Mechanistic Heterogeneity in Contractile Properties of α-Tropomyosin (TPM1) Mutants Associated with Inherited Cardiomyopathies*

Background: Single residue substitutions in sarcomeric proteins cause most inherited cardiomyopathies. Results: Mutant α-tropomyosins cause multiple functional alterations in actin affinity and Ca2+ sensitivity. Conclusion: Mutants follow distinct mechanisms to change Ca2+ sensitivity. Significance: Fluorescence assays to measure changes in troponin C conformation may provide a simple platform for preliminary high throughput screening of modulatory small molecules to treat inherited cardiomyopathies. The most frequent known causes of primary cardiomyopathies are mutations in the genes encoding sarcomeric proteins. Among those are 30 single-residue mutations in TPM1, the gene encoding α-tropomyosin. We examined seven mutant tropomyosins, E62Q, D84N, I172T, L185R, S215L, D230N, and M281T, that were chosen based on their clinical severity and locations along the molecule. The goal of our study was to determine how the biochemical characteristics of each of these mutant proteins are altered, which in turn could provide a structural rationale for treatment of the cardiomyopathies they produce. Measurements of Ca2+ sensitivity of human β-cardiac myosin ATPase activity are consistent with the hypothesis that hypertrophic cardiomyopathies are hypersensitive to Ca2+ activation, and dilated cardiomyopathies are hyposensitive. We also report correlations between ATPase activity at maximum Ca2+ concentrations and conformational changes in TnC measured using a fluorescent probe, which provide evidence that different substitutions perturb the structure of the regulatory complex in different ways. Moreover, we observed changes in protein stability and protein-protein interactions in these mutants. Our results suggest multiple mechanistic pathways to hypertrophic and dilated cardiomyopathies. Finally, we examined a computationally designed mutant, E181K, that is hypersensitive, confirming predictions derived from in silico structural analysis.

sarcoplasm, where it binds to TnC and initiates a sequence of conformational changes through TnI and TnT. The ensuing conformational shift of TnT and its interaction with Tm (11) results in azimuthal movement of Tm and partial uncovering of the myosin-binding sites of actin. This is called the closed state. Myosin binding to F-actin stimulates the power stroke, associated with phosphate release, causing movement of thin filaments with respect to the myosin heads, and sarcomere contraction. ADP is released from the myosin head in the subsequent steps (12,13). The binding of myosin further displaces Tm, producing the open state. Dissociation of Ca 2ϩ from TnC and the ATP-induced dissociation of myosin from actin produce sarcomere relaxation. Thus, muscle contraction is brought about by coordination between Ca 2ϩ -induced changes in the thin filament and the ATPase cycle of myosin. The components of the RTF harbor almost 100 cardiomyopathy-associated single-residue substitutions (14), making the RTF a crucial system to study. In this study we focus on Tm, because its interactions with actin, Tn, and myosin define the states of the RTF.
␣-Tropomyosin, encoded by the TPM1 locus, is a 284-amino acid residue, 33-kDa ␣-helical coiled-coil protein that associates with actin filaments as a homodimer. The Tm sequence has characteristic heptad repeats ( Fig. 1) stabilized by hydrophobic core residues at the a and d positions, with predominantly hydrophilic residues at the b, c, and f positions on the surface. Flexibility is imparted by kinks and alanine clusters and is important for regulatory functions. The Tm sequence also can be visualized as seven periods, each divided into an N-terminal ␣ band and C-terminal ␤ band. The ␣ bands are involved in interaction with actin and the ␤ bands in interaction with the myosin head (15,16). The head-to-tail association of Tm dimers forms a continuous super-helical cable that matches the contours of F-actin and imparts cooperativity to regulatory interactions (17,18). This overlap region also interacts with TnT to control the state of the RTF.
Of 30 identified mutations in human TPM1 (19), four (E40K, E54K, D175N, and E180G) have been characterized more than the others. E40K and E54K are DCM-causing mutants that decrease Ca 2ϩ sensitivity in ATPase assays and lower tension at high Ca 2ϩ concentrations in myofiber experiments, whereas the HCM-causing mutants D175N and E180G show opposite changes to the DCM mutants (19). Beyond these binary tendencies, the detailed causes of hypercontractility of HCM-causing mutants (20) and hypocontractility of DCM-causing mutants (21) are only partially understood. Although multiple sources of mammalian Tm and other sarcomeric proteins have been used previously (22,23), we focus here on the human cardiac sarcomeric proteins. We report here the characterization of five HCM-causing (E62Q, I172T, L185R, S215L, and M281T) and two DCM-causing (D84N and D230N) human cardiac ␣-Tm mutants (24 -30). In addition to being relatively less characterized previously, these mutants have significant clinical severity. Clinical data on the mutants are summarized in Table 1.
