Abstract-Tropomodulin is a tropomyosin-binding protein that terminates "pointed-end" actin filament polymerization. To test the hypothesis that regulation of tropomodulin:actin filament stoichiometry is critical for maintenance of actin filament length, tropomodulin levels were altered in cells by infection with recombinant adenoviral expression vectors, which produce either sense or antisense tropomodulin mRNA. Neonatal rat cardiomyocytes were infected, and sarcomeric actin filament organization was examined. Confocal microscopy indicated that overexpression of tropomodulin protein shortened actin filaments and caused myofibril degeneration. In contrast, decreased tropomodulin content resulted in the formation of abnormally long actin filament bundles. Despite changes in myofibril structure caused by altered tropomodulin expression, total protein turnover of the cardiomyocytes was unaffected. Biochemical analyses of infected cardiomyocytes indicated that changes in actin distribution, rather than altered actin content, accounted for myofibril reorganization. Ultrastructural analysis showed thin-filament disarray and revealed the presence of leptomeres after tropomodulin overexpression. Tropomodulin-mediated effects constitute a novel mechanism to control actin filaments, and our findings demonstrate that regulated tropomodulin expression is necessary to maintain stabilized actin filament structures in cardiac muscle cells. (Circ Res. 1998;82:94-105.)A ccurate control of thin-filament length in sarcomeres is critical for proper function of the contractile apparatus. Uniformity among actin filaments depends on consistent length specification and effective termination of polymerization. Tropomodulin has been implicated as the regulatory agent for inhibiting slowly growing (pointed) end elongation of actin filaments. Located at or near the ends of thin filaments in skeletal muscle at a calculated stoichiometry of 1.2 to 1.6 tropomodulin molecules per actin filament, tropomodulin is situated in the appropriate place at the right concentration to regulate thin filaments.1 Circumstantial evidence suggests that tropomodulin:actin filament stoichiometry is critical for maintaining actin filament structure. First, the stoichiometry of tropomodulins per actin filament is comparable between skeletal muscle and the erythrocyte cytoskeleton, despite vastly different actin organization in the two cell types.1 Second, tropomodulin releases tropomyosin from association with actin filaments in vitro when added in molar excess.2 Third, tropomyosin-coated actin filaments are stabilized by interaction with tropomodulin when both are present in equivalent stoichiometric levels. 3 The importance of sarcomeric protein stoichiometry for muscle function and the regulation of sarcomeric organization is suggested from studies that found mutations of either ␣-tropomyosin or cardiac troponin T as the basis for the characteristic myofibrillar disorganization observed in familial hypertrophic cardiomyopathy. 4 Tropomodulin is a component of t...