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Maintenance of sarcomeric integrity in adult muscle cells crucially depends on Z-disc anchored titin

Sandra Swist (), Andreas Unger, Yong Li, Anja Vöge, Marion Frieling-Salewsky, Åsa Skärlén, Nicola Cacciani, Thomas Braun, Lars Larsson and Wolfgang A. Linke ()
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Sandra Swist: Ruhr University Bochum
Andreas Unger: University of Munster
Yong Li: University of Munster
Anja Vöge: Ruhr University Bochum
Marion Frieling-Salewsky: University of Munster
Åsa Skärlén: Clinical Neurophysiology, Karolinska Institute
Nicola Cacciani: Karolinska Institute
Thomas Braun: Max Planck Institute for Heart and Lung Research
Lars Larsson: Karolinska Institute
Wolfgang A. Linke: University of Munster

Nature Communications, 2020, vol. 11, issue 1, 1-18

Abstract: Abstract The giant protein titin is thought to be required for sarcomeric integrity in mature myocytes, but direct evidence for this hypothesis is limited. Here, we describe a mouse model in which Z-disc-anchored TTN is depleted in adult skeletal muscles. Inactivation of TTN causes sarcomere disassembly and Z-disc deformations, force impairment, myocyte de-stiffening, upregulation of TTN-binding mechanosensitive proteins and activation of protein quality-control pathways, concomitant with preferential loss of thick-filament proteins. Interestingly, expression of the myosin-bound Cronos-isoform of TTN, generated from an alternative promoter not affected by the targeting strategy, does not prevent deterioration of sarcomere formation and maintenance. Finally, we demonstrate that loss of Z-disc-anchored TTN recapitulates muscle remodeling in critical illness ‘myosinopathy’ patients, characterized by TTN-depletion and loss of thick filaments. We conclude that full-length TTN is required to integrate Z-disc and A-band proteins into the mature sarcomere, a function that is lost when TTN expression is pathologically lowered.

Date: 2020
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DOI: 10.1038/s41467-020-18131-2

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