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Updated: Aug 14, 2026

Assessment of Myofilament Ca2+ Sensitivity Underlying Cardiac Excitation-contraction Coupling
Published on: August 1, 2016
Functional effects of protein kinase C-mediated myofilament phosphorylation in human myocardium
Jolanda van der Velden1, Nadiya A Narolska, Regis R Lamberts
1Laboratory for Physiology, Institute for Cardiovascular Research, VU University Medical Center, Amsterdam, The Netherlands. j.vandervelden@vumc.nl
Insights
Protein kinase C (PKC) has a minor effect on maximal force in human heart muscle. However, PKC decreases calcium sensitivity, potentially improving diastolic function in heart failure by altering myofilament phosphorylation.
Area of Science:
- Cardiovascular Physiology
- Molecular Cardiology
- Cardiac Muscle Function
Background:
- Heart failure is associated with reduced beta-adrenergic signaling (Protein Kinase A - PKA) and increased Protein Kinase C (PKC) activity.
- PKC-mediated phosphorylation of myofilament proteins may impair contractile function in cardiomyopathy.
- Understanding PKC's role in human myocardium is crucial for developing targeted therapies.
Purpose of the Study:
- To investigate the effects of PKC on human myofilament function.
- To determine how PKC influences myofilament phosphorylation under basal conditions.
- To examine the interplay between PKC, PKA, and phosphatase activity on myofilament function.
Main Methods:
- Isometric force measurements in permeabilized human cardiomyocytes from failing and non-failing hearts.
- Analysis of myofilament protein phosphorylation using gel electrophoresis and Western immunoblotting.
- Assessment of PKC, PKA, and phosphatase treatments on myofilament Ca(2+) sensitivity and maximal force.
Main Results:
- PKC slightly reduced maximal force in basal conditions, with minimal impact after PKA or phosphatase treatment.
- PKC significantly decreased Ca(2+) sensitivity more in failing than non-failing cardiomyocytes.
- PKC phosphorylated PKA sites on Troponin I and increased Troponin T phosphorylation, but did not alter myosin light chain phosphorylation.
Conclusions:
- PKC-mediated myofilament phosphorylation has a limited effect on maximal force in human myocardium.
- The observed decrease in Ca(2+) sensitivity by PKC may enhance diastolic function in heart failure.
- This effect is relevant in failing hearts where PKA-mediated Troponin I phosphorylation is diminished.
Objective:
In human heart failure beta-adrenergic-mediated protein kinase A (PKA) activity is down-regulated, while protein kinase C (PKC) activity is up-regulated. PKC-mediated myofilament protein phosphorylation might be detrimental for contractile function in cardiomyopathy. This study was designed to reveal the effects of PKC on myofilament function in human myocardium under basal conditions and upon modulation of protein phosphorylation by PKA and phosphatases.
Methods:
Isometric force was measured at different [Ca(2+)] in single permeabilized cardiomyocytes from non-failing and failing human left ventricular tissue. Basal phosphorylation of myofilament proteins and the influence of PKC, PKA, and phosphatase treatments were analyzed by one- and two-dimensional gel electrophoresis, Western immunoblotting, and ELISA.
Results:
Troponin I (TnI) phosphorylation at the PKA sites was decreased in failing compared to non-failing hearts and correlated well with myofilament Ca(2+) sensitivity (pCa(50)). Incubation with the catalytic domain of PKC slightly decreased maximal force under basal conditions, but not following PKA and phosphatase pretreatments. PKC reduced Ca(2+) sensitivity to a larger extent in failing (DeltapCa(50)=0.19+/-0.03) than in non-failing (DeltapCa(50)=0.08+/-0.01) cardiomyocytes. This shift was reduced, though still significant, when PKC was preceded by PKA, while PKA following PKC did not further decrease pCa(50). Protein analysis indicated that PKC phosphorylated PKA sites in human TnI and increased phosphorylation of troponin T, while myosin light chain phosphorylation remained unaltered.
Conclusion:
In human myocardium PKC-mediated myofilament protein phosphorylation only has a minor effect on maximal force development. The PKC-mediated decrease in Ca(2+) sensitivity may serve to improve diastolic function in failing human myocardium in which PKA-mediated TnI phosphorylation is decreased.
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