obscurin complex forms an elastic Z-disc to I-band linking system. This system could link together calcium-dependent, SH3-, and GTPase-regulated signaling pathways in close proximity to the Z-disc, a structure increasingly implicated in the restructuring of sarcomeres during cardiomyopathies.
Key Words: striated muscle myofibrils cardiac myopathies titin/connectin obscurin Z-disc signaling
| Introduction |
|---|
|
|
|---|
800 kDa in heart muscle N2B isoform;
1.5 MDa in soleus muscle isoform). The C-terminal 2.1-MDa A-band segment of titin is attached to the thick filaments via its multiple binding sites for myosin and C-protein (for a review, see Trinick and Tskhovrebova8). Similar to the overlap of its N-terminal ends in Z-lines, the C-terminal titin regions from adjacent half-sarcomeres overlap in the M-line.9 As a result of the overlap of titins N- and C-termini, titins form a continuous filament system along the full length of the myofibril. This makes titin an ideal candidate for functioning as a template in sarcomere assembly and turnover and for generating and transmitting passive tensions. On the genomic level, titin is encoded by a single gene located on the long arm of chromosome 2 in both human and mouse.10,11 Recently, we identified 2 bacterial artificial chromosome (BAC) clones that contain the entire coding region of the human titin gene. Analysis of titins 294-kb gene sequence reveals 50 novel exons within its 5' 170-kb genomic portion. Particularly remarkable is a novel 6.5-kb exon located 5' of the heart-specific N2B exon, referred to as novex-3. Novex-3 is expressed in all striated muscle tissues and functions as an alternative 3' end, located 220 kb 5' of the C-terminal M10 exon of conventional titins. Therefore, in addition to half-sarcomere spanning, full-length titins, the titin locus also expresses the truncated novex-3 titin isoform that may constitute a Z-disc-I-band linking filament system. Interestingly, novex-3 titin interacts with the 721-kDa giant protein obscurin, which contains an IQ, SH3, DH, and a PH domain within its C-terminal region.12 PH and DH domains act as guanidine nucleotide exchange factors for Rho/RAC/Cdc42-like GTPAses. IQ domains can interact with calmodulin, whereas SH3 domains generally participate in dynamic multicomponent protein complexes (see http://smart.embl-heidelberg.de/ and Young et al12 and Shaw13) Further studies of the giant novex-3 titin/obscurin protein complex and of obscurins potential cellular signaling domains are likely to improve our understanding of Z-line-based signaling pathways and their involvement in cardiac myopathies.
| Materials and Methods |
|---|
|
|
|---|
96% of the 3' BAC No. 23155 was found in the public databases. Three 1 to 2 kb segments not found in the public databanks were amplified and sequenced. The 294 kb annotated titin sequence assembled from BAC No. 14104 and BAC No. 23155 is available from the EMBL data library under accession AJ277892 and from http://www.embl-heidelberg.de/ExternalInfo/Titin/. The obscurin gene sequence spanning from I4 to its putative 3' end12 was identified from Celeras database (Celera contig GA_x2HTBKLELYV).
|
Isoform Transcript Studies
RNAs from human tissues (Stratagene, Heidelberg, Germany) were analyzed by reverse transcriptase (RT)-PCR with combinations of I9S to I29R primers essentially as described.7 Rapid amplification of cDNA ends (RACE) was performed with human heart marathon-ready cDNAs (Clontech, La Jolla, Calif) using the Advantage 2 Polymerase (Clontech). Novex-3 polyadenylated transcripts were amplified with a reverse primer including 12 nucleotides from the 3' end of novex-3 followed by T18 (T18: TTTTTTTTTTTTTTTTTTAGGTAGCCAAGG; see Figure 2E).
|
Antibodies, SDS Page, and Western Blot Analysis of Titin
A novex-3 fragment (N-terminal of I21, see Figure 5A) and obscurin fragments (F6/I7 and I48/I49/F50, respectively; see Figure 5C) were expressed as His6-fusion proteins in E. coli and purified on Ni-NTA columns essentially as described.4,14 Rabbit polyclonal antibodies were raised and affinity-purified by Biogenes (Berlin, Germany). Gel electrophoresis and Western blot conditions were as described previously.7,1517 The molecular mass of novex-3 titin and obscurin were estimated by comparing their mobility on SDS-gels with that of titin T2 (2.1 MDa), nebulin (Mr 780 kDa), and myosin heavy chain (205 kDa).
