Myotilin, palladin, and myopalladin form a novel small subfamily of cytoskeletal proteins that contain immunoglobulin-like domains. Myotilin is a thin filament-associated protein localized at the Z-disk of skeletal and cardiac muscle cells. The direct binding to F-actin, efficient cross-linking of actin filaments, and prevention of induced disassembly of filaments are key roles of myotilin that are thought to be involved in structural maintenance and function of the sarcomere. Missense mutations in the myotilin-encoding gene cause dominant limb girdle muscular dystrophy type 1A and spheroid body myopathy and are the molecular defect that can cause myofibrillar myopathy. Here we describe the generation and analysis of mice that lack myotilin, myo ؊/؊ mice. Surprisingly, myo ؊/؊ mice maintain normal muscle sarcomeric and sarcolemmal integrity. Also, loss of myotilin does not cause alterations in the heart or other organs of newborn or adult myo ؊/؊ mice. The mice develop normally and have a normal life span, and their muscle capacity does not significantly differ from wild-type mice even after prolonged physical stress. The results suggest that either myotilin does not participate in muscle development and basal function maintenance or other proteins serve as structural and functional compensatory molecules when myotilin is absent.The muscle sarcomere is a strictly organized cytoskeletal structure responsible for force generation and transmission. The sarcomeric actin-containing thin filaments are aligned and anchored by the Z-disks, specialized three-dimensional structures composed of multiprotein complexes. In addition to thin filaments, Z-disks anchor laterally the sarcomere to the sarcolemma. Recently, several novel disease entities caused by inherited mutations in Z-disk proteins have been identified. Among these are myotilinopathies, muscular disorders caused by missense mutations in the Z-disk protein myotilin (7,12,13,28,36). Myotilinopathies are characterized by proximal and/or distal muscle weakness, occasionally cardiomyopathy, elevated serum creatine kinase levels, and reduced tendon reflexes. Typical morphological features include extensive disruption of the myofibrillar architecture, Z-disk streaming, and accumulation of apparently Z-diskassociated filamentous material. All known myotilinopathies are caused by missense mutations in the amino terminus of myotilin, and they are dominantly inherited and fully penetrant.Myotilin, together with palladin and myopalladin, forms a small subfamily of immunoglobulin (Ig)-like domain-containing cytoskeletal proteins (25). While the carboxy terminus of myotilin is highly conserved within the subfamily, its amino terminus is unique and rich in serine residues. Myotilin is mainly expressed in the skeletal and cardiac muscle (21,33), and it interacts with several structural Z-disk proteins, including ␣-actinin (33), actin (34, 41), filamin C (40), and FATZ-1 (calsarcin-2/myozenin-1) and FATZ-2 (calsarcin-1/myozenin-2) (10). The association with FATZ links myotilin ...