RT Journal Article SR Electronic T1 Myosin-binding protein C corrects an intrinsic inhomogeneity in cardiac excitation-contraction coupling JF Science Advances JO Sci Adv FD American Association for the Advancement of Science SP e1400205 DO 10.1126/sciadv.1400205 VO 1 IS 1 A1 Previs, Michael J. A1 Prosser, Benjamin L. A1 Mun, Ji Young A1 Previs, Samantha Beck A1 Gulick, James A1 Lee, Kyounghwan A1 Robbins, Jeffrey A1 Craig, Roger A1 Lederer, W. J. A1 Warshaw, David M. YR 2015 UL http://advances.sciencemag.org/content/1/1/e1400205.abstract AB The beating heart exhibits remarkable contractile fidelity over a lifetime, which reflects the tight coupling of electrical, chemical, and mechanical elements within the sarcomere, the elementary contractile unit. On a beat-to-beat basis, calcium is released from the ends of the sarcomere and must diffuse toward the sarcomere center to fully activate the myosin- and actin-based contractile proteins. The resultant spatial and temporal gradient in free calcium across the sarcomere should lead to nonuniform and inefficient activation of contraction. We show that myosin-binding protein C (MyBP-C), through its positioning on the myosin thick filaments, corrects this nonuniformity in calcium activation by exquisitely sensitizing the contractile apparatus to calcium in a manner that precisely counterbalances the calcium gradient. Thus, the presence and correct localization of MyBP-C within the sarcomere is critically important for normal cardiac function, and any disturbance of MyBP-C localization or function will contribute to the consequent cardiac pathologies.