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Updated: Jan 4, 2026

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Published on: August 25, 2022
KBTBD13 is an actin-binding protein that modulates muscle kinetics
Josine M de Winter1, Joery P Molenaar2,3, Michaela Yuen1,4
1Department of Physiology, Amsterdam University Medical Center, Netherlands.
Mutations in KBTBD13 cause nemaline myopathy (NEM6) by impairing muscle relaxation. This study reveals KBTBD13 binds actin, and mutations disrupt thin filament structure, leading to slow muscle relaxation and disease.
Area of Science:
- Muscle physiology
- Molecular biology
- Genetics
Background:
- Muscle relaxation kinetics are crucial for muscle function.
- Nemaline myopathy (NEM6), caused by KBTBD13 mutations, presents with muscle weakness and slow relaxation.
- The precise role of KBTBD13 and the mechanism of NEM6 remain unclear.
Purpose of the Study:
- To elucidate the function of KBTBD13 in muscle.
- To determine the pathomechanism underlying nemaline myopathy type 6 (NEM6).
- To investigate the structural basis of impaired muscle relaxation in NEM6.
Main Methods:
- Utilized transcranial magnetic stimulation, muscle fiber and sarcomere contractility assays, low-angle X-ray diffraction, and superresolution microscopy.
- Employed homology modeling, binding and contractility assays with recombinant KBTBD13.
- Generated and analyzed Kbtbd13-knockout and Kbtbd13R408C-knockin mouse models, and a GFP-labeled Kbtbd13-transgenic zebrafish model.
Main Results:
- Demonstrated that KBTBD13 directly binds to actin, a key component of the muscle thin filament.
- Identified structural alterations in the thin filament caused by KBTBD13 mutations.
- Confirmed that these structural changes are responsible for the impaired muscle-relaxation kinetics observed in NEM6.
Conclusions:
- KBTBD13 plays a critical role in regulating muscle relaxation kinetics.
- Mutations in KBTBD13 lead to structural defects in the actin-based thin filament.
- Actin-based impaired relaxation is proposed as the central mechanism in NEM6 pathology.
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