Evidence map›Paper›PMID 42530086›Full record

ArticleeLife2026

The titin N2A-MARP signalosome constrains muscle longitudinal hypertrophy in response to stretch.

Robbert van der Pijl, Jochen Gohlke, Joshua Strom, Eva Peters, Shengyi Shen, Stefan Conijn, Zaynab Hourani, Stephan Lange, Ju Chen, Paul Langlais and 3 more

Abstract read
In one paragraph

Article in eLife, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Robbert van der PijlDepartment of Cellular and Molecular Medicine, University of Arizona, Tucson, United States.ORCID https://orcid.org/0000-0002-9823-0589
Jochen GohlkeDepartment of Cellular and Molecular Medicine, University of Arizona, Tucson, United States.
Joshua StromDepartment of Cellular and Molecular Medicine, University of Arizona, Tucson, United States.
Eva PetersDepartment of Cellular and Molecular Medicine, University of Arizona, Tucson, United States.
Shengyi ShenDepartment of Cellular and Molecular Medicine, University of Arizona, Tucson, United States.
Stefan ConijnDepartment of Physiology, Amsterdam University Medical Center, VUMC, Amsterdam, Netherlands.
Zaynab HouraniDepartment of Cellular and Molecular Medicine, University of Arizona, Tucson, United States.
Stephan LangeSchool of Medicine, University of California San Diego, San Diego, United States.ORCID https://orcid.org/0000-0001-9361-6602
Ju ChenSchool of Medicine, University of California San Diego, San Diego, United States.
Paul LanglaisDepartment of Endocrinology, University of Arizona, Tucson, United States.
Siegfried LabeitDepartment of Integrative Pathophysiology, Medical Faculty Mannheim, Mannheim, Germany.
Henk L GranzierDepartment of Cellular and Molecular Medicine, University of Arizona, Tucson, United States.ORCID https://orcid.org/0000-0002-9516-407X
Coen OttenheijmDepartment of Cellular and Molecular Medicine, University of Arizona, Tucson, United States.ORCID https://orcid.org/0000-0002-8808-4813

Funding

Role of the giant protein titin in cardiac health and diseaseR35HL144998 · NHLBI · UNIVERSITY OF ARIZONA · PI GRANZIER, HENK L. · 2019 to 2025
$6.3M
Role of titin in the pathophysiology of diaphragm weakness during mechanical ventilationR01HL121500 · NHLBI · UNIVERSITY OF ARIZONA · PI Coen Ottenheijm · 2014 to 2026
$6.2M
Titin-based stiffness regulation and mechanosensing in activated skeletal muscle.R01AR083233 · NIAMS · UNIVERSITY OF ARIZONA · PI Henk L. GRANZIER · 2023 to 2026
$2.4M
American Heart Association 2021AHA000POST000215904National Heart Lung and Blood Institute R01HL121500National Heart Lung and Blood Institute R35HL144998NHLBI NIH HHS R01 HL121500NHLBI NIH HHS R35 HL144998NIAMS NIH HHS R01 AR083233NIAMS NIH HHS R01AR083233
6 · The paper itself

Abstract

Titin-based mechanosensing is a key driver of trophic signaling in muscle, yet the downstream pathways linking titin sensing to muscle remodeling remain poorly understood. To investigate these signaling mechanisms, we utilized unilateral diaphragm denervation (UDD), an in vivo model that induces titin-stiffness-dependent hypertrophy via mechanical stretch. Using UDD in rats and mice, we characterized the longitudinal hypertrophic response and distinguished stretch-induced signaling from denervation effects by performing global transcriptomic and proteomic analyses following UDD and bilateral diaphragm denervation (BDD) in rats. Our findings identified upregulation of titin-associated muscle ankyrin repeat proteins (MARPs). Subsequent phosphorylation enrichment mass spectrometry in mouse diaphragm highlighted the involvement of the N2A-element. UDD in MARP knockout (KO) mice resulted in enhanced longitudinal hypertrophy, with Western blot analysis revealing activation of the mTOR pathway. Furthermore, pharmacological inhibition of mTORC1 with rapamycin suppressed longitudinal hypertrophy, demonstrating that mTOR signaling regulates titin-mediated hypertrophic growth in a MARP-dependent manner. These findings establish MARPs as key modulators of titin-based mechanotransduction and highlight mTORC1 as a central regulator of longitudinal muscle hypertrophy.

Indexed as

ConnectinDiaphragmHypertrophyMuscle ProteinsSignal TransductionAnimalsMaleMechanotransduction, CellularMiceMice, KnockoutNuclear ProteinsProtein KinasesRatsRepressor ProteinsAnkrd1 protein, mouseConnectinMuscle ProteinsNuclear ProteinsProtein KinasesRepressor Proteinstitin protein, mousecell biologyhypertrophyMARPmechanosensingmousemusclephysics of living systemsratsignalingtitin

Identifiers

PMID42530086
PMCPMC13423355

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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.