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Department of Physiology and Biophysics, College of Medicine, University of Illinois at Chicago, Chicago, Illinois 60612
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ABSTRACT |
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What determines the shape, size, and force output of cardiac and skeletal muscle? Chicago architect Louis Sullivan (1856-1924), father of the skyscraper, observed that "form follows function." This is as true for the structural elements of a striated muscle cell as it is for the architectural features of a building. Function is a critical evolutionary determinant, not form. To survive, the animal has evolved muscles with the capacity for dynamic responses to altered functional demand. For example, work against an increased load leads to increased mass and cross-sectional area (hypertrophy), which is directly proportional to an increased potential for force production. Thus a cell has the capacity to alter its shape as well as its volume in response to a need for altered force production. Muscle function relies primarily on an organized assembly of contractile and other sarcomeric proteins. From analysis of homogenized cells and molecular and biochemical assays, we have learned about transcription, translation, and posttranslational processes that underlie protein synthesis but still have done little in addressing the important questions of shape or regional cell growth. Skeletal muscles only grow in length as the bones grow; therefore, most studies of adult hypertrophy really only involve increased cross-sectional area. The heart chamber, however, can extend in both longitudinal and transverse directions, and cardiac cells can grow in length and width. We know little about the regulation of these directional processes that appear as a cell gets larger with hypertrophy or smaller with atrophy. This review gives a brief overview of the regulation of cell shape and the composition and aggregation of contractile proteins into filaments, the sarcomere, and myofibrils. We examine how mechanical activity regulates the turnover and exchange of contraction proteins. Finally, we suggest what kinds of experiments are needed to answer these fundamental questions about the regulation of muscle cell shape.
sarcomere; myofibril; assembly; hypertrophy; cardiac and skeletal muscle
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REGULATION OF CELL SHAPE |
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We know that trees add new rings of growth under the bark each year as the trunk grows bigger and the tips of the branches extend as it grows taller. What does a muscle cell do as it grows? Surprisingly, we still do not have the answer to this fundamental question of how muscle grows. Autoradiography and ultrastructural studies suggest that increased cell width is accomplished by incorporation of new material throughout the entire cross-sectional area of the cell (33). Lengthwise growth of a muscle cell occurs by addition at the tips (18), presumably because the crystalline architecture would make it hard to splice a new unit of length (the sarcomere) into the middle of the existing contractile mass. However, we do not know what mechanisms regulate growth in either the circumferential or longitudinal direction.
Muscle growth and adaptation is a complex and integrative
process. The cell has an arsenal of regulatory steps that can be used
in response to growth signals. Gene transcription is followed by the
processes of translation and assembly of proteins into the contractile
architecture such that the function is optimized for the task at hand.
The upregulation of transcription and translation of contractile genes
is regulated by work; therefore, the cell size can easily be doubled
(2, 12). Moreover, this doubling is accomplished while the
stoichiometry of all proteins is preserved and the correct appearance
of every element of the sarcomere is maintained. Remember, a muscle
cell is three dimensional; therefore, a cell is able to double its
volume either in width or in length (Fig.
1). Note that the addition of sarcomeres
end-to-end in series makes the cell longer, whereas the addition of
sarcomeres side-by-side in parallel makes the cell wider. The direction
of growth is not controlled by transcription so it must be a
posttranscriptional process, such as translation or assembly.
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One hypothesis for controlling the site at which new sarcomeres are assembled is based on the potential for delivering the messenger RNA (mRNA) to specific cellular locations. For example, if the message could be delivered to the ends of the myocyte and translated there, then a cell would preferentially elongate. The myosin heavy chain (MHC) is 200 kDa and, like other large intracellular proteins, cannot diffuse quickly from its site of synthesis for incorporation into sarcomeres. Indeed, differential localization of sarcomeric and cytoskeletal mRNAs is seen in muscle during development and periods of rapid growth (reviewed in Refs. 25 and 26). We have studied this in skeletal and cardiac cells. Stretching a rabbit's leg makes mRNA accumulate at the tips of the elongating fibers as they grow longer. Furthermore, transport of mRNA via microtubules to its respective subcellular destination in the periphery of a cardiac cell only occurs when there is active contraction and ongoing translation (22). We found that cardiac muscle cells can rapidly assemble sarcomeres throughout the cell even when the mRNA is centrally located and microtubules are gone, suggesting that diffusional rates for the message or the protein is adequate. However, similar experiments with microtubular removal have not been done in vivo. It is possible that, in the whole muscle, the myofibrillar architecture is sufficiently dense so that microtubular transport is essential to overcome restricted diffusion. Therefore, it remains to be seen if local translation is a major regulatory mechanism for adjustment of cell shape.
