1. Regional variation in myofilament length-dependent activation
- Author
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Olivier Cazorla, Alain Lacampagne, Physiologie & médecine expérimentale du Cœur et des Muscles [U 1046] (PhyMedExp), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM)-Centre National de la Recherche Scientifique (CNRS), Université de Montpellier (UM)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS), and Cazorla, Olivier
- Subjects
Myofilament ,Physiology ,MESH: Myocardial Contraction ,Clinical Biochemistry ,030204 cardiovascular system & hematology ,MESH: Protein Isoforms ,Sarcomere ,Mechanotransduction, Cellular ,Strain ,0302 clinical medicine ,Myosin ,Protein Isoforms ,MESH: Animals ,Frank-Starling law ,0303 health sciences ,Frank–Starling law of the heart ,Ejection fraction ,MESH: Stress, Mechanical ,biology ,Stretch ,MESH: Sarcomeres ,[SDV.MHEP.CSC] Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system ,Subendocardium ,Actin Cytoskeleton ,medicine.anatomical_structure ,MESH: Calcium ,Titin ,Sarcomeres ,medicine.medical_specialty ,MESH: Myocardium ,Subepicardium ,Myosins ,MESH: Troponin C ,MESH: Actins ,03 medical and health sciences ,[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system ,Physiology (medical) ,Internal medicine ,medicine ,Animals ,MESH: Microfilaments ,Endocardium ,030304 developmental biology ,MESH: Mechanotransduction, Cellular ,Myocardium ,MESH: Myosins ,Myocardial Contraction ,Actins ,Endocrinology ,Ventricle ,biology.protein ,Biophysics ,Calcium ,Stress, Mechanical ,Troponin C - Abstract
International audience; The Frank-Starling law is an important regulatory mechanism of the heart that links the end-diastolic volume with the systolic ejection fraction. This beat-to-beat regulation of the heart, underlined at the cellular level by higher myofilament calcium sensitivity at longer sarcomere length, is known as length-dependent activation or stretch sensitization of activation. However, the heart is structurally and functionally heterogeneous and asymmetrical. Specifically, contractile properties are not uniform within the left ventricle partly due to transmural differences in action potential waveforms and calcium homeostasis. The present review will focus on the role of the contractile machinery in the transmural contractile heterogeneity and its adaptation to changes in muscle strain. The expression of different myosin isoforms, the level of titin-based passive tension, and thin and thick sarcomeric regulatory proteins are considered to explain the regional cellular contractile properties. Finally, the importance of transmural heterogeneity of length-dependent activation and the consequences of its modification on the heart mechanics are discussed. Despite extensive research since the characterization of the Frank-Starling law, the molecular mechanisms by which strain information is transduced to the contractile machinery have not been fully determined yet.
- Published
- 2011