|
|
Yeast 2-Hybrid (Y2H) Screens and GST Pulldown Assays
Novex-3 exon fragments were amplified from the BAC clone No. 14104 by PCR.18 Amplified novex-3 fragments were inserted into the BTM117c vectors19 to obtain LexA-BD fusions. Screening of human skeletal and cardiac muscle cDNA libraries (HL4010AB and HL4042AH, Clontech, Palo Alto, Calif) by the Y2H method, identification of ß-galactosidase expressing prey clones, in vitro transcription and translation of titin novex-3 and obscurin in the presence of [35S] Methionine (Amersham Pharmacia Biotech) and glutathione S-transferase (GST) pulldown assays were performed as described.20
Immunoelectron and Immunofluorescence Microscopy
Rat cardiac muscles were stretched, fixed, immuno-labeled, embedded, and processed for immunoelectron microscopy as described.16,21 For immunofluorescence microscopy, isolated rat skeletal myofibrils20 were incubated with anti-F6/I7 obscurin rabbit antiserum (1:100), followed by Texas Red conjugated donkey anti-rabbit IgG (1:600), antimyomesin monoclonal antibodies (generously provided by Drs Perriard and Ehler, Institute for Cell Biology, Zurich, Switzerland),22 and Cy-2 conjugated goat anti-mouse IgG (1:600). All coverslips were analyzed and prepared for presentation as described.20
Cell Culture and Transfection Procedures
For expression studies, an obscurin fragment (coding for I48/I49/F50) was amplified by PCR and cloned into pEGFP-C1 (Clontech, Palo Alto, Calif). The recombinant pEGFP-C1 construct was purified using QIAGEN columns and verified by sequencing. Primary cultures of rat cardiac myocytes were isolated and maintained as described.23 Cells were plated and transfected as described.20 The transfected cells were incubated with antimyomesin B4 antibodies, followed by Texas red-conjugated goat anti-mouse IgG+IgM (1:600; Jackson ImmunoResearch Laboratories). Over 200 transfected cells were analyzed as described.20
| Results |
|---|
|
|
|---|
In the PEVK region, 47 exons were identified that are absent in the known cardiac and skeletal cDNA sequences. A subset of these exons have recently been noted in human fetal transcripts25 (in Figure 1 marked in orange), raising the possibility of their fetal-specific expression. About 75% of the PEVK exons correspond to phased 78 to 90 nucleotide units, which on the protein level code for conserved 26- to 30-residue motifs.7
Remarkably, the central PEVK region contains a 10.5-kb segment that is composed of 3 nucleotide repeats, A, B, and C (Figure 1). A and B are both 4262 bp in length and are 99.7% conserved, whereas C is 1860 bp in length and is 99.2% conserved to the 5' regions of A and B. The two 2.5 kb introns separating A/B and B/C, respectively, correspond to incomplete 5' truncated LINE-1 repeats, mobile elements known to have randomly moved around in mammalian genomes during evolution. The 99.7% conservation of the LINE-1 repeats suggests that the duplication of A and B occurred about 1 million years ago, whereas the 99.2% conservation of B and C would be consistent with a Line-1 insertion about 3 million years ago.26 The >99% conserved and >4 kb long nucleotide repeats A, B, C are a technical challenge for correct sequence fragment assembly. This, in part, may explain why some titin exons were missed in previous titin cDNA sequencing projects6 and in the analysis of the human genome based on shot-gun approaches.27,28
Three novel exons, 375, 576, and 6398 bp in length were identified 5' of titins heart-specific N2B exon and are referred to as titin novex-1 to novex-3, respectively (Figure 1). Novex-1, -2, and -3 together contain 8 Ig repeats, which correspond to Ig repeats I16 to I24, when using a revised Ig nomenclature based on the titin gene sequence (Figure 1; see also7).
Striated Muscle-Specific Expression of Novex-1, -2, and -3 and Polyadenylation of Novex-3
RT-PCR studies using I9-sense to I27-reverse primer pairs showed that novex-1, -2, and -3 are expressed in the human heart and skeletal muscles. Semiquantitative PCR experiments suggested that novex-1, -2, and -3 transcripts are less abundant in skeletal than in heart muscle (Figures 2A through 2C). Splicing together of the I16 and N2B exons corresponds to a heart-specific isoform, whereas the splicing of I17 to I27 was found in both heart and skeletal muscles. The I16/I17 exons appeared to be mutually exclusive because they were never amplified in the same fragments (Figure 3). I23-sense primers in combination with downstream reverse primers did not amplify fragments extending to the 3' end. Therefore, we performed cDNA extensions to the 3' end from novex-3 by anchored PCR. This identified novex-3 transcripts with poly-A-tails (Figures 2D and 2E). Consistent with this, the intron downstream of novex-3 contains polyadenylation signals (Figure 2E).
|
If novex-3 is an alternative C-terminus, novex-3 titin should represent an unusually small titin isoform. To test this, we raised antibodies to the novex-3 exon. These antibodies recognized, on Western blots of cardiac and skeletal muscle tissues, a protein of
700 kDa. In skeletal muscles, novex-3 titin migrated just below nebulin (Figure 4A). Novex-3 titin was not detected in smooth muscle and other nonmuscle tissues (Figure 4A).
|
The novex-3 titin molecular mass of
700 kDa suggests that most or all exons 5' of novex-3 are included in this isoform. To test if the most N-terminal region of the conventional titins is included in novex-3 titin, we performed Western blot studies using our anti-Z1-Z2 antibodies.4 When using the highly sensitive enhanced chemiluminescence (ECL) method, we detected reactivity to both a
3000-kDa and
700-kDa species (Figure 4B). Comparison of the intensities suggested that novex-3 titin is more than one order of magnitude less abundant than conventional titins.
Novex-3 Titin Interacts With Obscurin, a Novel 721-kDa Myofibrillar Protein
To search for potential ligands of the novex-3 titin isoform, Y2H studies were performed with 5 baits covering the novex-3 exon (novex-3.1 to novex-3.5; see Figure 5A). Confirmed prey clones were only obtained with one bait (novex-3.5). Novex-3.5 includes the C-terminal 564 amino acids of novex-3, corresponding to a nonrepetitive segment and the 3 Ig repeats I21/I22/I23. From 650 000 skeletal muscle and 450 000 cardiac muscle cDNA prey clones screened, 14 potentially interacting prey clones were identified. Five of these, 3 from the skeletal and 2 from the cardiac library screen, were positive for ß-galactosidase expression; their inserts corresponded to partial cDNAs of the giant obscurin protein.12 To narrow down the binding sites of novex-3 titin and obscurin, deletion analysis was performed. This showed that a 198 residue unique sequence N-terminal to the novex-3 Ig repeat I21 is sufficient for the interaction with obscurin (corresponding to bps 73 011 to 73 599 of accession AJ277892, see Figure 5A). Interestingly, this sequence contains 6 repeats of the amino acid sequence RYSTPPGETLE (Figure 5A). In obscurin, the Ig-repeats I48/I49 interact with novex-3 as shown by GST pulldown assays (Figure 5B) and Y2H deletion constructs (Figure 5C). A search of the Celera database assigned the obscurin cDNA to the contig GA_x2HTBKLELYV on human chromosome 1q41.2. Analysis of this contig by Genefinder (http://dot.imgen.bcm.tmc.edu:9331/gene-finder/gf.html) and SMART24 revealed 55 Ig repeats, 2 FN3 repeats, and also IQ, SH3, DH, and PH domains within obscurins C-terminal region (Figure 5C). This is consistent with the obscurin cDNA sequencing studies of Gautel and colleagues.12
On Northern multiple tissue dot blots, both obscurin and novex-3 titin mRNA expression appeared to be specific to striated muscle tissues (Figure 5D). On Western blots, the obscurin-specific antisera recognized a
750-kDa species from rat heart muscle (Figure 4C).
