Chopra A, Tabdanov E, Patel H, Janmey PA, Kresh JY. Cardiac myocyte remodeling mediated by N-cadherin-dependent mechanosensing. Am J Physiol Heart Circ Physiol 300: H1252-H1266, 2011. First published January 21, 2011 doi:10.1152 doi:10. /ajpheart.00515.2010 adhesions are crucial in maintaining the structural and functional integrity of cardiac cells. Little is known about the mechanosensitivity and mechanotransduction of cell-to-cell interactions. Most studies of cardiac mechanotransduction and myofibrillogenesis have focused on cell-extracellular matrix (ECM)-specific interactions. This study assesses the direct role of intercellular adhesion, specifically that of N-cadherin-mediated mechanotransduction, on the morphology and internal organization of neonatal ventricular cardiac myocytes. The results show that cadherin-mediated cell attachments are capable of eliciting a cytoskeletal network response similar to that of integrinmediated force response and transmission, affecting myofibrillar organization, myocyte shape, and cortical stiffness. Traction forces mediated by N-cadherin were shown to be comparable to those sustained by ECM. The directional changes in predicted traction forces as a function of imposed loads (gel stiffness) provide the added evidence that N-cadherin is a mechanoresponsive adhesion receptor. Strikingly, the mechanical sensitivity response (gain) in terms of the measured cell-spread area as a function of imposed load (adhesive substrate rigidity) was consistently higher for N-cadherin-coated surfaces compared with ECM protein-coated surfaces. In addition, the cytoskeletal architecture of myocytes on an N-cadherin adhesive microenvironment was characteristically different from that on an ECM environment, suggesting that the two mechanotransductive cell adhesion systems may play both independent and complementary roles in myocyte cytoskeletal spatial organization. These results indicate that cell-to-cell-mediated force perception and transmission are involved in the organization and development of cardiac structure and function.cell-to-cell interaction; myofibrillogenesis; extracellular matrix; cell biomechanics NUMEROUS STUDIES IN CELL MECHANOBIOLOGY have shown that the stiffness of the material on which or within which cells grow has sizeable, specific effects on cell morphology, cytoskeletal structure, motility, differentiation, and proliferation (16,39,43,50,62). Mechanical cues, which can act together with or in opposition to chemical stimuli, are potentially associated with pathological conditions that occur in cancer, fibrotic disease, abnormal wound healing, and cardiac remodeling. The mechanical microenvironment of the cell in vivo is defined by its attachment to the extracellular matrix (ECM) and to other cells via forces generated and transmitted across cell-to-cell junctions constituting a network assembly of cells. Nearly all studies of cell mechanobiology in vitro have focused on the attachment of subconfluent cells to ECM ligands such as fibronectin, collagen, and laminin. ...