These substitutions are located along the length of the Tm coiled-coil rod (Fig. 1A). I172T and M281T are located at the hydrophobic a and d positions of the heptad repeat (the dimer interface; Fig. 1B) and may affect the stability of the dimer. M281T may affect the head-to-tail overlap between Tm dimers. The other substitutions are on the outside surface of the coiled coil, regions that may alter interactions with actin, myosin, or the Tn complex.
On the basis of sequence and structural analyses and considerations of charged-residue clusters (31,32), Glu-181 was identified as an evolutionarily conserved residue that should play an important role because of close interactions with actin (32). The residue is located in the C-terminal half of Tm period 5 and is likely to function to stabilize the blocked and closed states via electrostatic interactions with actin. This leads to the prediction that a charge reversal will displace Tm from the blocking position and lead to hypersensitivity. To test this hypothesis, we created E181K and analyzed it along with the seven mutants known to cause cardiomyopathy.
Overall, our suite of assays suggested a surprising degree of mechanistic heterogeneity in that alterations in Ca 2ϩ sensitivity could not be attributed to any single parameter of Tm function. Hence, we propose that a more fine-grained categoriza-

EXPERIMENTAL PROCEDURES
DNA, Plasmids, and Mutagenesis-Plasmids encoding human cardiac isoforms of ␣-Tm with an Ala-Ser N-terminal dipeptide, TnC, TnT, and TnI were kindly provided by James D. Potter, University of Miami. The plasmid encoding the triple mutant of TnC (C35S, T53C, C84S; hereafter TnC 3 ) was constructed as described (33). The mutations were introduced by standard site-directed mutagenesis. All mutants were confirmed by DNA sequencing.
Protein Purification-Escherichia coli Rosetta cells were transformed, selected with ampicillin and chloramphenicol, grown in terrific broth at 37°C to an A 600 of ϳ1, induced with 1 mM isopropyl 1-thio-␤-D-galactopyranoside for 4 h at 25°C, and pelleted. WT and mutant Tms were purified as described by Monteiro et al. (34), with the following modifications. The lysate was boiled and centrifuged. The supernatant was subjected to ammonium sulfate precipitation; the Tm was in the 40% ammonium sulfate saturation supernatant and the 70% pellet. The pellet was dialyzed into 20 mM Tris, 1 mM EDTA, 100 mM NaCl, 1 mM DTT, pH 7.5, at 4°C and purified over DE52 or Q-Sepharose. Tm was eluted using a gradient from 0.1 to 1 M NaCl. The fractions containing Tm were pooled and dialyzed into equilibration buffer (5 mM sodium phosphate, 1 M NaCl, 1 mM DTT) for hydroxyapatite chromatography. The Tm was eluted using an increasing gradient of phosphate up to 400 mM. Positive fractions were run on a gel to confirm purity, and the pure concentrated fractions were pooled. These were dialyzed into storage buffer (20 mM imidazole, 300 mM KCl, 1 mM DTT, pH 7.0) and frozen in liquid nitrogen. Mutant Tm yields were generally lower than yields for WT Tm. For M281T, the lysate was incubated at lower temperature (80°C) for only 7 min, likely reducing protein loss due to denaturation. Troponins were purified using published methods (33,(35)(36)(37). Harvested cells were resuspended in a buffer containing 6 M urea and lysed by sonication. The lysate was clarified by ultracentrifugation, and troponins were purified by column chromatography (33). Actin was purified from chicken pectoral muscle acetone powder (38). Human ␤-cardiac myosin subfragment 1 (S1), containing the ATPase head domain and the essential light chain, was expressed and purified from C2C12 cells (33,39). Representative purifications and reconstitution into regulated thin filaments (RTFs) (35)(36)(37) are shown in Figs. 1C and 5, A and B.
