Desmin intermediate filaments and tubulin detyrosination stabilize growing microtubules in the cardiomyocyte

In heart failure, an increased abundance of post-translationally detyrosinated microtubules stiffens the cardiomyocyte and impedes its contractile function. Detyrosination promotes interactions between microtubules, desmin intermediate filaments, and the sarcomere to increase cytoskeletal stiffness, yet the mechanism by which this occurs is unknown. We hypothesized that detyrosination may regulate the growth and shrinkage of dynamic microtubules to facilitate interactions with desmin and the sarcomere. Through a combination of biochemical assays and direct observation of growing microtubule plus-ends in adult cardiomyocytes, we find that desmin is required to stabilize growing microtubules at the level of the sarcomere Z-disk, where desmin also rescues shrinking microtubules from continued depolymerization. Further, reducing detyrosination (i.e. tyrosination) below basal levels promotes frequent depolymerization and less efficient growth of microtubules. This is concomitant with tyrosination promoting the interaction of microtubules with the depolymerizing protein complex of end-binding protein 1 (EB1) and CAP-Gly domain-containing linker protein 1 (CLIP1/CLIP170). The dynamic growth and shrinkage of tyrosinated microtubules reduce their opportunity for stabilizing interactions at the Z-disk region, coincident with tyrosination globally reducing microtubule stability. These data provide a model for how intermediate filaments and tubulin detyrosination establish long-lived and physically reinforced microtubules that stiffen the cardiomyocyte and inform both the mechanism of action and therapeutic index for strategies aimed at restoring tyrosination for the treatment of cardiac disease. Supplementary Information The online version contains supplementary material available at 10.1007/s00395-022-00962-3.


Introduction
Microtubules are polymers of ⍺and β-tubulin that are characterized by cyclical transitions between polymerization and depolymerization, a behavior called dynamic instability [25]. Tuning this dynamic behavior confers unique functionality to specific sub-populations of microtubules [12]. Control of microtubule dynamics is cell type-and contextspecific and can occur either by modulating polymer addition or subtraction at the ends or through lateral interaction with the microtubule [1]. The temporal and spatial control of dynamics can be tuned by post-translational modification of tubulin, which in turn affects the biophysical properties 53 Page 2 of 16 of the microtubule and interactions with microtubule-associated proteins (MAPs) [32]. For example, detyrosination, the post-translational removal of the C-terminal tyrosine residue on ⍺-tubulin, has been shown to alter microtubule stability through modulating interactions with multiple effector MAPs [10,27,28].
In the cardiomyocyte, microtubules fulfill both canonical roles in intracellular trafficking and organelle positioning [7,33], as well as non-canonical functions matched to the unique demands of working myocytes. In the interior of the myocyte, microtubules form a predominantly longitudinal network that runs perpendicular to the transverse Z-disks that define the sarcomere, the basic contractile unit of muscle. This microtubule network is required for the delivery of essential cargo in the myocyte, including ion channels and membrane proteins required for muscle excitation, as well as the distribution of RNA and the translational machinery to maintain and grow new sarcomeres [33,39]. To perform this role, microtubules must also withstand the high forces and changes in cell geometry inherent to cardiac contraction.
To this end, sub-populations of microtubules form physical connections at the level of the Z-disk that serve as lateral reinforcements along the length of the microtubule [31]. Upon stimulation and sarcomere shortening, these physically coupled microtubules buckle at short stereotypical wavelengths between sarcomeres to resist the change in myocyte length [31]. Lateral reinforcement has significant mechanical ramifications, as reinforced microtubules can resist forces three orders of magnitude greater than isolated microtubules [5,36]. This viscoelastic resistance, while modest under normal conditions, becomes particularly problematic in heart failure, where the proliferation of stably coupled microtubules stiffens the cardiomyocyte and impairs myocyte motion [8].
The physical coupling of the microtubule to the sarcomere is tuned by detyrosination. Reversing detyrosination (i.e. tyrosination) by overexpression of tubulin tyrosine ligase (TTL), the enzyme responsible for ligating the terminal tyrosine residue on detyrosinated tubulin, reduces sarcomeric buckling and the viscoelastic resistance provided by microtubules, thus increasing the contractility of failing myocytes [8]. Detyrosination also governs microtubuledependent mechanotransduction that regulates downstream second messengers and is implicated in myopathic states [20]. As reversing detyrosination can lower stiffness and improve myocardial function in patient tissues [8] and animal models of heart failure [35,43], it is under pursuit as a novel therapeutic approach. Yet how detyrosination promotes the interaction of microtubules with the sarcomere to regulate myocyte viscoelasticity remains poorly understood.
Several observations suggest this interaction may be mediated at least in part through desmin intermediate filaments that wrap around the Z-disk. Detyrosination promotes microtubule interaction with intermediate filaments [17,31], and in the absence of desmin, microtubules are disorganized and detyrosination no longer alters myocyte mechanics [31]. Importantly, a recent publication indicates that intermediate filaments can directly stabilize dynamic microtubules in vitro [34]. However, there has been no investigation into the effects of desmin or detyrosination on the dynamics of cardiac microtubules.
Here, using a combination of genetic manipulations, biochemical assays, and direct live-cell observation of dynamic microtubules, we interrogated the effects of desmin depletion and tubulin tyrosination on microtubule dynamics. We find that desmin spatially organizes microtubule dynamics, conferring local stability to both growing and shrinking microtubules at the sarcomere Z-disk. Additionally, we find that tyrosinated microtubules are more dynamic and prone to shrinkage, a characteristic that precludes their ability to efficiently grow between adjacent sarcomeres and form stabilizing interactions at the Z-disk. These findings provide insight into the fundamental organizing principles of myocyte cytoarchitecture and inform on how detyrosination can promote cytoskeletal stability to tune myocyte mechanics.

