Troponin contains a globular Ca 2؉ -binding domain and an elongated tail domain composed of the N terminus of subunit troponin T (TnT). The tail domain anchors troponin to tropomyosin and actin, modulates myosin function, and is a site of cardiomyopathy-inducing mutations. Critical interactions between tropomyosin and troponin are proposed to depend on tail domain residues 112-136, which are highly conserved across phyla. Most cardiomyopathy mutations in TnT flank this region. Three such mutations were examined and had contrasting effects on peptide TnT-(1-156), promoting folding and thermal stability assessed by circular dichroism (F110I) or weakening folding and stability (T104V and to a small extent R92Q). Folding of both TnT-(1-156) and whole troponin was promoted by replacing bovine TnT Thr-104 with human TnT Ala-104, further indicating the importance of this cardiomyopathy site residue for protein folding. Mutation F110I markedly stabilized the troponin tail but weakened binding of holo-troponin to actin-tropomyosin 8-fold, suggesting that loss of flexibility impairs troponin tail function. The effect of the F110I mutation on troponintropomyosin binding to actin was much less, indicating this flexibility is particularly important for the interactions of troponin with tropomyosin. We suggest that most cardiomyopathic mutations in the troponin tail alter muscle function indirectly, by perturbing interactions between troponin and tropomyosin requisite for the complex effects of these proteins on myosin.In striated muscles, including the heart and skeletal muscle, contraction is tightly regulated by the reversible binding of Ca 2ϩ to the thin filament protein troponin. Tight and specific attachment of troponin to the thin filament is mediated by the troponin tail domain, which is composed of the N-terminal portion of TnT 1 and interacts with the tropomyosin C terminus. Hydrodynamic studies (1), rotary-shadowed electron micrographs of troponin (2), and intermediate resolution studies of both troponin-tropomyosin (3) and TnT-tropomyosin co-crystals (4) indicate that the tail domain is highly asymmetric and ϳ160 Å in length. Electron microscopy of tropomyosin-TnT co-crystals suggests that a long region of the tropomyosin C terminus may interact with the troponin tail (4). However, most of this extended interaction may be very weak, because a variety of other evidence suggests that only the C terminus of tropomyosin binds strongly to troponin (reviewed in Ref. 5). Recently, an x-ray crystallographic study of the tropomyosin C terminus identified and determined the structure of an 18-residue tropomyosin region that comprises a critical TnT-binding site (6). The TnT element that binds to this tropomyosin region is unknown.A new approach to these important interactions has been provided by the discovery that any of several mutations in the troponin tail region can cause the autosomal dominant disorder, familial hypertrophic cardiomyopathy (FHC). Regardless whether because of mutations in thick filament or thin filame...