Labeling of TnC 3 with ANS and NBD-TnC 3 was purified as described above and dialyzed into 50 mM Tris, 100 mM KCl, 1 mM EGTA, pH 7.5, at 4°C. The protein concentration was estimated by the Bradford assay. A 2 mM stock solution of 2-(4Ј-(iodoacetamido)-ANS was prepared in DMSO. A 2-fold molar excess of 2-(4Ј-(iodoacetamido)-ANS was added to 3 ml of TnC 3 protein, mixed thoroughly, wrapped in foil, and kept on ice for 2 h. The labeling reaction was terminated by adding a 10-fold molar excess of DTT. The labeled protein was dialyzed into 20 mM imidazole, 1 M KCl, 1 mM MgCl 2 , 1 mM DTT pH 7.5, at 4°C. The labeling efficiency was measured using an extinction coefficient of 24,900 M Ϫ1 cm Ϫ1 at 325 nm for ANS and by calculating the TnC 3 concentration by the Bradford assay. Labeling efficiency was estimated to be 95% and separately confirmed by mass spectrometry (33). For labeling the TnC 3 with NBD, a 2 mM stock solution of N-((2-(iodoacetoxy)ethyl)-Nmethyl)-NBD was prepared in dimethylformamide. A 3-fold molar excess of N-((2-(iodoacetoxy)ethyl)-N-methyl)-NBD was added to 2 ml of TnC 3 protein, mixed thoroughly, wrapped in foil, and kept on ice for 4 h. Labeling was terminated with a 10-fold molar excess of DTT. The labeled protein was dialyzed into 20 mM imidazole, 1 M KCl, 1 mM MgCl 2 , 1 mM DTT, pH 7.5, at 4°C. Labeling efficiency was measured using an extinction coefficient of 23,000 M Ϫ1 cm Ϫ1 at 472 nm for NBD. Labeling efficiency was estimated to be 80%.
Reconstituting the Tn Complex, with or without ANS-TnI, TnT, and TnC (or TnC 3 -ANS or -NBD) were mixed in a 1. Measuring Tm Thermal Stability by Circular Dichroism-A 1.5 M solution of Tm in 500 mM KCl, 20 mM potassium phosphate, pH 7, 5 mM MgCl 2 , 1 mM DTT was heated from 5 to 70°C at 0.5°C/min, and ellipticity was measured at 222 nm. The protein was then incubated at 70°C for 5 min and cooled to 5°C. The process was repeated twice for each sample. The normalized ellipticity signal was plotted as a function of temperature to understand changes in thermal stability.
Actin-Tropomyosin Cosedimentation Assay-The affinity of WT and mutant Tm for F-actin was measured as described (40) using the buffer system described by Coulton et al. (41). Briefly, F-actin and Tm were dialyzed into 20 mM MOPS, 100 mM KCl, 5 mM MgCl 2 , 1 mM DTT, pH 7. Tm was clarified by centrifugation at 375,000 ϫ g for 30 min before the experiment. Increasing amounts of Tm (0.2 to 2.4 M) were added to a constant concentration of F-actin (7 M). Following incubation at 23°C, reactions were ultracentrifuged in a TLA100 rotor at 375,000 ϫ g for 20 min at 20°C. Supernatants were separated and analyzed by SDS-PAGE. Standard concentrations of Tm were electrophoresed in parallel. All the gels were stained with Coomassie Blue and destained together. Nonsaturated gel images were acquired using an ImageQuant LAS 4000 (GE Healthcare) and the concentration of free Tm was calculated by densitometric analysis using ImageJ. The pellets were resuspended in the same volume of buffer as the initial reaction and separated by SDS-PAGE. These gels were also stained-destained and analyzed to determine fractional saturation of F-actin with Tm (). The graph was fit to Hill Equation 1 of the form to obtain estimates of the dissociation constant (K d ) and cooperativity of the interaction (h). For the DCM mutants D84N and D230N, additional assays were carried out in a high salt buffer Troponin-Tropomyosin Interaction-The binding of Tm to Tn was monitored by fluorescence of NBD in 20 mM HEPES, 100 mM KCl, 2 mM MgCl 2 , 0.5 mM EGTA, 1 mM DTT, pH 7.5, plus or minus 600 M CaCl 2 . Tn-NBD and Tm were dialyzed into this buffer, and 200 nM of the Tn complex was incubated with increasing concentrations of Tm from 20 to 600 nM in 250 l. 200 l of each reaction was used to measure the fluorescence intensity of NBD in top reading mode using a Tecan Infinite M200Pro with excitation of 480 Ϯ 2 nm and emission at 535 Ϯ 5 nm, with