Animal Care
Animal care and procedures were approved and performed in accordance with the standards set forth by the University of Pennsylvania Institutional Animal Care and Use Committee and the Guide for the Care and Use of Laboratory Animals published by the US National Institutes of Health.

Rat cardiomyocyte isolation and culture
Primary adult ventricular myocytes were isolated from 6to 8-week-old Sprague Dawley rats as previously described [30]. Briefly, rats were anesthetized under isoflurane while the heart was removed and retrograde perfused on a Langendorff apparatus with a collagenase solution. The digested heart was then minced and triturated using a glass pipette. The resulting supernatant was separated and centrifuged at 300 revolutions per minute to isolate cardiomyocytes that were resuspended in rat cardiomyocyte media at a density that ensured adjacent cardiomyocytes did not touch. Cardiomyocytes were cultured at 37 °C and 5% CO 2 with 25 μmol/L of cytochalasin D. The viability of rat cardiomyocytes upon isolation was typically on the order of 50-75% rod-shaped, electrically excitable cells, and the survivability for 48 h of culture is > 80% (See Heffler et al.) [18] for our quantification of cardiomyocyte morphology in culture).

Fractionation assay of free tubulin and cold-sensitive microtubules
Free tubulin was separated from cold-labile microtubules using a protocol adapted from Tsutsui et al. 1993 andOstlud et al. 1979. Isolated rat cardiomyocytes were washed once with PBS and homogenized with 250 ml of the microtubulestabilizing buffer using a tissue homogenizer. The homogenate was centrifuged at 100,000 g for 15 min at 25 °C and the resulting supernatant was stored at − 80 °C as the free tubulin fraction. The pellet was resuspended in ice-cold microtubule destabilizing buffer and incubated at 0 °C for 1 h. After centrifugation at 100,000 g for 15 min at 4 °C the supernatant containing the cold-labile microtubule fraction was stored at − 80 °C.

Western blot
For whole cell protein extraction, isolated rat cardiomyocytes were lysed in RIPA buffer (Cayman #10010263) supplemented with protease and phosphatase Inhibitor cocktail (Cell Signaling #5872S) on ice for 1 h. The supernatant was collected and combined with 4X loading dye (Li-COR #928-40004), supplemented with 10% 2-mercaptoethanol, and boiled for 10 min. The resulting lysate was resolved on SDS-PAGE gel and protein was blotted to nitrocellulose membrane (Li-COR #926-31902) with a mini Trans-Blot Cell (Bio-Rad). Membranes were blocked for an hour in Odyssey Blocking Buffer (TBS) (LI-COR #927-50000) and probed with corresponding primary antibodies overnight at 4 °C. Membranes were rinsed with TBS containing 0.5% Tween 20 (TBST) three times and incubated with secondary antibodies TBS supplemented with extra 0.2% Tween 20 for 1 h at room temperature. Membranes were washed again with TBST (0.5% Tween 20) and imaged on an Odyssey Imager. Image analysis was performed using Image Studio Lite software (LI-COR). All samples were run in duplicates and analyzed in reference to GAPDH.

Microtubule dynamics by EB3
Isolated rat cardiomyocytes were infected with an adenovirus containing an EB3-GFP construct [37]. After 48 h, cells were imaged on an LSM Zeiss 880 inverted Airyscan confocal microscope using a 40X oil 1.4 numerical aperture objective. Cells expressing EB3-GFP only at the tip were imaged for four minutes at a rate of 1fps. Files were blinded, Gaussian blurred, and Z-compressed using Image J (National Institutes of Health) to generate kymographs. The number of catastrophes, rescues, and pauses 53 Page 4 of 16 were recorded per kymograph in addition to the manual tracing of microtubule runs to quantify the time, distance, and velocity of microtubule growth or shrinkage. We refer to the entire kymograph as the microtubule 'track' that is made up of individual growth and shrinkage events we call 'runs'. Catastrophe and rescue frequency were calculated per cell by dividing the number of catastrophes or rescues by total time spent in growth or shrinkage time, respectively. Catastrophes and rescues occurring specifically on or off the Z-disk were normalized by the total time of microtubule growth and shrinkage. Experimental values were normalized to their respective control cells (Null for TTL and E331Q, or shScrm for shDes) acquired from the same animals. A minimum of 3 separate cell isolations were performed for each group.

