Akhter S, Zhang Z, Jin JP. The heart-specific NH2-terminal extension regulates the molecular conformation and function of cardiac troponin I. Am J Physiol Heart Circ Physiol 302: H923-H933, 2012. First published December 2, 2011; doi:10.1152/ajpheart.00637.2011.-In addition to the core structure conserved in all troponin I isoforms, cardiac troponin I (cTnI) has an ϳ30 amino acids NH 2-terminal extension. This peptide segment is a heart-specific regulatory structure containing two Ser residues that are substrates of PKA. Under -adrenergic regulation, phosphorylation of cTnI in the NH 2-terminal extension increases the rate of myocardial relaxation. The NH 2-terminal extension of cTnI is also removable by restrictive proteolysis to produce functional adaptation to hemodynamic stresses. The molecular mechanism for the NH 2-terminal modifications to regulate the function of cTnI is not fully understood. In the present study, we tested a hypothesis that the NH 2-terminal extension functions by modulating the conformation of other regions of cTnI. Monoclonal antibody epitope analysis and protein binding experiments demonstrated that deletion of the NH 2-terminal segment altered epitopic conformation in the middle, but not COOH-terminal, region of cTnI. PKA phosphorylation produced similar effects. This targeted longrange conformational modulation corresponded to changes in the binding affinities of cTnI for troponin T and for troponin C in a Ca 2ϩ -dependent manner. The data suggest that the NH2-terminal extension of cTnI regulates cardiac muscle function through modulating molecular conformation and function of the core structure of cTnI.troponin I phosphorylation; proteolytic NH 2-terminal truncation; TnITnT interface; cardiac muscle regulation; protein conformation analysis THE CONTRACTION OF CARDIAC muscle is regulated by binding of cytosolic Ca 2ϩ to troponin, which activates cross bridge cycling between sarcomeric myosin and actin filaments. The troponin complex consists of three protein subunits: the Ca 2ϩ -binding subunit troponin C (TnC), the tropomyosin-binding subunit troponin T (TnT), and the inhibitory subunit troponin I (TnI) (19). The function of TnI is essential to cardiac muscle contraction (34).Three homologous genes are present in vertebrate species encoding the fast skeletal muscle, slow skeletal muscle, and cardiac isoforms of TnI (20,29). Cardiac TnI (cTnI) is the newest member evolved in the family of TnI isoform genes (7). In addition to the ϳ180 amino acids core structure that is highly conserved in the three TnI isoforms in all vertebrates, cTnI has a unique NH 2 -terminal extension of ϳ30 amino acids, which is not found in the two skeletal muscle TnI isoforms.Showing functional conservation and exchangeability among the TnI isoforms, embryonic cardiac muscle utilizes solely slow skeletal muscle TnI. During development, it is completely replaced by cTnI in the adult heart (22, 36). Therefore, the NH 2 -terminal extension of cTnI is not an essential structure for the basic contractility of c...