integration time of 2 ms and gain of 100. Data were averaged over 25 reads for each well. The binding in absence of Ca 2ϩ led to a decrease in fluorescence, although in the presence of Ca 2ϩ there was an increase in fluorescence. The fluorescence intensities were normalized on a scale of 0 to 1 using ⌬F/⌬F max and plotted as a function of the total Tm concentration. These data were fit to a rectangular hyperbolic Equation 2 of the form ANS Assay-The method was modified from Davis et al. (42). RTFs were reconstituted using G-actin, Tm, and Tn complex containing TnC 3 -ANS. G-actin concentration was determined using absorbance at 290 nm (⑀ ϭ 26,600 M Ϫ1 ) in G-buffer (2 mM Tris, 0.2 mM CaCl 2 , 0.2 mM ATP, 2 mM DTT, pH 8). Tm was dialyzed into a buffer of 200 mM HEPES, 300 mM KCl, 4 mM MgCl 2 , 1 mM DTT, pH 7.5, and its concentration was determined by Bradford assay following denaturation in guanidine-HCl. BSA standards used were also denatured. The concentration of the Tn complex was estimated by Bradford assay. G-actin, Tm, and Tn for the RTF were mixed in a molar ratio of 7:1:0.7. This ratio ensured that there was no free Tn in the mixture (33). The concentration of F-actin was 7 M. Typically, batches of 500 l of RTF were prepared.
10ϫ pCa buffer (40 mM nitrilotriacetic acid, 20 mM EGTA, pH 7.5 at 25°C) and 5ϫ base buffer (1 M HEPES, 50 mM KCl, 20 mM MgCl 2 ) were filtered. G-actin was aliquoted and mixed with 50 l of 10ϫ pCa buffer and 100 l of 5ϫ base buffer. ATP and DTT were added. After allowing 30 min for the F-actin to polymerize on ice, Tm was added, mixed, and incubated a further 30 min on ice for stabilization. ANS-labeled Tn complex was added, and the volume was adjusted using water. The final KCl concentration varied between 15 and 30 mM.
For the assay, 200 l of RTF was aliquoted in duplicate wells in a clear, flat-bottom 96-well plate (Corning Glass). Ca 2ϩ concentration was increased stepwise by adding small volumes of 20 mM CaCl 2 to the RTF. Each duplicate control well received an equal volume of KCl, reflecting the volume of CaCl 2 added to the experimental well. The volume of CaCl 2 to be added was calculated using a pCa calculator (43). ANS fluorescence was measured in top reading mode using a Tecan Infinite M200Pro with excitation of 325 Ϯ 4.5 nm and emission at 450 Ϯ 10 nm, with an integration time of 2 ms and a gain of 136. Data were averaged over 36 reads for each well for each Ca 2ϩ addition. Following CaCl 2 addition, the plate was shaken for 2 min before reading the fluorescence. Fluorescence readings for RTF with KCl addition were subtracted from readings for the same RTF with corresponding CaCl 2 addition. From these subtracted readings, we derived F 0 (basal fluorescence by averaging the first three data points). For each Tm mutant, the fluorescence values were normalized using (F Ϫ F 0 )/F 0 . The normalized data were fit with Equation 3 in SigmaPlot to get n H and pCa 50 .
In the ANS assay with human ␤-cardiac S1, the ratio of S1 to actin was maintained at 0.1:1. All other details were identical.
ANS Quenching by Acrylamide-RTFs incorporating WT or mutant Tm were reconstituted as for the ANS assay, and the fluorescence of ANS was measured identically at pCa 5. Acrylamide was added to the reaction buffer in steps from 0 to 700 mM, whereas an equal volume of pCa 5 buffer lacking acrylamide was added to controls. The difference in fluorescence intensity was converted to the fractional change in fluorescence and modeled using the quenching sphere of action using Equation 4, where F 0 is the fluorescence in absence of quencher; F is the fluorescence upon addition of quencher; [Q] is the molar concentration of acrylamide, and V is the volume of the sphere surrounding the fluorophore. Within this volume the probability of quenching is unity (44). The Stern-Volmer coefficient for each mutant is equal to the slope obtained by fitting the data to a straight line with a y-intercept of 1.