Immunofluorescence
To stain for desmin, cardiomyocytes were fixed in prechilled 100% methanol for 8 min at − 20 °C. Cells were washed 4 × then blocked with Sea Block Blocking Buffer (Abcam #166951) for at least 1 h followed by antibody incubation in Sea Block for 24-48 h. Incubation was followed by washing 3 × with Sea Block, then incubated with secondary antibody for 1 h at RT. Fixed cells were mounted using Prolong Diamond (Thermo #P36961).
To stain for CLIP170, cardiomyocytes were glued to cleaned coverglass (Electron Microscopy Sciences 72222-01) using MyoTak (IonOptix). The cardiomyocytes on coverslips were fixed in 4% paraformaldehyde (Electron Microscopy Sciences 15710) for 10 min at RT, followed by 2 washes in PBS, and then permeabilized using 0.25% Triton in PBS for 10 min at RT. Cells were washed 3 × then blocked with Sea Block Blocking Buffer for at least 1 h followed by antibody incubation in Sea Block for 24. Incubation was followed by washing 3 × with PBS, then incubated with secondary antibody in Sea Block for 1 h at RT. Fixed cells were mounted using Prolong Diamond.
We used ImageJ to calculate the percent area fraction of desmin or the mean integrated density of CLIP170. An ROI was drawn to include the entire cell boundary. To calculate % area for desmin, we identified the percent fractional coverage of a fluorescence signal over a manually identified threshold for each image as described previously [8]. The mean integrated density data for CLIP170 was collected directly from ImageJ output using unthresholded max-intensity projected images (3 images per cell) of individual cells.

Buckling analysis
Adult rat cardiomyocytes were isolated as previously described [30] and infected with adenovirus carrying the microtubule-binding protein EMTB chimerically fused to 3 copies of GFP. The purpose of this construct was to label microtubules fluorescently for imaging. The cells were allowed 48 h to express the construct. To interrogate microtubule buckling amplitude and wavelength, cells were induced to contract at 1 Hz 25 V and imaged during the contraction. For analysis, images were blinded, and a microtubule was located that could be followed during the contraction. The backbone was manually traced at rest and during its peak of the contraction and the ROI was saved. The ROI was then analyzed using a macro that rotated so that the ROI had the peak of contraction 90 degrees to the axis of contraction to protect from aliasing errors. The program then calculated the distance between the axis of the ROI and its peak and calculated the peak (amplitude) and the width (half wavelength).

Electron microscopy
Transmission electron microscopy images were collected as previously described [18]. Images at 7500× were rotated so the cells were parallel to the longitudinal axis. ROIs were generated between adjacent Z-disks to quantify sarcomere spacing and the angle relative to 90°.

Proximity ligation assay (PLA)
Freshly isolated rat cardiomyocytes were untreated or treated for 48 h with Null, TTL, or E331Q adenoviruses at 37 °C with 5% CO 2 . Once viral construct expressions were confirmed using the tagged mCherry, the cardiomyocytes were glued to cleaned coverglass (EMS 72222-01) using MyoTak (IonOptix). The cardiomyocytes on coverslips were fixed in 4% paraformaldehyde for 10 min at RT, followed by 2 washes in PBS, and then permeabilized using 0.25% Triton in PBS for 10 min at RT. The samples were Page 5 of 16 53 blocked in Sea Block for 1 h at RT and stored at 4 °C until further processing.
The samples were incubated with EB1 and CLIP170 or alpha-actinin or desmin, primary antibodies overnight at 4 °C; the coverslips were then washed in PBS for 15 min at RT. Following immediately, PLA was performed in humidified chambers using ThermoFisher DuoLink manufacturer's protocol starting with "Duolink PLA Probe Incubation." Briefly, the samples were incubated with Duolink PLA secondary antibodies followed by ligation and amplification. Amplification was performed using Duolink FarRed detection reagents (Sigma DUO92013). Post-amplified samples were washed and incubated with alpha-tubulin antibody (DM1A) conjugated to AF 488 (Cell Signaling #8058S) in Sea Block overnight at RT. The processed samples were washed twice with PBS, and the coverslips were mounted using ProLong Diamond Antifade Mountant (Thermo Fisher P36961).
Imaging was performed using a Zeiss AiryScan microscope. 6 imaging slices of 0.18 mm thickness were sampled for each cell; 10 cells were sampled per group per experiment (N = 3, n = 30). ImageJ was used to analyze the images. Microtubules and PLA channels were thresholded and the thresholded images were used to construct a microtubule-PLA overlap image. An ROI was drawn to outline the cardiomyocyte border. The raw integrated intensities of the thresholded microtubule only, PLA only, and the microtubule-PLA overlap images for each imaging slice were collected. The microtubule-PLA overlap was then normalized to microtubule only to account for cellular and sub-cellular heterogeneity of microtubule density. The average microtubule-normalized microtubule-PLA overlap for one cell was calculated and the data set was constructed by normalizing all values from one experiment to the average control value of that experiment.