Localization of the Novex-3/Obscurin Complex
To investigate the localization of the obscurin/novex-3 titin complex in the sarcomere, antibodies were raised to obscurins F6/I7 domains (close to its N-terminus), and to the I48/I49/F50 domains (located C-terminal of obscurins tandem Ig segment; see Figure 5C). The antiserum directed to the N-terminal F6/I7 epitopes stained both the Z- and M-line region by immunoelectron microscopy (Figure 6A). The C-terminally directed I48/I49/F50 antiserum localized these epitopes within the I-band region close to the Z-line (Figure 6B). When comparing different sarcomere lengths, the distance of this epitope to the periphery of the Z-line ranged from
60 to
120 nm at sarcomere lengths from 1.8 to 2.3 µm (Figures 6C and 2D). Similarly, in immunofluorescence microscopy studies using our anti-obscurin F6/I7 antibodies, in most preparations of heart and skeletal rat muscle isolated myofibrils or frozen sections, Z-line-associated staining was detected; however, in some preparations staining at the M-line was detected (obscurin Z-line staining on isolated rat skeletal myofibrils is shown: Figure 7B). Although we could not correlate the different staining patterns with the conditions of tissue isolation, antibodies used, or developmental stage, this staining paradox is consistent with that reported recently by others.12
|
Additionally, in immunofluorescence studies, our anti-novex-3 antibodies stained M-lines, whereas immunoelectron microscopy using the same antibodies did not show any specific label (data not shown). Whether potential novex-3 epitopes were not accessible under the conditions used, or if our novex-3 antibodies cross-react nonspecifically to M-line proteins, remains to be established.
As an independent approach to study the sarcomeric localization of obscurin, we expressed the obscurin fragment I48/I49/F50 (see Figure 5C) as a GFP fusion protein in live rat cardiac myocytes. Based on costaining with anti-myomesin antibodies that stain the M-line, we observed that the obscurin I48/I49/F50 fragment specifically targeted to the Z-line region in more than 80% of transfected cells (the remaining <20% demonstrated diffuse staining). This is consistent with our immunoelectron microscopy data (because it is difficult to resolve a distance of
60 nm from the Z-line by light microscopy) (Figure 7A).
| Discussion |
|---|
|
|
|---|
Of the 50 novel exons, 47 exons code for PEVK elements. All novel PEVK exons and 70% of the previously identified PEVK exons are 84 to 99 nucleotides in length and code for conserved 28- to 33-residue motifs. These motifs may represent structural units of the titin PEVK spring.7 Interestingly, the number of PEVK motifs in the titin gene appears to have increased during evolution. Three highly conserved nucleotide repeats (boxes A through C in Figure 1) each contain 9 PEVK exons and share 99.7% (A and B) to 99.2% sequence identity (A and C). The two 2.5 kb introns separating A/B and B/C correspond to truncated Line-1 repeats. Line repeats are mobile elements that constitute about 16% to 21% of the human genome.26,27 Their expansion may have contributed to the development and extinction of mammalian species during evolution.27,29 In titin, LINE-1 mediated duplication events apparently modified the genomic region responsible for titins spring properties. Some of the duplicated PEVK exons have been identified in human cDNA transcripts from fetal tissues.25 This further supports the functional relevance of the duplication events, which presumably increased myofibril elasticity and/or muscle tissue diversity by expanding the differentially spliced PEVK region.7
The nucleotide divergence of A, B, and C (A and B: 0.3%; B and C: 0.8%) predicts that the two LINE-1 elements inserted roughly about 3 million (B) and 1 million (A) years ago, and therefore, after the divergence of humans and humanoids such as chimpanzee and orangutans.26 Further studies of the PEVK region in different mammals with respect to how many LINE-1 repeats are present should provide clues to explain how the PEVK titin region was restructured during evolution, eventually linking together speciation to species-specific adaptations of myofibril mechanics.
5' of the PEVK and N2B spring elements, 3 novel exons novex-1, -2, and -3 were identified that are expressed in heart and skeletal muscles (Figure 2). Inclusion of the C-terminal novex-3 is linked to the expression of a
700-kDa titin isoform, which spans to the N-terminal Z1-Z2 Ig repeats, located at the periphery of the Z-line of the opposite sarcomere.4 Why are 2 very differently sized classes of titin expressed from the single titin gene locus? The >3000 kDa titin polypeptides are integral components of both thick and thin filament structures. To date, it is unclear how the presumed 6 titin molecules per half thick filament can participate in the assembly of structures, which have both a 3-fold (thick filaments) and 2-fold symmetry (thin filaments), a problem that has been referred to as the titin symmetry paradox.30 Because the truncated
700 kDa titin isoform can integrate into the tetragonal Z-line lattice but is too short to reach into the A-band, the coexpression of half-sarcomere spanning titins together with shorter titins could be involved in adjusting the titin filament to both 3- and 2-fold symmetries.
As a first attempt to study the functional role(s) of novex-3 titin, we performed Y2H studies using novex-3 baits. We identified obscurin, another giant myofibrillar protein,12 as a potential binding partner of novex-3. Expression of both novex-3 titin and obscurin transcripts are restricted to striated muscle tissues (Figure 5D).