ATPase Assays-Actin, Tm, Tn complex, and freshly prepared myosin S1 were dialyzed into buffer containing 20 mM imidazole, pH 7.5, 10 mM KCl, 3 mM MgCl 2, 1 mM DTT, pH 7.5. RTFs were formed by incubating F-actin, Tm, and Tn complex in the molar ratio of 7:2:3 (excess Tm and Tn were used to ensure no unregulated actin remained) just before the assay. The 10ϫ pCa buffers were prepared with 20 mM EGTA, 40 mM nitrilotriacetic acid, and varying concentrations of CaCl 2 . Free Ca 2ϩ concentrations were calculated using the pCa calculator developed by Dweck et al. (43). Assays contained 7 M actin, 2 M Tm, 3 M Tn, 0.1 M human ␤-cardiac S1 and the appropriate 1ϫ pCa buffer in a 96-well plate. Reactions were incubated at 30°C, and the reaction was started by addition of 2 mM ATP. The ATPase activity of S1 was measured using the colorimetric Fiske-Subbarow method (45). For all assays, controls with S1 in the absence of actin provided baseline activity (typically 0.05 s Ϫ1 ) that was subtracted from all actin-activated measurements. For pCa curves, the RTF-activated S1 ATPase activity was monitored as a function of increasing Ca 2ϩ concentrations. The data were fit to the modified Hill equation (Equation 3) using MATLAB to calculate the pCa 50 , Hill coefficient (n H ), maximum activity (y max ), and minimum activity (y min ). For each S1 preparation, activities with the mutant Tm RTFs were scaled to average maximal activity with WT RTFs. For the ATPase inhibition assay, 7 M actin, 2 M Tm, and 0.1 M human ␤-cardiac S1 was used at pCa 9 with increasing concentrations of Tn complex (0 -5 M).

RESULTS
Tropomyosin Mutants Are More Thermostable-Because the thermal stability of Tm structure is affected in some mutants (46 -48), we monitored the thermal stability of the Tm mutants in the presence of DTT (Fig. 2). WT Tm shows two characteristic transitions that are confirmed by the first-order differential (data not shown). All of the mutant Tms stabilize the second transition relative to WT. Thus, most of the mutants have small effects on stability of the protein.
HCM-and DCM-causing Tm Mutants Show Small Alterations in Their Binding Affinities for Actin and Tn Complex Relative to Wild Type Tm-To test for functional differences between WT and mutant Tms, we first examined their binding affinity with actin (40,41). With the exception of E62Q and I172T, the mutations altered the K d values (Fig. 3 and Table 2) relative to WT. Some (L185R, S215L, and D230N) also altered the cooperativity of binding in low salt buffer (Fig. 3G and Table  2), although D84N affected cooperativity in high salt buffer ( Fig.  3I and Table 2). Ser-215 and Asp-230 are in the sixth quasirepeat of Tm, the deletion of which is known to weaken actin binding (15). Accordingly, the largest change in the K d value observed was for the DCM-causing mutant D230N, which had a nearly 5-fold higher binding affinity for actin than WT ( Table  2 and Fig. 2, D and F). The validity of this observation was further tested in the presence of high salt. The K d value for binding of actin to WT Tm shifted from ϳ0.2 M in the presence of 100 mM KCl to ϳ2 M in 200 mM KCl. Between these low and high salt conditions, the K d value for D230N changed from ϳ0.04 to ϳ1.1 M. A similar change in K d values between low and high salt conditions was observed for the other DCM mutant D84N. S215L stood out among HCM mutants with an ϳ2-fold decrease in affinity for actin and an ϳ4-fold increase in cooperativity coefficient (Fig. 3, E-G).
Binding of Tm to the Tn complex in the absence of actin and in the presence and absence of Ca 2ϩ was monitored by the change in fluorescence intensity of Tn complex containing TnC 3 -NBD. In the presence of Ca 2ϩ , the fluorescence increased with increasing Tm (data not shown). WT Tm binds to Tn with a K app of ϳ50 Ϯ 20 nM. In the absence of Ca 2ϩ , NBD fluorescence decreased as Tm concentration was increased. WT Tm has a K app of 130 Ϯ 10 nM. In both the conditions, all the mutants had a similar affinity for Tn as WT Tm (data not shown). We did not detect any changes in the interaction with free Tn in the absence of actin.