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THE SARCOMERE |
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Cardiac and skeletal muscles are both composed of longitudinal arrays
of thick and thin filaments in a repeating unit called the sarcomere.
For a complete discussion of muscle structure, we refer the reader to
Gray's Anatomy (14). According to the sliding filament theory,
the thick filament protein myosin attaches to actin, a component of the
thin filament, and force is developed as a result of ATP-dependent
movement of the two filaments past one another. There are numerous
other proteins in the sarcomere whose roles are for modulation of
contraction, for maintenance of the structure, or for both. Many of
these proteins do not appear in text books so we have diagrammed their
location (not to scale) in Fig. 2. To
complicate matters further, many of these proteins come in slightly
different amino acid sequences known as isoforms. Functional variations
can be achieved by combinations and amounts of various isoforms and can
be readily switched by alteration of activity patterns or hormone
stimulation (9, 23). We do not go into these isoform characteristics in
detail here because they do not determine cell shape.
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Cardiac muscle and skeletal muscle are similar in that they are both
striated muscle; however, there are many important differences between
the two (Table 1). Many of these
differences in form arise from the significant differences in the
functional requirements of the two types of muscle. The fundamental
difference is that skeletal muscle is designed to do intermittent,
unidirectional work against load or gravity with the force being
transmitted through tendonous attachments. Cardiac muscle, however,
works continuously and is designed to squeeze blood out of a chamber without the use of tendons. Furthermore, the term myofibril refers to
myofilaments bundled during development or by the sarcoplasmic reticulum in the adult skeletal muscles. It is not often realized that
this kind of cylindrical bundling does not occur in adult cardiac
muscle, where the myofilaments are grouped into huge irregular fields
named felderstrucktur by German anatomists of the nineteenth century.
Interdigitating thick and thin filaments are the working units in the
sarcomere; therefore, to keep the function clear, we usually refer to
the term sarcomere instead of the term fibril or myofibril. Even more
confusing are the terms concentric and eccentric. Concentric work is
defined as the production of active tension while the muscle is
shortening. Eccentric work in skeletal muscle is defined as production
of active tension while the muscle is lengthening. In skeletal muscle,
concentric work occurs when a weight is lifted against gravity and
eccentric work occurs when a weight is lowered in a controlled fashion.
The term eccentric in the cardiac literature arose from the anatomic
position in the chest that occurs when the volume of blood returning to
the heart (preload) is greater than the ejected fraction. Under these conditions, cardiac muscle must contract while being stretched by an
increased volume of blood. Concentric refers to the conditions that
occur when the heart must contract against a greater afterload (i.e.,
blood pressure). Eccentric work and concentric work are the same in
both cardiac and skeletal muscle, but the results are quite different.
In skeletal muscle, eccentric exercise is the most potent stimulus for
functional hypertrophy, leading to bulkier and stronger muscles. In
cardiac muscle, eccentric hypertrophy leads to long, thin, weak muscle
cells. The anatomy of the skeletal muscle allows it to accommodate the
stretching that occurs during eccentric work while maintaining
functional cross bridges.
