Farman, Gerrie P., John S. Walker, Pieter P. de Tombe, and Thomas C. Irving. Impact of osmotic compression on sarcomere structure and myofilament calcium sensitivity of isolated rat myocardium. Am J Physiol Heart Circ Physiol 291: H1847-H1855, 2006. First published June 2, 2006 doi:10.1152/ajpheart.01237.2005.-Changes in interfilament lattice spacing have been proposed as the mechanism underlying myofilament length-dependent activation. Much of the evidence to support this theory has come from experiments in which high-molecular-weight compounds, such as dextran, were used to osmotically shrink the myofilament lattice. However, whether interfilament spacing directly affects myofilament calcium sensitivity (EC50) has not been established. In this study, skinned isolated rat myocardium was osmotically compressed over a wide range (Dextran T500; 0 -6%), and EC50 was correlated to both interfilament spacing and I1,1/I1,0 intensity ratio. The latter two parameters were determined by X-ray diffraction in a separate group of skinned muscles. Osmotic compression induced a marked reduction in myofilament lattice spacing, concomitant with increases in both EC50 and I1,1/I1,0 intensity ratio. However, interfilament spacing was not well correlated with EC50 (r 2 ϭ 0.78). A much better and deterministic relationship was observed between EC50 and the I1,1/I1,0 intensity ratio (r 2 ϭ 0.99), albeit with a marked discontinuity at low levels of dextran compression; that is, a small amount of external osmotic compression (0.38 kPa, corresponding to 1% Dextran T500) produced a stepwise increase in the I1,1/I1,0 ratio concomitant with a stepwise decrease in EC50. These parameters then remained stable over a wide range of further applied osmotic compression (up to 6% dextran). These findings provide support for a "switch-like" activation mechanism within the cardiac sarcomere that is highly sensitive to changes in external osmotic pressure. skinned muscle; trabeculae; X-ray diffraction; dextran; osmotic pressure; myofilament length-dependent activation; regulation MYOFILAMENT LENGTH-DEPENDENT activation (LDA) is a phenomenon found in all striated muscle, but to varying extents, being a prominent feature of cardiac muscle (2,4,7,15,16) and the indirect flight muscle of insects (33) but is less prominent in skeletal muscle (17,26,32). LDA is defined as an increase in the amount of active force developed at longer sarcomere length for a given concentration of activating calcium ions. LDA is the underlying cellular mechanism that underlies the Frank-Starling law of the heart (16). This increase in myofilament calcium sensitivity is commonly measured by the EC 50 parameter, that is, the calcium concentration at which the active developed force is half that observed at a saturating calcium concentration. An understanding of the molecular mechanism(s) underlying LDA has remained elusive. A popular hypothetical mechanism for LDA is that changes in interfilament lattice spacing, usually estimated as changes in fiber width, are directly linke...