Evidence map›Paper›PMID 42734122›Full record

ArticleeLife2026

Sarcomere dynamic instability and stochastic heterogeneity drive robust cardiomyocyte contraction.

Daniel Haertter, Lara Hauke, Til Driehorst, Kengo Nishi, Wolfram H Zimmermann, Christoph F Schmidt

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

6 authors.

Daniel HaertterInstitute of Pharmacology and Toxicology, University Medical Center Göttingen, Göttingen, Germany.ORCID https://orcid.org/0000-0002-9582-6141
Lara HaukeInstitute of Pharmacology and Toxicology, University Medical Center Göttingen, Göttingen, Germany.
Til DriehorstInstitute of Pharmacology and Toxicology, University Medical Center Göttingen, Göttingen, Germany.
Kengo NishiDepartment of Physics and Soft Matter Center, Duke University, Durham, United States.ORCID https://orcid.org/0000-0003-3488-402X
Wolfram H ZimmermannInstitute of Pharmacology and Toxicology, University Medical Center Göttingen, Göttingen, Germany.ORCID https://orcid.org/0000-0003-1190-4040
Christoph F SchmidtDepartment of Physics and Soft Matter Center, Duke University, Durham, United States.ORCID https://orcid.org/0000-0003-2864-6973

Funding

Bundesministerium für Bildung, Wissenschaft und Kultur IndiHEART; 161L0250ADeutsche Forschungsgemeinschaft DFG SFB 1002 C04/S01Deutsche Forschungsgemeinschaft EXC 2067-1European Research Council 340528Fondation Leducq 20CVD04
6 · The paper itself

Abstract

Cardiac contraction is driven by the collective action of cardiomyocytes (CMs) that contain parallel bundles of myofibrils consisting of linear chains of sarcomeres, the basic force-generating units. The dynamics of individual sarcomeres within intact CMs remain incompletely understood. While most models assume uniform, synchronized contractions, recent studies hint at unexpected heterogeneity, whose origins and significance are not yet clear. By combining the culture of fluorescent sarcomere-reporter human induced pluripotent stem cell-derived CMs on micropatterned soft gels of different stiffness (5-85 kPa) with AI-based tracking of sarcomere motion, we found that increasingly stiff substrates inhibited overall CM contraction, but, surprisingly, did not diminish individual sarcomere dynamics. Instead, sarcomeres competed in a tug-of-war, causing increasing heterogeneity, including rapid length oscillations and overextensions (popping). Statistical analysis showed that the heterogeneous dynamics were not caused by static structural differences but were largely stochastic. Stochastic heterogeneity is thus an intrinsic property of cardiac sarcomeres and likely mediates the adaptation of CM contractility to mechanical constraints. A mesoscopic model of coupled sarcomeres shows that these phenomena can be explained by a non-monotonic force-velocity relationship and stochastic fluctuations, where dynamic instability at a critical yielding force creates heterogeneity. Stochastic heterogeneity compensates for structural disorder by randomizing yield events beat-to-beat, preventing damage to specific sarcomeres. Our findings recast cardiac sarcomeres as active, dynamically unstable, and stochastic units engaged in a stochastic tug-of-war, where transient, velocity-dependent forces dominate. We propose that pathological disorder in cardiomyopathy drives a transition from protective stochastic fluctuations to more deterministic, persistently overloaded sarcomeres.

Indexed as

Myocardial ContractionMyocytes, CardiacSarcomeresHumansInduced Pluripotent Stem CellsStochastic Processescardiomyocytescell biologydynamic instabilityforce–velocity relationshiphumanphysics of living systemssarcomere poppingstochastic heterogeneitytug-of-war

Identifiers

PMID42734122
PMCPMC13574337

What OpenQuestion holds

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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.