Interestingly, the antiserum directed to obscurins F6/I7 epitopes stained both Z-lines and M-lines in adult rat heart and skeletal muscle (Figure 6A). Although we did not correlate obscurin staining patterns with the developmental stage of the striated muscle, this observation may be related to a recent report that also described an M-line localization of obscurin.12 In this study, a model was presented in which a fetal form/isoform of obscurin is present in Z-lines (
10-somite stage in chick and E9.5 in mouse) whereas in later, fully-mature myofibrils, obscurin is redistributed and is localized to the M-line region.12 In contrast, the obscurin fragment I48/I49/F50 (which binds to novex-3 titin) localized exclusively to the Z-line region of the sarcomere when expressed in live neonatal rat cardiac myocytes containing mature myofibrils (Figure 7). Consistent with this, immunoelectron microscopy localized the endogenous C-terminal I48/I49/F50 obscurin epitope close to the Z-line in adult rat cardiac muscle (Figure 6C). The distance of this epitope to the Z-line increased with stretch up to 120 nm (Figures 6C and 6D). Future studies such as the expression of N- and C-terminal obscurin GFP fusion proteins are required to determine if the N- and C-terminal regions of obscurin are indeed differentially targeted during development.
The titin Z1-Z2 N-terminal modules, which are included in the novex-3-titin isoform (Figure 4B), have been shown previously to localize to Z-lines, presumably by their interaction with T-cap4 (also called telethonin31). This would be consistent with a model that the novex-3 titin N-terminus (Z1-Z2) integrates novex-3 titin within the Z-line, whereas its tandem Ig segment (I1 to I15) and its C-terminal novex-3 segment project
100 nm into the I-band (Figure 6). The extension of the obscurin I48/I49/F50 epitope to Z-line distance during stretch raises the possibility that both novex-3 titin and obscurin form filamentous structures that have elastic properties similar to conventional titins. These elastic properties may be conferred by the tandem Ig segments contained in both novex-3 titin and obscurin.
The novex-3 titin/obscurin complex appears to be another example of Z-line-associated proteins that is likely to participate in myofibrillar signaling. Other members of this group include muscle LIM protein (MLP),32 cardiac-restricted ankyrin repeat protein (CARP),33 T-cap/telethonin,4,31 palladin,34 and myopalladin.20 Because the novex-3 titin/obscurin complex extends when sarcomeres are stretched (Figure 6), the complex may have signaling properties that respond to the strain imposed on the sarcomere. We speculate that this complex may be involved in strain/stress-initiated sarcomeric restructuring that is known to occur during muscle development and cardiac disease.3537
The discovery of novel titin exons and of the coexpression of
700-kDa and >3000-kDa titins will be relevant for future studies on genetic diseases linked to titin. Familial cardiac myopathies with dominant inheritance and linkage to titin gene markers have been identified.38 Similarly, a skeletal muscular dystrophy was identified in the Finnish population which affects distal leg muscles (TMD; tibialis anterior muscular dystrophy). TMD is recessive and is closely linked to titin markers.39 For both 2q-linked familiar cardiac myopathies and for TMD, no disease-causing mutations have been identified thus far. Mutational searches of the 363 titin exons are likely to address whether mutations are present in the titin gene and whether particular cardiomyopathies and muscular dystrophies are indeed caused by dysfunctions of the titin filament system.
| Acknowledgments |
|---|
| Footnotes |
|---|
Received June 15, 2001; revision received October 17, 2001; accepted October 18, 2001.
| References |
|---|
|
|
|---|
2. Wang K. Titin/connectin and nebulin: giant protein rulers of muscle structure and function. Adv Biophys.. 1996; 33: 123134.
3. Gregorio CC, Granzier H, Sorimachi H, Labeit S. Muscle assembly: a titanic achievement? Curr Opin Cell Biol.. 1999; 11: 1825.
4. Gregorio CC, Trombitás K, Centner T, Kolmerer B, Stier G, Kunkel K, Suzuki K, Obermayr F, Herrmann B, Granzier H, Sorimachi S, Labeit S. The NH2 terminus of titin spans the Z-disc: its interaction with a novel 19-kD ligand (T-cap) is required for sarcomeric integrity. J Cell Biol.. 1998; 143: 10131027.
5. Linke WA, Granzier H. A spring tale: new facts on titin elasticity. Biophys J.. 1998; 75: 26132614.
6. Labeit S, Kolmerer B. Titins, giant proteins in charge of muscle ultrastructure and elasticity. Science.. 1995; 270: 293296.
7. Freiburg A, Trombitas K, Hell W, Cazorla O, Fougerousse F, Centner T, Kolmerer B, Witt C, Beckmann JS, Gregorio CC, Granzier H, Labeit S. Series of exon-skipping events in the elastic spring region of titin as the structural basis for myofibrillar elastic diversity. Circ Res.. 2000; 86: 11141121.
8. Trinick J, Tskhovrebova L. Titin: a molecular control freak. Trends Cell Biol.. 1999; 9: 377380.
9. Obermann WM, Gautel M, Steiner F, van der Ven PF, Weber K, Fürst DO. The structure of the sarcomeric M band: localization of defined domains of myomesin, M-protein, and the 250-kD carboxy-terminal region of titin by immunoelectron microscopy. J Cell Biol.. 1996; 134: 14411453.
10. Labeit S, Barlow DP, Gautel M, Gibson T, Holt J, Hsieh CL, Francke U, Leonard K, Wardale J, Whiting A, Trinick J. A regular pattern of two types of 100-residue motif in the sequence of titin. Nature.. 1990; 345: 273276.
11. Rossi E, Faiella A, Zeviani M, Labeit S, Floridia G, Brunelli S, Cammarata M, Boncinelli E, Zuffardi O. Order of six loci at 2q24-q31 and orientation of the HOXD locus. Genomics.. 1994; 24: 3440.
12. Young P, Ehler E, Gautel M. Obscurin, a giant sarcomeric Rho guanine nucleotide exchange factor protein involved in sacomere assembly. J Cell Biol.. 2001; 154: 123136.