Statistics
Statistical analysis was performed using OriginPro (Version 2018 & 2019). Normality was determined by the Shapiro-Wilk test. For normally distributed data, Twosample Student's T test or one-way ANOVA with post hoc test was utilized as appropriate. For non-normally distributed data, the Two-sample Kolmogorov-Smirnov test or Kruskal-Wallis ANOVA was utilized as appropriate. Specific statistical tests and information on biological and technical replicates can be found in the figure legends. Unless otherwise noted, 'N' indicates the number of cells analyzed and 'n' indicates the number of microtubule runs.

Dynamic microtubules are stabilized at the Z-disk and interact with desmin intermediate filaments
To study the dynamics of growing microtubules in mature cardiomyocytes, we treated adult rat cardiomyocytes with adenovirus containing GFP-labeled End-Binding Protein 3 (EB3-GFP) to directly visualize the plus-end of growing microtubules by time-lapse imaging (S. Movie 1). The dynamic properties of microtubules can be quantified as events that mark their transitions from growing (polymerization) to shrinking (depolymerization) states (Fig. 1a). These events consist of catastrophes (transitions from growth to shrinkage), rescues (transitions from shrinkage to growth), and pauses (neither growth nor shrinkage). Conveniently, EB3-GFP also provided a fainter, non-specific labeling of the protein-rich Z-disk region, enabling us to visualize where dynamic events occurred relative to a sarcomeric marker (Fig. 1b).
Under basal conditions, we observed a stark spatial bias in microtubule dynamic behavior, similar to that previously observed [13]. The initiation of microtubule growth, as well as pausing of growth, predominantly occurred at the level of the Z-disk (Fig. 1c). Conversely, catastrophes predominantly occurred off the Z-disk, while rescue from catastrophe again occurred more frequently at the Z-disk. As exemplified in S. Movies 1-2, myocyte microtubules tend to grow iteratively from one Z-disk to another, often pausing at each Z-disk region. If a microtubule undergoes catastrophe before reaching a Z-disk, it tends to shrink to a previous Z-disk, where rescue is more likely to occur. These data suggest factors at the Z-disk region strongly bias microtubule behavior and support the initialization and stabilization of growing microtubules.
Electron microscopy images of cardiomyocytes help illustrate the local environment surrounding microtubules at the nanoscale and suggest nearby elements that may stabilize microtubules. As seen in Fig. 1d, the microtubules running along the long-axis of the myocyte appear as 25 nm diameter tubes coming at the viewer in transverse sections, with a faint halo surrounding them where their C-terminal tails project. Microtubules most commonly run alongside, and not within, the sarcomere-containing myofibrils, squeezing in the gaps between myofibrils and the mitochondria or nucleus. Desmin intermediate filaments also occupy some of these gaps, wrapping around the myofibrils at the level of the Z-disk, and we observe microtubules bisecting through structures that resemble intermediate filaments and which surround the myofibrils at these locations (Fig. 1d, right). To orthogonally probe whether growing microtubules are more likely to interact 53 Page 6 of 16 In the right-hand panel, the area between the myofibrils is filled by membranous and filamentous structures consistent with intermediate filaments, which are bisected by microtubules. e Representative immunofluorescent images and f quantification of a-actinin-EB1 or desmin-EB1 PLA interactions in control cardiomyocytes (N = 3 rats, n = 10 cells per rat). The box represents the 25th and 75th percentiles ± 1SD, bolded line represents the mean; statistical significance was determined with two-sample Student's T test with the intermediate filament vs. sarcomeric cytoskeleton, we utilized proximity ligation assay (PLA) to probe interactions between the endogenous microtubule plusend tracking protein end-binding protein 1 (EB1) and either sarcomeric a-actinin or the intermediate filament desmin in adult rat cardiomyocytes. Although a-actinin is the most abundant protein in the Z-disk and expressed at substantially higher levels than desmin [8] (S. Fig. 1a), we observed ~ tenfold more abundant PLA puncta in the desmin-EB1 group compared to a-actinin-EB1, suggesting that the growing end of microtubules are frequently in close proximity to desmin intermediate filaments at the Z-disk (Fig. 1e, f).

