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¹ Department of Physiology, School of Medicine, University of Pennsylvania Philadelphia, PA 19104
² INSERM U523, Hospital Salpetriere, Paris 75651, France

Address correspondence to Saul Winegrad, Department of Physiology, School of Medicine, University of Pennsylvania Philadelphia, PA 19104. Fax: (215) 573-5851; email: bsg{at}mail.med.upenn.edu

In contrast to skeletal muscle isoforms of myosin binding protein C (MyBP-C), the cardiac isoform has 11 rather than 10 fibronectin or Ig modules (modules are identified as C0 to C10, NH₂ to COOH terminus), 3 phosphorylation sites between modules C1 and C2, and 28 additional amino acids rich in proline in C5. Phosphorylation between C1 and C2 increases maximum Ca-activated force (Fmax), alters thick filament structure, and increases the probability of myosin heads on the thick filament binding to actin on the thin filament. Unphosphorylated C1C2 fragment binds to myosin, but phosphorylation inhibits the binding. MyBP-C also binds to actin. Using two types of immunoprecipitation and cosedimentation, we show that fragments of MyBP-C containing C0 bind to actin. In low concentrations C0-containing fragments bind to skinned fibers when the NH₂ terminus of endogenous MyBP-C is bound to myosin, but not when MyBP-C is bound to actin. C1C2 fragments bind to skinned fibers when endogenous MyBP-C is bound to actin but not to myosin. Disruption of interactions of endogenous C0 with a high concentration of added C0C2 fragments produces the same effect on contractility as extraction of MyBP-C, namely decrease in Fmax and increase in Ca sensitivity. These results suggest that cardiac contractility can be regulated by shifting the binding of the NH₂ terminus of MyBP-C between actin and myosin. This mechanism may have an effect on diastolic filling of the heart.

Key Words: C1C2 • C0 • cardiomyopathy • relaxation • phosphorylation

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