13. Shaw G. The pleckstrin homology domain: an intriguing multifunctional protein module. Bioessays.. 1996; 18: 3546.
14. Studier FW, Rosenberg AH, Dunn JJ, Dubendorff JW. Use of T7 RNA polymerase to direct expression of cloned genes. Methods Enzymol.. 1990; 185: 6089.
15. Hu DH, Kimura S, Maruyama K. Sodium dodecyl sulfate gel electrophoresis studies of connectin-like high molecular weight proteins of various types of vertebrate and invertebrate muscles. J Biochem (Tokyo).. 1986; 99: 14851492.
16. Trombitás K, Greaser M, Labeit S, Jin JP, Kellermayer M, Helmes M, Granzier H. Titin extensibility in situ: entropic elasticity of permanently folded and permanently unfolded molecular segments. J Cell Biol.. 1998; 140: 853859.
17. Cazorla O, Freiburg A, Helmes M, Centner T, McNabb M, Trombitas K, Labeit S, Granzier H. Differential expression of cardiac titin isoforms and modulation of cellular stiffness. Circ Res.. 2000; 86: 5967.
18. Saiki RK, Scharf S, Faloona F, Mullis KB, Horn GT, Erlich HA, Arnheim N. Enzymatic amplification of ß-globin genomic sequences and restriction site analysis for diagnosis of sickle cell anemia. Science.. 1985; 230: 13501354.
19. Wanker EE, Rovira C, Scherzinger E, Hasenbank R, Walter S, Tait D, Colicelli J, Lehrach H. HIP-I: a huntingtin interacting protein isolated by the yeast two-hybrid system. Hum Mol Gen.. 1997; 6: 487495.
20. Bang ML, Mudry RE, McElhinny Trombitás K, Geach AJ, Yamasaki R, Sorimachi H, Granzier H, Gregorio CC, Labeit S. Myopalladin, a novel 145 kDa sarcomeric protein with multiple roles in Z-disc and I-band protein assemblies. J Cell Biol.. 2001; 153: 413428.
21. Trombitás K, Jin JP, Granzier H. The mechanically active domain of titin in cardiac muscle. Circ Res.. 1995; 77: 856861.
22. Grove BK, Cerny L, Perriard JC, Eppenberger HM. Myomesin, and M protein: expression of two M-band proteins in pectoral muscle and heart during development. J Cell Biol.. 1985; 101: 14131421.
23.
Gustafson TA., Bahl JJ, Markham BE, Roeske WR, Morkin E. Hormonal regulation of myosin heavy chain and
-actin gene expression in cultured fetal rat heart myocytes. J Biol Chem.. 1987; 262: 1331613322.
24. Schultz J, Milpetz F, Bork P, Ponting CP. SMART, a simple modular architecture research tool: identification of signaling domains. Proc Natl Acad Sci U S A.. 1998; 95: 58575864.
25. Gutierrez-Cruz G, Van Heerden AH, Wang K. Modular motif, structural folds and affinity profiles of PEVK segment of human fetal skeletal muscle titin. J Biol Chem.. 2001; 40: 34273438.
26. Chen FC, Li WH. Genomic divergences between humans and other hominoids and the effective population size of the common ancestor of humans and chimpanzees. Am J Hum Genet.. 2001; 68: 444456.
27. Lander ES, Linton LM, Birren B, Nusbaum C, Zody MC, Baldwin J, Devon K, Dewar K, Doyle M, FitzHugh W, et al. Initial sequencing and analysis of the human genome. Nature.. 2001; 409: 860921.
28. Venter JC. The sequence of the human genome. Science.. 2001; 291: 13041351.
29. Furano AV, Usdin K. DNA "fossils" and phylogenetic analysis: using L1 (LINE-1, long interspersed repeated) DNA to determine the evolutionary history of mammals. J Biol Chem.. 1995; 270: 2530125304.
30. Liversage AD, Holmes D, Knight PJ, Tskhovrebova L, Trinick J. Titin and the sarcomere symmetry paradox. J Mol Biol.. 2001; 305: 401409.
31. Valle G, Faulkner G, De Antoni A, Pacchioni B, Pallavicini A, Pandolfo D, Tiso N, Toppo S, Trevisan S, Lanfranchi G. Telethonin, a novel sarcomeric protein of heart and skeletal muscle. FEBS Lett.. 1997; 415: 163168.
32. Arber S, Halder G, Caroni P. Muscle LIM protein, a novel essential regulator of myogenesis, promotes myogenic differentiation. Cell.. 1994; 79: 221231.
33. Zou Y, Evans S, Chen J, Kuo HC, Harvey RP, Chien KR. CARP, a cardiac ankyrin repeat protein, is downstream in the Nkx2-5 homeobox gene pathway. Development.. 1997; 124: 793804.
34. Parast MM, Otey CA. Characterization of palladin, a novel protein localized to stress fibers and cell adhesions. J Cell Biol.. 2000; 150: 643656.
35. Towbin JA. The role of cytoskeletal proteins in cardiomyopathies. Curr Opin Cell Biol.. 1998; 10: 131139.
36. Chien KR. Genomic circuits and the integrative biology of cardiac diseases. Nature.. 2000; 407: 227232.
37. Pashmforoush M, Pomies P, Peterson KL, Kubalak S, Ross JJr, Hefti A, Aebi U, Beckerle MC, Chien KR. Adult mice deficient in actinin-associated LIM-domain protein reveal a developmental pathway for right ventricular cardiomyopathy. Nat Med.. 2001; 7: 591597.
38. Siu BL, Niimura H, Osborne JA, Fatkin D, MacRae C, Solomon S, Benson DW, Seidman JG, Seidman CE. Familial dilated cardiomyopathy locus maps to chromosome 2q31. Circulation.. 1999; 99: 10221026.
