Abstract-The heart is remarkably adaptable in its ability to vary its function to meet the changing demands of the circulatory system. During times of physiological stress, cardiac output increases in response to increased sympathetic activity, which results in protein kinase A (PKA)-mediated phosphorylations of the myofilament proteins cardiac troponin (cTn)I and cardiac myosin-binding protein (cMyBP)-C. Despite the importance of this mechanism, little is known about the relative contributions of cTnI and cMyBP-C phosphorylation to increased cardiac contractility. Using engineered mouse lines either lacking cMyBP-C (cMyBP-C Ϫ/Ϫ ) or expressing a non-PKA phosphorylatable cTnI (cTnI ala2 ), or both (cMyBP-C Ϫ/Ϫ /cTnI ala2 ), we investigated the roles of cTnI and cMyBP-C phosphorylation in the regulation of the stretch-activation response. PKA treatment of wild-type and cTnI ala2 skinned ventricular myocardium accelerated stretch activation such that the response was indistinguishable from stretch activation of cMyBP-C Ϫ/Ϫ or cMyBP-C Ϫ/Ϫ /cTnI ala2 myocardium; however, PKA had no effect on stretch activation in cMyBP-C Ϫ/Ϫ or cMyBP-C Ϫ/Ϫ /cTnI ala2 myocardium. These results indicate that the acceleration of stretch activation in wild-type and cTnI ala2 myocardium is caused by phosphorylation of cMyBP-C and not cTnI. We conclude that the primary effect of PKA phosphorylation of cTnI is reduced Ca 2ϩ sensitivity of force, whereas phosphorylation of cMyBP-C accelerates the kinetics of force development. These results predict that PKA phosphorylation of myofibrillar proteins in living myocardium contributes to accelerated relaxation in diastole and increased rates of force development in systole. (Circ Res. 2007;101:503-511.) Key Words: cross-bridge kinetics Ⅲ -adrenergic agonists Ⅲ positive inotropy Ⅲ contractile protein function E nhanced cardiac contractile performance in response to increased circulatory demands is achieved in part through positive inotropy and lusitropy in response to increased sympathetic tone, resulting in increased stroke work during systole and earlier relaxation to optimize diastolic filling. Underscoring the importance of -adrenergic stimulation in myocardial function, chronic hyperactivation of -adrenergic pathways 1 or blunting of the -adrenergic response 2 has been implicated in end-stage human heart failure.At the level of the myofilament, the force at a given level of Ca 2ϩ and the rate at which force is developed depend on properties that are intrinsic to the contractile proteins, such as protein isoforms, and on factors that affect protein function, such as phosphorylation status. -Adrenergic stimulation effects on the heart are mediated via cAMP activation of protein kinase A (PKA), which in the myofilament, principally targets the thin filament protein cTnI and the thick filament protein cMyBP-C. In skinned myocardium, phosphorylation of cTnI and cMyBP-C is associated with increased rates of cross-bridge cycling and decreased Ca 2ϩ sensitivity of force (reviewed elsewhere 3,4 ...