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Cardiac muscle cannot accommodate significant stretch as effectively as skeletal muscle and maintain functional cross bridges. This discussion points to an important distinction. In skeletal muscle, eccentric hypertrophy is generally a physiological adaptation that leads to beneficial changes in function. In the heart, eccentric hypertrophy is a pathological change that occurs as the heart enters irreversible failure. The direction in which the heart cell grows has major clinical consequences for the mechanical output from the whole heart. In pressure overload, the heart wall thickens, and cells develop a large cross-sectional area (corresponding to concentric hypertrophy), whereas, in response to a volume overload, the heart wall becomes thin with elongated cells (corresponding to eccentric hypertrophy) (17). Thus form still follows function, but in one case the changes in form are adaptive and increase the functionality of muscle. In the latter case, however, the form changes are maladaptive and correlate with disease.
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ASSEMBLY OF THE SARCOMERE AND THE MYOFIBRIL |
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In striated muscle, assembly of the sarcomeric proteins into highly
organized sarcomeres is an ordered and complex process sometimes called
sarcomerogenesis. Formation of the first fibril (myofibrillogenesis) is
the process for bundling the thick and thin filaments together (1, 10).
Assembly of myofilaments, in vivo, requires a complex array of
structural and associated proteins. In culture, a striated muscle cell
initially looks more like a fibroblast or smooth muscle cell with actin
stress cables anchored at the membrane and interspersed with dense Z
bodies containing
-actinin (6). This observation has been confirmed in living cultures by the use of green fluorescent protein conjugated to
-actinin (4, 24). The first short thin filaments composed of
actin, tropomyosin, and the troponin complex extend in both directions
away from the Z bodies, making I-Z-I brushes linked to each other by
the long titin molecule (28). In cultured cells, myosin binding C
protein clamps the rod region nonmuscle myosin IIB to form the initial
thick filaments in the cytoplasm nearby (4, 24, 29). The
NH2 terminus of titin binds to the Z line, and the COOH
terminus binds to the center of the thick filament, thereby linking the
loose, nonstriated arrangements of I-Z-I complexes and capturing the
isolated thick filaments to form the sarcomere. Alignment of the
sarcomeres in the transverse plane is achieved by the arrival of
myomesin and M protein between the thick filaments and cytosketetal
proteins to form the Z bands from the I-Z-I brushes. The final thin
filament length of 1 µm is determined by the long nebulin molecule in
skeletal muscle (nebulette in cardiac muscle) and by an actin capping
protein (15). The other long molecule, titin, appears to be necessary
for the determination of both the length of the thick filament (1.6 µm) and for bringing it to the center of the sarcomere. This is
evident because titin binds to the Z line at its NH2
terminus and to the M line at its COOH terminus.
The first sarcomeres in culture form in close proximity to the membrane and are coupled by focal adhesions to the extracellular environment. It is worth noting that a cardiac myocyte changes from a cylindrical, rod-shaped cell in vivo with a central nucleus embedded in contractile material to one that is shaped like a fried egg with the contractile proline lying near the lower surface like the white and the nucleus sitting on top like the yolk in vitro. Given that cultured cells are flattened on the surface of the dish, this is hardly surprising that this adaptation to the new environment yields many nonphysiological properties in the cell. However, when myofibrillogenesis was observed in vivo in normally situated cells in early development of the heart of the chick embryo by confocal microscopy, a difference in the sequence of the appearance of sarcomeric proteins was found. No stress fibers or premyofibrils were observed in vivo, suggesting that these findings could be an artifact supported by the artificial two-dimensional properties of the current cell culture system (7). In studies of new sarcomere formation in elongating skeletal muscle, myofibrils formed well away from lateral association with the membrane. There were actin stress fibers, Z bodies, and insertion to a focal adhesion at the end of the fiber only (5). Therefore, we cannot assume that the observation on fibril formation in the flattened cells in culture holds for the three-dimensional architecture in vivo.
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MECHANICAL REGULATION OF PROTEIN TURNOVER AND EXCHANGE |
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All biological materials are constantly in a state of flux, with a
cycle of molecules entering and leaving every structure. Therefore, a
sarcomere today will not be made of the same molecules as tomorrow
(21). To understand such replacement at the level of the contractile
machinery, contractile proteins have been labeled and followed (8, 24,
26). These exchange processes have not been measured directly in
vivo except by isoform exchange as witnessed by immunoelectron
microscopy. The natural incorporation of the newly synthesized
-MHC
was detected in a day or two, and, notably, the exchange rate was
greater near the free ends of the thick filaments than in the center
(32). Tropomyosin is also preferentially replaced at the ends of the
thin filaments (20), suggesting that the ends of filaments are less
tightly bound than the central regions.