Desmin stabilizes growing and shrinking microtubules at the Z-disk
We next directly interrogated the role of desmin in regulating microtubule stability by adenoviral delivery of shRNA to acutely deplete desmin (desmin KD) in cardiomyocytes. Complementing our previous validation of this construct by western blotting [18], we measured a 40-50% reduction in desmin expression after 48 h of desmin KD (S. Fig. 1b). We first interrogated the effect on microtubule stability using a modified subcellular fractionation assay from Fasset et al. [15] that allowed us to separate free tubulin from polymerized tubulin in the dynamic (i.e. cold-sensitive) microtubule pool (Fig. 2a). Acute desmin depletion resulted in an increased free to polymerized ratio in the dynamic microtubule pool (Fig. 2b,c, S, Fig. 1c), suggesting that desmin coordinates the stability of dynamic microtubules. We next quantified microtubule acetylation and detyrosination, markers of long-lived microtubules, and found that both were decreased in desmin KD myocytes, without alterations in whole cell tubulin content (Fig. 2b, c), suggesting that desmin normally helps maintain microtubule stability.
Next, we directly quantified plus-end microtubule dynamics by EB3-GFP upon desmin depletion. Blind quantification of global event frequency revealed that desmin depletion modestly increased the frequency of catastrophes while more robustly reducing both the frequency of rescues and pauses (Fig. 2d, e). As seen in S. Movies 3-4, upon desmin depletion (S. Movies 4) microtubule growth still initiated at the Z-disk, but the iterative, longitudinal growth from one Z-disk to another seen in control cells (S. Movies 3) was lost. Instead, microtubules often grew past Z-disk regions without pausing, and following catastrophe they were less likely to be rescued at the previous Z-disk (Fig. 2d, f). Interrogation of where dynamic events occurred in relation to the Z-disk revealed that desmin depletion specifically increased the number of catastrophes that occurred on the Z-disk while reducing the number of catastrophes that occurred off the Z-disk (Fig. 2f). More strikingly, desmin depletion markedly reduced the number of pauses and rescues that occur specifically on the Z-disk, while not affecting pause or rescue behavior elsewhere (Fig. 2f). Together, these results indicate that desmin spatially coordinates microtubule dynamics and stabilizes both the growing and shrinking microtubule at the Z-disk.
Cardiomyocytes from global, desmin germ-line knockout mice are characterized by misaligned and degenerated sarcomeres with a disorganized microtubule network [6,31]. Gross restructuring of the myofilaments could affect microtubule dynamics due to a change in the physical environment that is permissive to microtubule growth, for example by increasing the spacing between Z-disks of adjacent myofilaments. To assess if our comparatively brief desmin depletion altered myofilament spacing or alignment, we performed quantitative measurements on electron micrographs from desmin KD cardiomyocytes. Blind analysis indicated that this relatively short-term desmin depletion did not detectably alter myofilament spacing or alignment (S. Figure 2), consistent instead with a direct stabilizing effect of desmin intermediate filaments on the microtubule network.
We next interrogated the functional consequences of this reduced microtubule stability driven by desmin depletion. As a reduction in detyrosinated microtubules and their association with the Z-disk is associated with reduced cardiomyocyte viscoelasticity [31], we hypothesized that desmin-depleted myocytes would be less stiff. To test this, we performed transverse nanoindentation of cardiomyocytes and quantified Young's modulus of the myocyte over a range of indentation rates. Desmin depletion specifically reduced the rate-dependent viscoelastic stiffness of the myocyte without significantly altering rate-independent elastic stiffness (S. Fig. 3a, b). Reduced viscoelasticity is consistent with reduced transient interactions between dynamic cytoskeletal filaments.
To directly test if the reduction in desmin alters microtubule buckling between sarcomeres, we performed a semi-automated, blind analysis of microtubule buckling, as in our previous work [31]. In control cells, most microtubules buckle in a clear sinusoidal pattern with a wavelength corresponding to the distance of a contracted sarcomere (~ 1.5-1.9 µm) (S. Fig. 3c, d) (S. Movie 5). Upon desmin depletion, fewer polymerized microtubules were observed in general, with more chaotic deformations and organization upon contraction (S. Movie 6). For microtubules that did buckle, we observed reductions in the amplitude of buckles (S. Fig. 3d) and the proportion of microtubules that buckled at wavelengths corresponding to the distance between 1 and 2 sarcomeres (1.5-1.9 or 3.0-3.8 µm, respectively) (S. Fig. 3e, f). Combined, these results are consistent with desmin coordinating the physical tethering and lateral reinforcement of detyrosinated microtubules at the cardiomyocyte Z-disk to regulate myocyte viscoelasticity.   [15] that allows for the separation of free tubulin and polymerized microtubules within the dynamic tubulin pool. b Representative western blot and c quantification of α-tubulin in free and dynamic microtubule fractions (top) or of total dTyr-tubulin, α-tubulin, and acetylated tubulin in the whole-cell lysate (bottom) from control (Scram) or Desmin knock-down (Des KD) cardiomyocytes (N = 3 rats, n = 5 WB techni-cal lanes for dtyr and 6 for acetyl and tubulin fractions). d Representative EB3-GFP kymograph from Scram (top) or Des KD (bottom) cardiomyocytes. e Quantification of catastrophe, pause, and rescue event frequencies and f event locations in Scram or Des KD cardiomyocytes (N = cells, n = events). The bar represents mean ± 1SEM; statistical significance for C was determined with two-sample Student's T test, and for E and F was determined with two-sample Kolmogorov-Smirnov test Page 9 of 16 53