Because Tm interacts with both actin and Tn and the Tm mutants affected these interactions independently, we examined how changes in the Tm-actin interaction affect Tn function. Actin-Tm-stimulated ATPase activity of myosin S1 is inhibited at pCa 9 by the binding of the Tn complex. All the Tm mutants except E181K and L185R were indistinguishable from WT in their inhibition of ATPase activity. These mutants showed a decreased inhibition of ATPase relative to WT controls (Fig. 4).
All Mutants Show Altered Ca 2ϩ Sensitivity in the Six-component Reconstituted Regulated System-The ability of Tm and Tn to inhibit the actin-myosin interaction at low Ca 2ϩ concentrations but not at higher Ca 2ϩ concentrations has been used as   Table 2. H and I, dissociation constants and cooperativity of the binding (mean Ϯ S.E.) for DCM mutants, D84N, and D230N relative to WT at 200 mM KCl.
an in vitro correlate of sarcomere function. We therefore examined activation of human ␤-cardiac S1 ATPase by the RTF as a function of Ca 2ϩ concentration. Representative purifications and reconstitution of RTFs are shown in Fig. 5, A and B. The DCM mutants D84N and D230N showed a decreased sensitivity to Ca 2ϩ relative to WT, shifting the curve to the right (Fig. 5C, blue curves), although all of the HCM mutants showed an increased sensitivity to Ca 2ϩ , shifting the curve to the left (Fig. 5D, red curves). For the DCM mutants, the change in pCa 50 (⌬pCa 50 ) was Ϫ0.16 and Ϫ0.22 for D84N and D230N, respectively. For the HCM mutant I172T, the ⌬pCa 50 was ϩ0.06 ( Fig. 5D and Table 3). However, none of these three mutants produced a significant change in the maximal activation of S1 ATPase activity ( Table 3). The other HCM mutants significantly increased both Ca 2ϩ sensitivity and maximal activation of ATPase activity. D84N, L185R, and S215L reduced the Hill coefficient relative to WT (Fig. 5D and Table 3).  Interestingly, our in silico analysis predicted that the E181K substitution would destabilize the closed state and increase the time spent in the myosin-bound open state (32). Consistent with those predictions, we observed hypersensitivity, with reduced pCa 50 and greater S1 ATPase activity at pCa 4 than WT Tm. These are typical of HCM mutants. Furthermore, the  Tables 3 and 4. All graphs were best fit to mean Ϯ S.E. from Ն3 experiments. The maximum S.E. for ATPase was 11 units and for ANS assay was 4 units of the y axis. extent of the increase in Ca 2ϩ sensitivity was greater than that of most of the HCM mutants in this study.
Enhanced Conformational Changes in TnC Correlate with the Increased Actin-activated ATPase above pCa 6 -The finding that E181K and the HCM Tm mutants studied here (except I172T) had elevated ATPase activity at higher Ca 2ϩ concentrations prompted us to assay for correlated structural changes in Tn. We therefore labeled TnC 3 with a fluorescent reporter (ANS) that is sensitive to conformational changes in TnC (42,49). With the exception of I172T, RTFs containing the HCM mutant Tms displayed a greater fluorescence increase between pCa 8 and pCa 4 (Fig. 5, E and F, and Table 4) relative to WT RTFs. These increases correlated well with the increased activation of ATPase (Fig. 6C) and to a lesser extent with change in the pCa 50 of the ATPase activity (Fig. 5, C and D). The DCM mutants D84N and D230N slightly decreased ATPase activity at high Ca 2ϩ concentrations (Fig. 5C) but did not have a significant effect on the magnitude of the ANS fluorescence change (Fig. 5E).
To independently characterize the nature of the conformational changes induced by Tm mutants, we performed quenching of the TnC 3 -ANS signal with acrylamide. Although D230N and M281T were indistinguishable from WT, the other mutants had altered Stern-Volmer quenching constants, consistent with conformational differences in TnC in the presence of some mutants ( Table 4).
Role of Myosin in Thin Filament Activation-For WT Tm, the ATPase assay yields a significantly lower pCa 50 and greater cooperativity than the ANS fluorescence assay (Fig. 6A). To test whether the presence of myosin S1 is responsible for this difference, we monitored the ANS fluorescence change in RTFs at a 0.1 ratio of S1 to actin in the absence of ATP. This addition of S1 lowered pCa 50 by almost 1 unit and significantly increased the cooperativity of activation (Fig. 6B). Thus, myosin potentiates thin filament activation by Ca 2ϩ .