Every protein has its own steady-state exchange rate that varies from seconds to weeks. The contractile proteins in vivo are among the longest to live of known proteins. For example, sarcomeric actin's half-life is ~20 days and MHC turns over with a half-life of 7-10 days, whereas the components of the troponin complex have turnover rates similar to troponin I, troponin T, and troponin C at 3.2, 3.5, and 5.3 days, respectively (19).
However, if a molecule leaves the protection of the intact filament, it is highly susceptible to rapid degradation, with a half-life in minutes when disassembled in both cardiac and skeletal muscles (11, 27). This leads to the question of what processes foster unraveling of the filaments so that rapid degradation follows. The simple answer is removal of the activity or load, for example, tenotomy of skeletal muscle, space flight for cardiac and skeletal muscle, or separation of tissues into cells to culture them. It might not matter whether the removal of load is externally or internally generated, since even inhibition of contractile activity (e.g., by blockade of calcium transients or inhibition of actin-myosin cross-bridge cycling) reduces the MHC and actin content of cultured cells and leads to a time-dependent disappearance of intact sarcomeres. There is both a decrease in MHC and actin synthesis and an increase in the rate of MHC and actin degradation as sarcomeres disappear (3, 27). These effects are entirely reversible, and an increase in load or activity enhances assembly of the sarcomere. Passive stretch causes MHC and actin accumulation in contracting cells, due to both an increase in the rate of protein synthesis and a reduction in the rate of degradation (30). Surprisingly, cardiac myocytes cyclically stretched are not aligned to the force vector as they would be in any muscle in vivo. Rather, they swing to the perpendicular direction and lie transverse to the axis of strain (29, 30). We think this might be due to the abnormal attachment between the culture cells and the slippery surface of the supporting membrane. The chemistry and surface features adjacent to the cell are important to both cell shape and attachment (16, 29).
To study the mechanics of the cross bridge, methods were developed to allow exchange of the natural contractile proteins with those engineered by molecular techniques (20). New proteins can be driven into the filaments by the law of mass action if they are supplied at many times the normal concentration in vitro or overexpressed in transgenic animals. Almost nothing goes in at physiological concentrations; therefore, high concentrations are needed for mass action to work effectively. For example, the isolated, skinned muscle strips can have 80% of the troponin sites occupied with the new protein and be functioning 1 h later. We can glean other useful information from the methods sections of this series of mechanical papers and see that turnover rates may well vary in different mechanical conditions. For example, the affinity of troponin T to tropomyosin, which governs the resting exchange rate, is more rapid in rigor when the myosin head is tightly bound to actin (for a review, see Ref. 31). Perhaps stabilization of the thick filaments can be regulated in a similar manner by the phosphorylation or calcium binding through associated thick filaments proteins, such as the C proteins (34). Relative binding affinities could well link calcium regulation of contractility to favor either assembly or disassembly.
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FUTURE DIRECTIONS |
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Gene transfer experiments in vivo and in vitro allow introduction of constructs into muscle cells to probe molecular and morphological responses to altered work. It appears that the need for timed, controlled manipulations of the functional properties are necessary. The Sanger team (4) has recently had great success with introduction of labeled contractile molecules in cultured cells, since the green fluorescent protein has the advantage of being visible in living cells. Modern molecular techniques have provided us with much needed avenues in which to explore contractile function and assembly. Immunocytochemistry has been a useful tool in visualizing various cellular components. Refinements have been made to tagged proteins to allow for detection of a larger variety of structures. For example, the FLAG peptide (DYKDDDDK) is an improved affinity tag in use for detection and purification of recombinant antibody fragments (20). Such tagged proteins can be introduced in vitro by transfection (adnenovirus or lipofectamine) and are easily detected with the use of commercially available antibodies.