Tyrosination alters the dynamics of the microtubule network
Next, we sought to determine the effect of detyrosination on the dynamics of the cardiomyocyte microtubule network. To reduce detyrosination, we utilized adenoviral delivery of TTL into isolated adult rat cardiomyocytes [31]. TTL binds and tyrosinates tubulin in a 1:1 complex, and this binding leads to tubulin sequestration. Hence, to separate the effects of tubulin tyrosination from tubulin sequestration, we utilized adenoviral delivery of TTL-E331Q (E331Q), a verified catalytically dead mutant of TTL that binds and sequesters tubulin but does not tyrosinate [9]. We have previously confirmed that TTL overexpression under identical conditions reduces detyrosination below 25% of initial levels, while TTL-E331Q does not significantly affect detyrosination levels with similar overexpression [9]. To specifically quantify the effects of reducing detyrosination on the dynamic microtubule population, we fractionated free and polymerized tubulin as outlined above (Fig. 2a). Expression of TTL, but not E331Q, resulted in significantly less detyrosinated tubulin in the dynamic microtubule pool (Fig. 3a). Further, only TTL expression shifted tubulin away from the polymerized fraction towards the free tubulin fraction, resulting in an increased ratio of free:polymerized tubulin (Fig. 3a, S.  Fig. 4a). This suggests that tyrosination affects the cycling of tubulin within the dynamic microtubule pool. If indeed tyrosinated microtubules are more dynamic, then levels of acetylation, a canonical marker of long-lived microtubules [40], should also be decreased by TTL. Consistent with this, TTL, but not E331Q, led to a robust reduction in levels of microtubule acetylation, suggesting that tyrosination reduces microtubule lifetime in the cardiomyocyte (Fig. 3b).
As acetylation itself is linked to microtubule stability [14,42], the TTL-dependent change in the dynamic microtubule pool (Fig. 3b) could be directly related to tyrosination, or it could be a secondary effect due to the reduction in acetylation. To discriminate between these two hypotheses, we directly modulated acetylation. To this end, we developed adenoviral constructs encoding histone deacetylase 6 (HDAC6) and α tubulin acetyltransferase 1 (αTAT1). HDAC6 expression reduced total microtubule acetylation to 25% of initial levels (Fig. 3c) and αTAT1 expression increased acetylation 12-fold (Fig. 3c). Because αTAT1 has been shown to modulate microtubule dynamics independent of enzymatic activity [19], we also used a pharmacological inhibitor of HDAC6, Tubastatin A (TubA) to increase acetylation through an orthogonal approach (Fig. 3c). Having validated robust tools to modulate acetylation, we next determined the effect of acetylation on the dynamic microtubule pool utilizing the same fractionation assay. Neither increasing nor decreasing acetylation altered the free:polymerized tubulin ratio (Fig. 3d, S. Fig. 4b). Given that modulating tyrosination altered levels of acetylation (Fig. 3c), we also asked whether this relationship was reciprocal. However, whole-cell levels of detyrosination were largely unaffected by modulating acetylation (Fig. 3e), except for a modest increase with HDAC6 expression that may be related to HDAC6 association with microtubules increasing their stability and availability for detyrosination [2]. Together, these results suggest tyrosination directly alters cardiomyocyte microtubule stability, independent of corresponding changes in acetylation.

Tyrosination promotes catastrophe of growing microtubules
Next, to precisely quantify the effects of tyrosination on the dynamics of individual microtubules, we overexpressed either Null, TTL, or E331Q viruses in conjunction with EB3-GFP in adult rat cardiomyocytes. Although EB interaction is thought to be unaffected by microtubule detyrosination [27], we first wanted to validate that EB3 labeling of microtubules did not systematically differ with TTL expression. EB3 fluorescence intensity along the length and at the tip of the microtubule was unchanged in control, TTL, or E331Q expressing cells (S. Fig. 4c), indicating that EB3 expression or labeling of microtubules was not altered by our experimental interventions.
As seen in S. Movie 7, microtubules in TTL-expressing cells still initiated growth at the Z-disk, but often had shorter runs and underwent catastrophe before reaching a subsequent Z-disk. Consistently, TTL overexpression significantly increased the frequency of catastrophes, while reducing the frequency of pausing (Fig. 4a, b). E331Q expression did not alter event frequency compared to control cells (S. Movie 8), suggesting a tyrosination-specific effect on microtubule dynamics (S. Fig. 4d). Further examination of spatial dynamics revealed that the effect of TTL on microtubule breakdown was agnostic to subcellular location; TTL similarly increased the number of catastrophes both on and off the Z-disk. In contrast, TTL reduced the number of pauses specifically on the Z-disk (Fig. 4c). As a readout of inefficient growth, TTL increased the tortuosity of microtubule trajectories, defined as the ratio of growth distance to net growth (Fig. 4d). Combined, the lack of stabilization at the Z-disk and more frequent catastrophes resulted in tyrosinated microtubules depolymerizing ~ fivefold as often before successfully crossing a Z-disk when compared to either null or E331Q expressing cells (Fig. 4d). In sum, this data indicates that tyrosination increases the stochastic transition to microtubule breakdown irrespective of subcellular location and that tyrosinated microtubules inefficiently navigate successive sarcomeres with fewer stabilizing interactions at the Z-disk. 53 Page 10 of 16 Fig. 3 TTL reduces microtubule stability through its tyrosinase activity. a Representative western blot (top) and quantification (bottom) of α-tubulin and detyrosinated (dTyr) tubulin in free and cold-sensitive dynamic microtubule fractions from adult rat cardiomyocytes treated with null, TTL, or TTL-E331Q adenoviruses; detyrosinated tubulin values are normalized to α-tubulin in cold-sensitive fraction (N = 4 rats, n = 8 WB technical lanes). b Representative western blot (top) and quantification (bottom) of α-tubulin and acetylated tubulin in whole-cell lysate from null, TTL, or E331Q expressing cardiomyocytes (N = 3 rats, n = 6 WB technical lanes). c Validation of HDAC6 and αTAT1 constructs and Tubastatin A (TubA) treatment. Representative western blot (top) and quantification (bottom) of a-tubulin and acetylated tubulin in whole-cell lysate from adult rat cardiomyocytes treated with null, HDAC6, or αTAT1 adenoviruses, or DMSO or 1 mM TubA treatment overnight (N = 3 rats, n = 6 WB technical lanes). d Representative western blot (top) and quantification (bottom) of α-tubulin and acetylated tubulin, in free and polymerized dynamic fractions. Lysates from cardiomyocytes were infected with null, HDAC6, or αTAT1 adenoviruses, or DMSO or 1 mM TubA overnight (N = 3 rats, n = 6 WB technical lanes). e Representative western blot (top) and quantification (bottom) of α-tubulin and detyrosinated tubulin in whole-cell lysate from adult rat cardiomyocytes treated with null, HDAC6, or αTAT1 adenoviruses, or DMSO or 1 mM TubA treatment overnight (N = 4 rats, n = 8 WB technical lanes). The bar represents mean ± 1SEM; statistical significance for (a) and (b) was determined with one-way ANOVA with post hoc test, and for (c) to (e) was determined with Two-sample Student's T test To summarize how our different interventions (tyrosination, desmin depletion) affected the spatial organization of microtubule behavior, we took the ratio of events that occurred on vs. off the Z-disk and performed a log2 transform, calculating a "Z-disk bias" for each type of dynamic event (Fig. 4e). Of note, this metric only reflects the spatial bias of events, not their frequencies. TTL reduced the preference for microtubule pausing at the Z-disk but did not affect the spatial preference of rescues, catastrophes, or initiations. Desmin depletion, on the other hand, virtually eliminated the typical Z-disk bias for pauses, rescues, or fewer catastrophes. Initiations had a strong Z-disk bias regardless of intervention, which likely reflects nucleating events from microtubule organizing centers at Golgi outposts proximal to the Z-disk that are not affected by these manipulations [26].

