Evidence map›Paper›PMID 21799151›Full record

ArticleCirculation research2011

Telethonin deficiency is associated with maladaptation to biomechanical stress in the mammalian heart.

Ralph Knöll, Wolfgang A Linke, Peijian Zou, Snjezana Miocic, Sawa Kostin, Byambajav Buyandelger, Ching-Hsin Ku, Stefan Neef, Monika Bug, Katrin Schäfer and 24 more

Abstract read
In one paragraph

Article in Circulation research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed
5.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 98 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Cardiac CapZ Regulation During Acute Exercise in Female Mice.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
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  6. Mutations in theEuropean heart journal. Case reports · 2025
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  10. Molecular Pathways and Animal Models of Cardiomyopathies.Advances in experimental medicine and biology · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

34 authors at 3 institutions in 2 countries.

Ralph KnöllImperial College, National Heart & Lung Institute, British Heart Foundation, Centre for Research Excellence, Myocardial Genetics, London, UK. r.knoell@imperial.ac.uk
Wolfgang A Linke
Peijian Zou
Snjezana Miocic
Sawa Kostin
Byambajav Buyandelger
Ching-Hsin Ku
Stefan Neef
Monika Bug
Katrin Schäfer
Gudrun Knöll
Leanne E Felkin
Johannes Wessels
Karl Toischer
Franz Hagn
Horst Kessler
Michael Didié
Thomas Quentin
Lars S Maier
Nils Teucher
Bernhard Unsöld
Albrecht Schmidt
Emma J Birks
Sylvia Gunkel
Patrick Lang
Henk Granzier
Wolfram-Hubertus Zimmermann
Loren J Field
Georgine Faulkner
Matthias Dobbelstein
Paul J R Barton
Michael Sattler
Matthias Wilmanns
Kenneth R Chien
Deutsches Elektronen-Synchrotron DESY · DEMax Planck Society · DEOxleas NHS Foundation Trust · GB

Funding

REGULATION OF CARDIOMYOCYTE SURVIVALP01HL085098 · NHLBI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI FIELD, LOREN J · 2007 to 2011
$10.9M
Function of Giant Sarcomere Matrix Proteins in MuscleR01HL062881 · NHLBI · WASHINGTON STATE UNIVERSITY · PI GRANZIER, HENK L. · 1999 to 2018
$6.4M
ROLE OF TITIN IN FUNCTIONAL TRANSITIONS DURING MUSCLE DEVELOPMENT AND AGINGR01HL084579 · NHLBI · UNIVERSITY OF ARIZONA · PI GRANZIER, HENK L. · 2007 to 2011
$1.9M
British Heart Foundation FP7-PEOPLE-2011-IRSESBritish Heart Foundation PG/11/34/28793British Heart Foundation PG11/34/28793NHLBI NIH HHS HL062881NHLBI NIH HHS P01 HL085098NHLBI NIH HHS R01 HL062881NHLBI NIH HHS R01 HL084579Telethon GGP04088
6 · The paper itself

Abstract

rationaleTelethonin (also known as titin-cap or t-cap) is a 19-kDa Z-disk protein with a unique β-sheet structure, hypothesized to assemble in a palindromic way with the N-terminal portion of titin and to constitute a signalosome participating in the process of cardiomechanosensing. In addition, a variety of telethonin mutations are associated with the development of several different diseases; however, little is known about the underlying molecular mechanisms and telethonin's in vivo function.

objectiveHere we aim to investigate the role of telethonin in vivo and to identify molecular mechanisms underlying disease as a result of its mutation. METHODS AND

resultsBy using a variety of different genetically altered animal models and biophysical experiments we show that contrary to previous views, telethonin is not an indispensable component of the titin-anchoring system, nor is deletion of the gene or cardiac specific overexpression associated with a spontaneous cardiac phenotype. Rather, additional titin-anchorage sites, such as actin-titin cross-links via α-actinin, are sufficient to maintain Z-disk stability despite the loss of telethonin. We demonstrate that a main novel function of telethonin is to modulate the turnover of the proapoptotic tumor suppressor p53 after biomechanical stress in the nuclear compartment, thus linking telethonin, a protein well known to be present at the Z-disk, directly to apoptosis ("mechanoptosis"). In addition, loss of telethonin mRNA and nuclear accumulation of this protein is associated with human heart failure, an effect that may contribute to enhanced rates of apoptosis found in these hearts.

conclusionsTelethonin knockout mice do not reveal defective heart development or heart function under basal conditions, but develop heart failure following biomechanical stress, owing at least in part to apoptosis of cardiomyocytes, an effect that may also play a role in human heart failure.

Indexed as

Mechanotransduction, CellularAdaptation, PhysiologicalAnimalsAnimals, Genetically ModifiedApoptosisBiomechanical PhenomenaCell Line, TumorConnectinDisease Models, AnimalEchocardiographyFibrosisGenotypeHeartHeart FailureHumansMiceConnectinMuscle ProteinsTcap protein, mouseTcap protein, ratTumor Suppressor Protein p53

Identifiers

PMID21799151
PMCPMC3664427
OpenAlexW2114321405

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.