Fig. 8. Mechanisms of regulation of cardiac myofilament activation modified by myosin activators and inhibitors. As shown by the right side of the figure, the reaction of cross-bridges with thin filaments promotes ATP hydrolysis, powering shortening and tension generation. At the level of the thin filaments, Ca-binding to cTnC triggers an interaction of a Sw of the inhibitory protein (TnI) to switch on the thin filament and release the inhibition imposed by a TnI-inhibitory peptide (Ip), the mobile domain of TnI, and TnT interactions with actin-Tm interface. The result is a movement of Tm permitting the actin-cross-bridge reaction. The extent of myofilament activation is governed by the number of cross-bridges reacting with the thin filament, which is determined by the proportion of cTnC sites with bound Ca2+ related to the amounts of Ca2+ released and to the population of cross-bridges existing in an SRX and a DRX. As shown by the green arrow extending along the myofilaments, the extent of activation is also determined by the cooperative spread of activation from an active regulatory unit to near neighbors among the regulatory units. Cross-bridge interactions with thin filament promote this spread, as do modifications in energies of interaction among neighboring thin filament proteins, especially interactions at the ends of contiguous Tm strands. Critical regions of TnI differ between cTnI and ssTnI. The N-terminal extension is specific to cTnI. In homologous regions the cTnI Ip T143 is P111 in ssTnI, in the cTnI Sw Q155, A162 and E164 are R125, H132, V134 in ssTnI, and in the cTnI mobile domain cTnI H172 and K207 are N141 and M175 in ssTnI. Data from our studies indicate that myosin activators and inhibitors are affected by this difference, which affect activation and inhibition of tension. See text for further discussion.