JP, Tibbits GF. Familial hypertrophic cardiomyopathy-related cardiac troponin C mutation L29Q affects Ca 2ϩ binding and myofilament contractility. Physiol Genomics 33: 257-266, 2008. First published February 19, 2008 doi:10.1152/physiolgenomics.00154.2007.-The cardiac troponin C (cTnC) mutation, L29Q, has been found in a patient with familial hypertrophic cardiomyopathy. We previously showed that L29, together with neighboring residues, Asp2, Val28, and Gly30, plays an important role in determining the Ca 2ϩ affinity of site II, the regulatory site of mammalian cardiac troponin C (McTnC Interestingly, the change in Ca 2ϩ sensitivity of force generation in response to an SL change (1.9, 2.1, and 2.3 m) was significantly reduced in myocytes containing L29Q McTnC or NIQD McTnC. These results demonstrate that the L29Q mutation enhances the Ca 2ϩ -binding characteristics of cTnC and that when incorporated into cardiac myocytes, this mutant alters myocyte contractility.