DISCUSSION
Tropomyosin coordinates Ca 2ϩ -mediated changes in the structure of the Tn complex with myosin-mediated displacement of the actin filament. It has been observed that cardiomyopathy-causing mutations in Tm retrogradely affect the Ca 2ϩ sensitivity (19), likely by inducing conformational changes in the Tn complex (50). In addition, Tm is a critical element in the cooperative binding of myosin to actin. We therefore reasoned that studying relatively unexplored Tm mutants as a group could yield novel insights into mechanisms that regulate cardiac contraction.
Because of the significant biochemical differences between myosins derived from different tissues and animal species (33), we have used human ␤-cardiac S1. The use of non-human sources of proteins could be one of the reasons for differing biochemical parameters with the same mutant. TnT mutants that showed no change in sliding velocity when tested with human ␤-cardiac myosin showed significant changes when tested with non-human myosins (33). The D175N HCM Tm mutant produced no change in Ca 2ϩ sensitivity when assayed in rat or bovine contexts (51, 52), but it increased Ca 2ϩ sensitivity when assayed using rabbit fast skeletal heavy meromyosin (53). When the R453C HCM mutant was produced in mouse ␣-cardiac MHC (54) and human ␤-cardiac MHC (55), there was a similar increase in single-molecule force production. However, the R453C substitution in mouse ␣-cardiac MHC did not change filament sliding velocity, although the same substitution in human ␤-cardiac S1 caused a reduction in filament   (56,57) have demonstrated a relationship between thermostability and flexibility. We found that under reducing conditions, all mutants were more thermostable than WT. This may indicate reduced flexibility along the length of the molecule, which in turn could produce the dramatic changes in binding affinity for actin that we observed with the D84N, D230N, L185R, and M281T mutants. The increased affinity of D84N and D230N for actin provides a ready, but not necessarily sufficient, explanation for DCM. The stabilization of the Tm-actin interaction should make it less likely to shift the Tm into the active states, desensitizing the system. This explanation makes L185R and M281T interesting subjects for further mechanistic investigations.
The other mutant that showed a significantly altered affinity for actin (S215L) might do so because it alters the charge of a residue lying in an actin-interacting region so that it may weaken binding. Therefore, it is likely to be displaced more readily from the closed state to the open state. This alone could be sufficient to cause the hypersensitivity to Ca 2ϩ we observed in the ATPase and ANS assays. However, S215L is the only HCM mutant for which we observed a large decrease in affinity for actin. In the cases of the other mutants, affinity for myosin and relative stabilization or destabilization of blocked, closed, or open states might contribute to pathogenicity.
Ca 2ϩ Regulation of the RTF in the Absence and Presence of Myosin-As one of our long term goals is to identify therapeutic small molecule effectors of the cardiac contractile system, we sought to compare and contrast the effects of mutant Tms by two commonly used measurements of Ca 2ϩ sensitivity, myosin ATPase activity and fluorescent assays for changes in Tn conformation. The pCa 50 shifts observed in the ATPase assays (Fig.  5, C and D, and Table 3) were consistent with the binary paradigm that HCM mutants confer hypersensitivity and DCM mutants confer hyposensitivity to Ca 2ϩ (5)(6)(7)(8). As it is more complete and does not require extensive modifications (mutagenesis or labeling) of any of the six components, the ATPase assay remains the assay of choice to identify small molecule modulators.
The variation in fluorescence magnitudes observed in our ANS assays suggests two conclusions. First, TnC can assume multiple conformational states, each presumably having different affinity constants for Ca 2ϩ binding. This is consistent with observations that proteins of the EF-hand family, of which TnC is a member, display a multitude of unique conformational changes together constituting a conformational continuum (58). In the context of the three-state model (9,10), Ca 2ϩ binding to TnC causes the transition from a blocked to a closed state. In the ANS assay, we are monitoring this transition using an increase in fluorescence as the readout. The variation suggests that the closed state could be a collection of multiple substrates, supporting earlier work (59). Second, we know that Ca 2ϩ binding to TnC causes structural changes that are transmitted to Tm through TnI and TnT. Therefore, the differential fluorescence changes may represent Tm changing the manner in which structural transitions occur in TnC. This could be viewed as a retrograde aspect of bi-directional signal transmission, as has been suggested previously (50). FIGURE 6. RTF activation. A, increase in ATPase activity and increase in ANS fluorescence from RTF, normalized, and plotted as a function of Ca 2ϩ on the same axes. ATPase activity has a lower pCa 50 and greater cooperativity. B, increase in ANS fluorescence as a function of Ca 2ϩ concentration in the absence (black) or presence (orange) of S1. In the presence of S1, pCa 50 is greatly reduced and cooperativity is greater. C, correlation between ATPase activity at pCa 4.5 (WT ϭ 100%) and the fold change in ANS fluorescence for each Tm ((y max Ϫ y min )/y min ). Change in ATPase activity relative WT is correlated to the fold change in ANS fluorescence (Pearson's correlation coefficient r ϭ 0.76).