39. Haravuori H, Makela-Bengs P, Udd B, Partanen J, Pulkkinen L, Somer H, Peltonen L. Assignment of the tibial muscular dystrophy locus to chromosome 2q31. Am J Hum Genet.. 1998; 62: 620626.
This article has been cited by other articles:
![]() |
P. Fernando, J. S. Sandoz, W. Ding, Y. de Repentigny, S. Brunette, J. F. Kelly, R. Kothary, and L. A. Megeney Bin1 Src Homology 3 Domain Acts as a Scaffold for Myofiber Sarcomere Assembly J. Biol. Chem., October 2, 2009; 284(40): 27674 - 27686. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Kontrogianni-Konstantopoulos, M. A. Ackermann, A. L. Bowman, S. V. Yap, and R. J. Bloch Muscle Giants: Molecular Scaffolds in Sarcomerogenesis Physiol Rev, October 1, 2009; 89(4): 1217 - 1267. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. H. Ahmed and M. L. Lindsey Titin Phosphorylation: Myocardial Passive Stiffness Regulated by the Intracellular Giant Circ. Res., September 25, 2009; 105(7): 611 - 613. [Full Text] [PDF] |
||||
![]() |
C. Hidalgo, B. Hudson, J. Bogomolovas, Y. Zhu, B. Anderson, M. Greaser, S. Labeit, and H. Granzier PKC Phosphorylation of Titin's PEVK Element: A Novel and Conserved Pathway for Modulating Myocardial Stiffness Circ. Res., September 25, 2009; 105(7): 631 - 638. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. L. Ford-Speelman, J. A. Roche, A. L. Bowman, and R. J. Bloch The Rho-Guanine Nucleotide Exchange Factor Domain of Obscurin Activates RhoA Signaling in Skeletal Muscle Mol. Biol. Cell, September 1, 2009; 20(17): 3905 - 3917. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Lange, K. Ouyang, G. Meyer, L. Cui, H. Cheng, R. L. Lieber, and J. Chen Obscurin determines the architecture of the longitudinal sarcoplasmic reticulum J. Cell Sci., August 1, 2009; 122(15): 2640 - 2650. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. A. Ackermann, L.-Y. R. Hu, A. L. Bowman, R. J. Bloch, and A. Kontrogianni-Konstantopoulos Obscurin Interacts with a Novel Isoform of MyBP-C Slow at the Periphery of the Sarcomeric M-Band and Regulates Thick Filament Assembly Mol. Biol. Cell, June 15, 2009; 20(12): 2963 - 2978. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y. Zhu, J. Bogomolovas, S. Labeit, and H. Granzier Single Molecule Force Spectroscopy of the Cardiac Titin N2B Element: EFFECTS OF THE MOLECULAR CHAPERONE {alpha}B-CRYSTALLIN WITH DISEASE-CAUSING MUTATIONS J. Biol. Chem., May 15, 2009; 284(20): 13914 - 13923. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. L. Fox-Walsh and K. J. Hertel Splice-site pairing is an intrinsically high fidelity process PNAS, February 10, 2009; 106(6): 1766 - 1771. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. Davis, M. V. Westfall, D. Townsend, M. Blankinship, T. J. Herron, G. Guerrero-Serna, W. Wang, E. Devaney, and J. M. Metzger Designing Heart Performance by Gene Transfer Physiol Rev, October 1, 2008; 88(4): 1567 - 1651. [Abstract] [Full Text] [PDF] |
||||
![]() |
J. Qi, L. Chi, S. Labeit, and A. J. Banes Nuclear localization of the titin Z1Z2Zr domain and role in regulating cell proliferation Am J Physiol Cell Physiol, October 1, 2008; 295(4): C975 - C985. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. L. Bowman, D. H. Catino, J. C. Strong, W. R. Randall, A. Kontrogianni-Konstantopoulos, and R. J. Bloch The Rho-Guanine Nucleotide Exchange Factor Domain of Obscurin Regulates Assembly of Titin at the Z-Disk through Interactions with Ran Binding Protein 9 Mol. Biol. Cell, September 1, 2008; 19(9): 3782 - 3792. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. J. Chi, A. R. Simon, E. A. Bienkiewicz, A. Felix, and T. C. S. Keller III Smooth Muscle Titin Zq Domain Interaction with the Smooth Muscle {alpha}-Actinin Central Rod J. Biol. Chem., July 25, 2008; 283(30): 20959 - 20967. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Qadota, L. A. McGaha, K. B. Mercer, T. J. Stark, T. M. Ferrara, and G. M. Benian A Novel Protein Phosphatase is a Binding Partner for the Protein Kinase Domains of UNC-89 (Obscurin) in Caenorhabditis elegans Mol. Biol. Cell, June 1, 2008; 19(6): 2424 - 2432. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. A. Linke Sense and stretchability: The role of titin and titin-associated proteins in myocardial stress-sensing and mechanical dysfunction Cardiovasc Res, March 1, 2008; 77(4): 637 - 648. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Y. Boateng and P. H. Goldspink Assembly and maintenance of the sarcomere night and day Cardiovasc Res, March 1, 2008; 77(4): 667 - 675. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Kruger, C. Sachse, W. H. Zimmermann, T. Eschenhagen, S. Klede, and W. A. Linke Thyroid Hormone Regulates Developmental Titin Isoform Transitions via the Phosphatidylinositol-3-Kinase/ AKT Pathway Circ. Res., February 29, 2008; 102(4): 439 - 447. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. von Castelmur, M. Marino, D. I. Svergun, L. Kreplak, Z. Ucurum-Fotiadis, P. V. Konarev, A. Urzhumtsev, D. Labeit, S. Labeit, and O. Mayans A regular pattern of Ig super-motifs defines segmental flexibility as the elastic mechanism of the titin chain PNAS, January 29, 2008; 105(4): 1186 - 1191. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Granzier, M. Radke, J. Royal, Y. Wu, T. C. Irving, M. Gotthardt, and S. Labeit Functional genomics of chicken, mouse, and human titin supports splice diversity as an important mechanism for regulating biomechanics of striated muscle Am J Physiol Regulatory Integrative Comp Physiol, August 1, 2007; 293(2): R557 - R567. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Seeley, W. Huang, Z. Chen, W. O. Wolff, X. Lin, and X. Xu Depletion of Zebrafish Titin Reduces Cardiac Contractility by Disrupting the Assembly of Z-Discs and A-Bands Circ. Res., February 2, 2007; 100(2): 238 - 245. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Musa, S. Meek, M. Gautel, D. Peddie, A. J. H. Smith, and M. Peckham Targeted homozygous deletion of M-band titin in cardiomyocytes prevents sarcomere formation J. Cell Sci., October 15, 2006; 119(20): 4322 - 4331. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Kontrogianni-Konstantopoulos, D. H. Catino, J. C. Strong, S. Sutter, A. B. Borisov, D. W. Pumplin, M. W. Russell, and R. J. Bloch Obscurin modulates the assembly and organization of sarcomeres and the sarcoplasmic reticulum FASEB J, October 1, 2006; 20(12): 2102 - 2111. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Ma, J. G. Forbes, G. Gutierrez-Cruz, and K. Wang Titin as a Giant Scaffold for Integrating Stress and Src Homology Domain 3-mediated Signaling Pathways: THE CLUSTERING OF NOVEL OVERLAP LIGAND MOTIFS IN THE ELASTIC PEVK SEGMENT J. Biol. Chem., September 15, 2006; 281(37): 27539 - 27556. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Weinert, N. Bergmann, X. Luo, B. Erdmann, and M. Gotthardt M line-deficient titin causes cardiac lethality through impaired maturation of the sarcomere J. Cell Biol., May 22, 2006; 173(4): 559 - 570. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. A. C. Ottenheijm, L. M. A. Heunks, T. Hafmans, P. F. M. van der Ven, C. Benoist, H. Zhou, S. Labeit, H. L. Granzier, and P. N. R. Dekhuijzen Titin and Diaphragm Dysfunction in Chronic Obstructive Pulmonary Disease Am. J. Respir. Crit. Care Med., March 1, 2006; 173(5): 527 - 534. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Kontrogianni-Konstantopoulos, D. H. Catino, J. C. Strong, and R. J. Bloch De novo myofibrillogenesis in C2C12 cells: evidence for the independent assembly of M bands and Z disks Am J Physiol Cell Physiol, February 1, 2006; 290(2): C626 - C637. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. A. Huebsch, E. Kudryashova, C. M. Wooley, R. B. Sher, K. L. Seburn, M. J. Spencer, and G. A. Cox Mdm muscular dystrophy: interactions with calpain 3 and a novel functional role for titin's N2A domain Hum. Mol. Genet., October 1, 2005; 14(19): 2801 - 2811. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Sarkar, S. Caamano, and J. M. Fernandez The Elasticity of Individual Titin PEVK Exons Measured by Single Molecule Atomic Force Microscopy J. Biol. Chem., February 25, 2005; 280(8): 6261 - 6264. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. Selcen and K. Bushby Titinopathies: What happens when a big gene mutates in a big family? Neurology, February 22, 2005; 64(4): 596 - 597. [Full Text] [PDF] |
||||
![]() |
B. Udd, A. Vihola, J. Sarparanta, I. Richard, and P. Hackman Titinopathies and extension of the M-line mutation phenotype beyond distal myopathy and LGMD2J Neurology, February 22, 2005; 64(4): 636 - 642. [Abstract] [Full Text] [PDF] |
||||
![]() |
J.-H. Leu, J.-M. Tsai, H.-C. Wang, A. H.-J. Wang, C.-H. Wang, G.-H. Kou, and C.-F. Lo The Unique Stacked Rings in the Nucleocapsid of the White Spot Syndrome Virus Virion Are Formed by the Major Structural Protein VP664, the Largest Viral Structural Protein Ever Found J. Virol., January 1, 2005; 79(1): 140 - 149. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Fujita, D. Labeit, B. Gerull, S. Labeit, and H. L. Granzier Titin isoform-dependent effect of calcium on passive myocardial tension Am J Physiol Heart Circ Physiol, December 1, 2004; 287(6): H2528 - H2534. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. Tskhovrebova and J. Trinick Properties of Titin Immunoglobulin and Fibronectin-3 Domains J. Biol. Chem., November 5, 2004; 279(45): 46351 - 46354. [Full Text] [PDF] |
||||
![]() |
A. B. Borisov, A. Kontrogianni-Konstantopoulos, R. J. Bloch, M. V. Westfall, and M. W. Russell Dynamics of Obscurin Localization During Differentiation and Remodeling of Cardiac Myocytes: Obscurin as an Integrator of Myofibrillar Structure J. Histochem. Cytochem., September 1, 2004; 52(9): 1117 - 1127. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. F. Nagueh, G. Shah, Y. Wu, G. Torre-Amione, N. M.P. King, S. Lahmers, C. C. Witt, K. Becker, S. Labeit, and H. L. Granzier Altered Titin Expression, Myocardial Stiffness, and Left Ventricular Function in Patients With Dilated Cardiomyopathy Circulation, July 13, 2004; 110(2): 155 - 162. [Abstract] [Full Text] [PDF] |
||||
![]() |
C. A. Opitz, M. C. Leake, I. Makarenko, V. Benes, and W. A. Linke Developmentally Regulated Switching of Titin Size Alters Myofibrillar Stiffness in the Perinatal Heart Circ. Res., April 16, 2004; 94(7): 967 - 975. [Abstract] [Full Text] [PDF] |
||||
![]() |
