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The smooth muscle titin filament system regulates uterus contractility and implantation

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Item Type:Article
Title:The smooth muscle titin filament system regulates uterus contractility and implantation
Creators: Sur, V Juhi ORCID logoORCID: https://orcid.org/0000-0002-9530-5928, Fink, Claudia, Bergmann, Nora, Jüttner, Rene ORCID logoORCID: https://orcid.org/0000-0003-3565-0698, Klingeberg, Melissa ORCID logoORCID: https://orcid.org/0009-0002-4778-2874, Coscia, Fabian ORCID logoORCID: https://orcid.org/0000-0002-2244-5081, Suarez Artiles, Lorena ORCID logoORCID: https://orcid.org/0000-0001-7991-5446, Mertins, Philipp ORCID logoORCID: https://orcid.org/0000-0002-2245-528X, Fritsch, Johanna Elisabeth, Birol, Melissa ORCID logoORCID: https://orcid.org/0000-0003-3397-8446, Gollasch, Maik ORCID logoORCID: https://orcid.org/0000-0003-2797-1934 and Gotthardt, Michael ORCID logoORCID: https://orcid.org/0000-0003-1788-3172
Abstract:Coordinated uterine peristalsis positions embryos for implantation, but the mechanotransduction pathways controlling uterine wave coordination are not well defined. We combined smooth-muscle-specific deletion of titin M-band exons 1 and 2 with vertical agarose gel electrophoresis, mass spectrometry, uterine ring myography, imaging, transcriptomics, spatial proteomics, and targeted immunoblotting. We show that the myometrium expresses smooth-muscle titin and low-abundance full-length titin including the M-band kinase region. Conditional M-band deletion increased oxytocin-evoked force and area-under-the-curve while reducing coordinated wall motion, yielding fewer as well as crowded/mislocalized implantation sites and heavier placentas. Proteomics and immunoblotting identified disruption of an NBR1/p62 autophagy hub with downstream remodeling of excitability, metabolism, and wall mechanics. Reduced telokin and MLCK levels are consistent with impaired relaxation and increased Ca2+-sensitization. Together, these findings establish the titin M-band as a mechanotransductive signaling hub regulating peri-implantation motility with potential clinical relevance for optimizing implantation after in vitro fertilization and preventing ectopic pregnancy.
Keywords:Animals, Mice
Source:iScience
ISSN:2589-0042
Publisher:Elsevier / Cell Press
Volume:29
Number:11
Page Range:117888
Number of Pages:1
Date:20 November 2026
Official Publication:https://doi.org/10.1016/j.isci.2026.117888
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