Tyrosination increases EB1 and CLIP170 association on microtubules
Next, we wanted to determine why tyrosinated microtubules exhibit increased catastrophe frequencies. Several pieces of evidence suggest that the tyrosinated or detyrosinated status of the microtubule alone is likely insufficient to alter microtubule dynamics [21,41], but instead the PTM exerts its effect by governing the interaction of stabilizing/ destabilizing MAPs with the microtubule [10,28]. There are two prominent examples of tyrosination altering interactions with depolymerizing effector proteins in the literature. First, mitotic centromere-associated kinesin (MCAK/ Kif2C) is a depolymerizing MAP that preferentially binds and depolymerizes tyrosinated microtubules [28]. Second, a recent in vitro reconstitution study indicates that tyrosination promotes the binding of CLIP170 on microtubule plus ends, which synergizes with EB1 to increase the frequency of catastrophes [10]. This mechanism has not been examined in cells. Due to its low abundance in the post-mitotic cardiomyocyte, our attempts to detect and knock down MCAK levels were unreliable; we thus hypothesized that tyrosination may promote the interaction of EB1 and CLIP170 on microtubules to promote their destabilization and catastrophe.
To test this hypothesis, we utilized a PLA to test whether EB1 and CLIP170 interactions on cardiac microtubules were guided by tyrosination. We first performed control assays to ensure the specificity of this PLA assay and ask whether EB1-CLIP170 interactions are observed on intact microtubules. No PLA puncta were observed when primary antibodies against EB1 or CLIP170 were excluded from the PLA assay (S. Fig. 5a). Further, the majority of EB1-CLIP170 interactions co-localized directly on super-resolved microtubules (Fig. 5a) indicating that interactions occur primarily on the polymerized microtubule. We next evaluated whether this interaction was sensitive to tyrosination. First, we ensured that global levels of EB1 or CLIP170 were not changing due to TTL or E331Q expression (Fig. 5b, c). We then quantified specific interactions of EB1-CLIP170 that were occurring on microtubules by thresholding the microtubule and PLA images, quantifying the fractional area covered by their overlap, and normalizing that area to the microtubule coverage in the same image plane (S. Fig. 5b). As shown in Fig. 5d, TTL increased the number of EB1-CLIP170 interactions per microtubule area by ~ fourfold relative to control or E331Q transduced cardiomyocytes (Fig. 5d), despite unchanging levels of EB1 or CLIP170.
As this interaction has been demonstrated to be sufficient to robustly increase the catastrophe frequency of dynamic microtubules [10], we conclude that tyrosination destabilizes cardiac microtubules at least in part by promoting increased association with the destabilizing effector complex of EB1 and CLIP170.