Transgenic animals allow a mutated or tagged protein to be introduced into the whole animal. With newer expression systems, we can turn these new genes on at a specific time in the adult rather than have them active throughout embryological development. However, when one is trying to explore cell shape control, these do not permit much better experimental control than do the natural isoform exchange and anatomic descriptions that were done in past decades. They are also much more expensive.
The use in whole intact animals has the advantage of seeing the real response to altered functional demands in vivo and, therefore, will always be essential. Unfortunately, cardiac mechanobiological research is hampered because interventions in vivo cause the death or demise of the experimental animal, whereas studies in vitro do not yet have a life-like cell culture system. As we strive to understand the fundamental mechanisms of mechanical transduction at the cellular level, there is a strong need to create more physiologically relevant models of cells in vitro. Specifically, to understand cell shape, we must address questions of how contractile function in cells modulates addition of new contractile filaments in parallel or series. Our notion is that the ultimate shape of individual myocytes is the fundamental process by which the muscle cells grow and remodel to meet altered work demands.
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ACKNOWLEDGEMENTS |
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We gratefully acknowledge discussions with our present and former colleagues, only some of whose work we are able to cite in this brief review.
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FOOTNOTES |
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This research was supported over the years by the American Heart Association, the Muscular Dystrophy Association, and National Institutes of Health (currently Grant HL-40880 to B. Russell).
Second in a series of invited mini-reviews on "Molecular and Cellular Basis of Exercise Adaptations."
Address for reprint requests and other correspondence: B. Russell, Dept. of Physiology and Biophysics (M/C 901), Univ. of Illinois at Chicago, 835 S. Wolcott Ave., Chicago, IL 60612-7342 (E-mail: russell{at}uic.edu).
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M. Fluck, S. Schmutz, M. Wittwer, H. Hoppeler, and D. Desplanches Transcriptional reprogramming during reloading of atrophied rat soleus muscle Am J Physiol Regulatory Integrative Comp Physiol, July 1, 2005; 289(1): R4 - R14. [Abstract] [Full Text] [PDF] |
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K. B. Margulies, S. Matiwala, C. Cornejo, H. Olsen, W. A. Craven, and D. Bednarik Mixed Messages: Transcription Patterns in Failing and Recovering Human Myocardium Circ. Res., March 18, 2005; 96(5): 592 - 599. [Abstract] [Full Text] [PDF] |
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T. A. Hornberger, D. D. Armstrong, T. J. Koh, T. J. Burkholder, and K. A. Esser Intracellular signaling specificity in response to uniaxial vs. multiaxial stretch: implications for mechanotransduction Am J Physiol Cell Physiol, January 1, 2005; 288(1): C185 - C194. [Abstract] [Full Text] [PDF] |
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L. K. Johnson, R. M. Dillaman, D. M. Gay, J. E. Blum, and S. T. Kinsey Metabolic influences of fiber size in aerobic and anaerobic locomotor muscles of the blue crab, Callinectes sapidus J. Exp. Biol., November 1, 2004; 207(23): 4045 - 4056. [Abstract] [Full Text] [PDF] |
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G. Selvetella, E. Hirsch, A. Notte, G. Tarone, and G. Lembo Adaptive and maladaptive hypertrophic pathways: points of convergence and divergence Cardiovasc Res, August 15, 2004; 63(3): 373 - 380. [Abstract] [Full Text] [PDF] |
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H. Mansour, P. P. de Tombe, A. M. Samarel, and B. Russell Restoration of Resting Sarcomere Length After Uniaxial Static Strain Is Regulated by Protein Kinase C{epsilon} and Focal Adhesion Kinase Circ. Res., March 19, 2004; 94(5): 642 - 649. [Abstract] [Full Text] [PDF] |
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K. Michael Relationship of Skeletal Muscle Atrophy to Functional Status: A Systematic Research Review Biol Res Nurs, October 1, 2000; 2(2): 117 - 131. [Abstract] [PDF] |
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