S. Lahmers, Y. Wu, D. R. Call, S. Labeit, and H. Granzier Developmental Control of Titin Isoform Expression and Passive Stiffness in Fetal and Neonatal Myocardium Circ. Res., March 5, 2004; 94(4): 505 - 513. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. Bullard, C. Ferguson, A. Minajeva, M. C. Leake, M. Gautel, D. Labeit, L. Ding, S. Labeit, J. Horwitz, K. R. Leonard, et al. Association of the Chaperone {alpha}B-crystallin with Titin in Heart Muscle J. Biol. Chem., February 27, 2004; 279(9): 7917 - 7924. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. L. Granzier and S. Labeit The Giant Protein Titin: A Major Player in Myocardial Mechanics, Signaling, and Disease Circ. Res., February 20, 2004; 94(3): 284 - 295. [Abstract] [Full Text] [PDF] |
||||
![]() |
W. G. Pyle and R. J. Solaro At the Crossroads of Myocardial Signaling: The Role of Z-Discs in Intracellular Signaling and Cardiac Function Circ. Res., February 20, 2004; 94(3): 296 - 305. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. S. Kryndushkin, I. M. Alexandrov, M. D. Ter-Avanesyan, and V. V. Kushnirov Yeast [PSI+] Prion Aggregates Are Formed by Small Sup35 Polymers Fragmented by Hsp104 J. Biol. Chem., December 5, 2003; 278(49): 49636 - 49643. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. Labeit, K. Watanabe, C. Witt, H. Fujita, Y. Wu, S. Lahmers, T. Funck, S. Labeit, and H. Granzier Calcium-dependent molecular spring elements in the giant protein titin PNAS, November 11, 2003; 100(23): 13716 - 13721. [Abstract] [Full Text] [PDF] |
||||
![]() |
T. Rankinen, T. Rice, A. Boudreau, A. S. Leon, J. S. Skinner, J. H. Wilmore, D. C. Rao, and C. Bouchard Titin is a candidate gene for stroke volume response to endurance training: the HERITAGE Family Study Physiol Genomics, September 29, 2003; 15(1): 27 - 33. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. Puntervoll, R. Linding, C. Gemund, S. Chabanis-Davidson, M. Mattingsdal, S. Cameron, D. M. A. Martin, G. Ausiello, B. Brannetti, A. Costantini, et al. ELM server: a new resource for investigating short functional sites in modular eukaryotic proteins Nucleic Acids Res., July 1, 2003; 31(13): 3625 - 3630. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Kontrogianni-Konstantopoulos, E. M. Jones, D. B. van Rossum, and R. J. Bloch Obscurin Is a Ligand for Small Ankyrin 1 in Skeletal Muscle Mol. Biol. Cell, March 1, 2003; 14(3): 1138 - 1148. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Gotthardt, R. E. Hammer, N. Hubner, J. Monti, C. C. Witt, M. McNabb, J. A. Richardson, H. Granzier, S. Labeit, and J. Herz Conditional Expression of Mutant M-line Titins Results in Cardiomyopathy with Altered Sarcomere Structure J. Biol. Chem., February 14, 2003; 278(8): 6059 - 6065. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Kontrogianni-Konstantopoulos and R. J. Bloch The Hydrophilic Domain of Small Ankyrin-1 Interacts with the Two N-terminal Immunoglobulin Domains of Titin J. Biol. Chem., January 31, 2003; 278(6): 3985 - 3991. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. Bagnato, V. Barone, E. Giacomello, D. Rossi, and V. Sorrentino Binding of an ankyrin-1 isoform to obscurin suggests a molecular link between the sarcoplasmic reticulum and myofibrils in striated muscles J. Cell Biol., January 21, 2003; 160(2): 245 - 253. [Abstract] [Full Text] [PDF] |
||||
![]() |
P. Zou, M. Gautel, A. Geerlof, M. Wilmanns, M. H. J. Koch, and D. I. Svergun Solution Scattering Suggests Cross-linking Function of Telethonin in the Complex with Titin J. Biol. Chem., January 17, 2003; 278(4): 2636 - 2644. [Abstract] [Full Text] [PDF] |
||||
![]() |
Y. Wu, S. P. Bell, K. Trombitas, C. C. Witt, S. Labeit, M. M. LeWinter, and H. Granzier Changes in Titin Isoform Expression in Pacing-Induced Cardiac Failure Give Rise to Increased Passive Muscle Stiffness Circulation, September 10, 2002; 106(11): 1384 - 1389. [Abstract] [Full Text] [PDF] |
||||
![]() |
H. Granzier and S. Labeit Cardiac titin: an adjustable multi-functional spring J. Physiol., June 1, 2002; 541(2): 335 - 342. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. S. McElhinny, K. Kakinuma, H. Sorimachi, S. Labeit, and C. C. Gregorio Muscle-specific RING finger-1 interacts with titin to regulate sarcomeric M-line and thick filament structure and may have nuclear functions via its interaction with glucocorticoid modulatory element binding protein-1 J. Cell Biol., April 1, 2002; 157(1): 125 - 136. [Abstract] [Full Text] [PDF] |
||||
![]() |
K. Watanabe, P. Nair, D. Labeit, M. S. Z. Kellermayer, M. Greaser, S. Labeit, and H. Granzier Molecular Mechanics of Cardiac Titin's PEVK and N2B Spring Elements J. Biol. Chem., March 22, 2002; 277(13): 11549 - 11558. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. S. McElhinny, K. Kakinuma, H. Sorimachi, S. Labeit, and C. C. Gregorio Muscle-specific RING finger-1 interacts with titin to regulate sarcomeric M-line and thick filament structure and may have nuclear functions via its interaction with glucocorticoid modulatory element binding protein-1 J. Cell Biol., April 1, 2002; 157(1): 125 - 136. [Abstract] [Full Text] [PDF] |
||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Circulation Research Home | Subscriptions | Archives | Feedback | Authors | Help | AHA Journals Home | Search Copyright © 2001 American Heart Association, Inc. All rights reserved. Unauthorized use prohibited. |