The cardiac tissue experiences several forms of mechanical stress, including contraction of cardiomyocytes and forces derived from the stiffness of extracellular matrix (ECM). Preserving homeostatic mechanical forces is crucial for a healthy heart, yet the mechanisms involved are not well-explored. Our study delves into cardiomyocyte responses following the sudden release of mechanical tension across titin, a giant sarcomere protein crucial for setting cardiomyocyte stiffness. Through the expression of virally transduced TEV protease (TEVp) in neonatal mouse cardiomyocytes (NMCMs), we induced the cleavage of mutant titin including the specific TEV protease recognition site (TEVs) within the mechanically active I-band region of the protein. Titin cleavage was validated by 1.8% polyacrylamide SDS-PAGE electrophoresis, revealing a primary band at ~2.2 MDa in TEV-positive NMCMs, corresponding to digested titin fragment A-M. This cleavage, confirmed at 2 days post-infection (dpi) with ~80% efficiency, reached 100% by 5 dpi. Consequently, the Young’s modulus of affected cardiomyocytes dropped by 50%, as determined by Atomic Force Spectroscopy. Sarcomere disarray increased over time, as evidenced by immunofluorescence, yet this effect did not induce cell death or proliferation. Cell viability was confirmed by the fact that affected cardiomyocytes are able to contract spontaneously, although titin cleavage resulted in reduced beating amplitude and induced arrhythmic behavior. Considering this arrhythmogenic situation, we tested cell-cell adhesion through dissociation assays, which revealed significantly reduced intercellular adhesion in affected cardiomyocytes. RNAseq confirmed involvement of pathways related to heart contraction, anchoring junctions, and cell junctions. Specifically, dysregulated genes associated with gap-junction and costamere complexes were observed at 5 dpi. Alterations of adhesion were further confirmed by reductions in connexin 43 and focal adhesion length in immunofluorescence experiments, which also showed mislocalization of important adhesive proteins. In conclusion, titin cleavage in neonatal cardiomyocytes leads to sarcomere disarray, perturbed cell-cell adhesion and arrhythmia. These findings highlight the importance of full mechanical integrity of the titin filament in living cardiomyocytes.
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