The extension of the PEVK segment of the giant elastic protein titin is a key event in the elastic response of striated muscle to passive stretch. PEVK behaves mechanically as an entropic spring and is thought to be a random coil. cDNA sequencing of human fetal skeletal PEVK reveals a modular motif with tandem repeats of modules averaging 28 residues and with superrepeats of seven modules. Conformational studies of bacterially expressed 53-kDa fragment (TP1) by circular dichroism suggest that this soluble protein contains substantial polyproline II (PPII) type left-handed helices. Urea and thermal titrations cause gradual and reversible decrease in PPII content. The absence of sharp melting in urea and thermal titrations suggests that there is no long range cooperativity among the PPII helices. Studies with solid phase and surface plasmon resonance assays indicate that TP1 interacts with actin and some but not all cloned nebulin fragments with high affinity. Interestingly, Ca 2؉ /calmodulin and Ca 2؉ /S100 abolish nebulin/PEVK interaction. We suggest that in aqueous solution, PEVK is an open and flexible chain of relatively stable structural folds of the polyproline II type. PEVK region of titin may be involved in interfilament association with thin filaments in a calcium/calmodulinsensitive manner. This adhesion may modulate titin extensibility and elasticity.The monumental sequencing work of Labeit and Kolmerer (1) has revealed the complete domain organization of the giant elastic protein titin. The bulk of cardiac titin consists of predominately two types of sequence motifs: immunoglobulin (Ig) and fibronectin arranged in three levels of motifs (repeats, superrepeats, and segments). In addition to these well characterized domains, a novel motif consisting of mainly four amino acid residues, Pro, Glu, Val, and Lys, is discovered in the elastic I band region of titin. The length of this PEVK segment varies among muscles, ranging from 183 residues in the human cardiac titin to 2174 residues in human soleus skeletal muscle. Differential splicing of the titin transcripts in the PEVK region as well as in an adjacent tandem Ig segment near the A band produce these size isoforms of titin (1, 2). Since the selective expression of titin size isoforms imparts distinct elasticity to skeletal and cardiac muscles, with the muscle expressing longer titin being more compliant (3), the observed length variation of PEVK and tandem Igs in titin isoforms immediately suggests the possibility that either or both segments may be the elastic elements. Labeit and Kolmerer (1) speculated that the PEVK region, with a predicted nonfolded polypeptide, is the key elastic element of titin. The concept of reversible unfolding and folding of Ig domains was considered unlikely, on the ground of the thermodynamic stability of Ig domains (4, 5).Recent works on the elasticity of single titin molecules (6), single myofibrils (7), and single fibers (8, 9) revealed that, stretched modestly, sarcomere elasticity can be explained by the straightening...