The pCa 50 and cooperativity values from our ATPase and ANS fluorescence assays using RTFs containing WT Tm were consistent with those of previous studies (24,33), but were different between the two assays (Tables 3 and 4). These differences in WT parameters (Fig. 6A) may reflect the role of myosin binding in induction of a further cooperative binding of myosin and a transition of the Tm out of its blocked state (60 -62). This interpretation is supported by the observation that addition of a similar ratio of tight-binding myosin led to a further reduction in pCa 50 and a further increase in cooperativity (Fig. 6B). Our data are consistent with our previous observations (33) that cooperativity is increased by the addition of a low ratio of cycling S1 to the RTF.
Which enzymatic parameter of myosin might the Tm mutants alter to dramatically increase ATPase activity at high Ca 2ϩ concentrations? The inclusion of Tm-Tn and Ca 2ϩ can be viewed as a change from the actomyosin Michaelis-Menten model to a cooperative Monod-Wyman-Changeux model (63), in which the important parameters are K 0.5 and V max . Physically, K 0.5 is a description of the affinity of myosin for the RTF. It has been proposed that Tm affects the K 0.5 of the system. Therefore Tm mutants, particularly L185R in this study, may alter the rate of closure of the 50-kDa cleft in myosin (63-65), hence changing K 0.5 .
Correlation between Maximal ATPase Activity and ANS Fluorescence at Maximal Ca 2ϩ -In contrast with the ATPase results (Table 3), the pCa 50 shifts observed in our ANS assays (Fig. 5, E and F) were greatly attenuated (Table 4), with only one mutant significantly different from WT. One potential caveat is that the three substitutions in TnC 3 used to allow labeling by ANS and NBD may be altering its function. However, in skinned trabeculae both WT TnC and TnC 3 responded identically to Ca 2ϩ (42), suggesting that neither the three substitutions nor the label alter its function. Although pCa 50 shifts were poorly correlated, we did note a much better correlation between maximal ATPase activity and the magnitude of the ANS fluorescence change at high Ca 2ϩ . This correlation held for all mutants (Fig. 6C, Pearson's r ϭ 0.76).
At present, measuring Ca 2ϩ sensitivity using ATPase activity provides us maximum information and consistency with the binary hypothesis of cardiomyopathy. However, there is one scenario in which the ANS fluorescence assay would have high utility: as an initial screen for small molecules for attenuating cardiomyopathic mechanisms by attenuating changes in RTF conformation. We hope to use the ANS assay as a primary tool to identify potentially interesting candidate compounds using limited amounts of protein and reagents. This type of fluorescence assay can also be easily automated for high throughput screening. Interesting candidates will then have to be more rigorously tested using ATPase, load-dependent, and other functional assays.
In addition to the mutant Tms found in patients, we also included a mutant E181K that we predicted would cause HCM. By modeling actin-Tm interactions, our earlier in silico analysis led us to predict that the E181K substitution would destabilize the closed state and stabilize a myosin-bound state, causing hypersensitivity (32). Consistent with these predictions, here we observed that E181K interacted weakly with actin relative to WT tropomyosin. This may lead to increased displacement of the mutant tropomyosin and produce greater sensitivity in the ATPase and ANS assays. Further validation of the hypothesis comes from recent results published after we began our studies; the same E181K substitution in ␤-Tm (encoded by TPM2) was reported to cause distal arthrogryposis (66, 67) through a gainof-function mechanism (68).
In conclusion, TPM1 mutations cause differences in protein stability, actin binding, and Tn conformation. All of these differences could converge to change the Ca 2ϩ dependence of myosin activity. Our data suggest multiple mechanistic routes to a very limited set of cardiac pathologies. If consistent and supported by additional assays (particularly load-based) and additional mutants, our observations could be useful in developing small molecule therapies.