Discussion
In this paper we identify that (1) desmin intermediate filaments structure and stabilize growing microtubules; (2) microtubule tyrosination promotes destabilizing interactions with EB1 + CLIP170; (3) the catastrophe-prone nature of tyrosinated microtubules precludes their ability to faithfully traverse and be stabilized at successive Z-disks. When combined with recent in vitro studies using reconstituted microtubules and intermediate filaments [10,34], our in cellulo findings provide a molecular model for how changing levels of desmin and detyrosination may synergistically control cytoskeletal stability in the heart. These findings also provide guidance for strategies that target the tyrosination cycle for the treatment of heart failure.
This study represents the first direct observation that tyrosination increases the dynamics of cardiac microtubules. A recent report provides compelling evidence to support the long-standing belief that altered dynamicity does not arise from tyrosination/detyrosination itself, but instead through PTM-dependent changes in the recruitment of effector proteins [10,21,27]. The C-terminal tyrosine on unstructured tubulin tails is likely insufficient to influence lateral contacts between tubulin dimers in the microtubule lattice that confer stability. Yet the removal of the large hydrophobic tyrosine residue, and the subsequent exposure of acidic residues, will alter hydrophobic and electrostatic interactions on the outer surface [28] of the polymerized microtubule. Through such a mechanism, tyrosination can promote microtubule dynamics via increased interaction with destabilizing MAPs, or through decreased interaction with stabilizing MAPs.
As a case in point, tyrosination increases the affinity of the depolymerizing kinesin MCAK for the microtubule, decreasing microtubule stability [28]. The low abundance of MCAK in the cardiomyocyte motivated interrogation into alternative stabilizing or destabilizing effector proteins. Tyrosination is also known to impact the recruitment of plus-end tip proteins (+TIPs), such as CLIP170 and p150 glued [27], which can tune microtubule dynamics through either direct or indirect effects. +TIP proteins can couple the growing microtubule plus end to subcellular targets through a search and capture mechanism [22,24]. While +TIP interaction with a target often stabilizes searching microtubules, Chen et al. recently found that the tyrosination-dependent recruitment of the +TIP CLIP170 paradoxically led to a synergistic interaction with EB1 that selectively reduced the stability of tyrosinated microtubules, increasing their catastrophe frequency. Here we find that in cardiomyocytes, while tyrosination does not affect the global levels of either EB1 or CLIP170 (Fig. 5b, c), it robustly increases the frequency of their interaction on microtubules (Fig. 5c, d), concomitant with increased frequency of catastrophe (Fig. 4b). While this does not rule out other potentially destabilizing effects of tyrosination, it provides one mechanism for the increased dynamicity/decreased stability of tyrosinated microtubules.
We also identified that the intermediate filament desmin provides structure to the growing microtubule network by stabilizing both growing and shrinking microtubules at the cardiomyocyte Z-disk. What is the mechanism of desmindependent stabilization? A recent elegant in vitro study using reconstituted vimentin intermediate filaments and microtubules indicates that intermediate filaments are sufficient to stabilize growing microtubules through electrostatic and hydrophobic interactions [34]. Dynamic microtubules interacting with intermediate filaments reduce catastrophes and promote rescues, in strong accordance with our in Page 13 of 16 53 cellulo findings. While MAPs may also be involved in modulating microtubule-intermediate filament interactions, this direct effect is sufficient to explain the primary phenotypes we observe upon desmin depletion (i.e. increased catastrophes, reduced pausing, and a loss of rescues at the Z-disk).
Desmin stabilization of growing microtubules would provide a longer-lived microtubule substrate to facilitate reinforcing interactions, such as those previously documented between desmin and the microtubule through Kinesin-1 [23] or members of the plakin family of cytoskeletal cross-linkers [16]. Tyrosination promotes EB1 and CLIP170 interactions on cardiomyocyte microtubules. a Representative AiryScan Joint Deconvoluted immunofluorescent images of EB1-CLIP170 PLA interactions in adult rat cardiomyocytes treated with null, TTL, or TTL-E331Q adenoviruses. b Representative western blot (top) and quantification (bottom) of EB1 in whole-cell lysate from adult rat cardiomyocytes treated with null, TTL, or E331Q adenoviruses for 48 h (N = 3 rat, n = 3 WB technical lanes). c Representative immunofluorescent images (left) and quantification (right) of CLIP170 in adult rat car-diomyocytes treated with null, TTL, or E331Q adenoviruses for 48 h (N = 3 rats, n = 10 cells per rat). d Quantification of EB1-CLIP170 PLA interactions in adult rat cardiomyocytes treated with null, TTL, or TTL-E331Q adenoviruses (N = 3 rats, n = 10 cells per rat). The bar represents mean ± 1SEM, and the middle line in the box graph represents mean ± 1SEM; statistical significance for (b) was determined with one-way ANOVA with post hoc test, and for (c) and (d) was determined with Kruskal-Wallis ANOVA with post hoc test 53 Page 14 of 16 Desmin-mediated frictional interaction along the length of the microtubule may also lead to the loss of tubulin dimers at sites of frictional contact; these lattice defects are replaced by GTP-tubulin, which upon microtubule catastrophe can function as a rescue site [3]. Future work should examine whether there is evidence of microtubule damage and repair at sites of intermediate filament-microtubule interaction. While multiple mechanisms may contribute, these lateral interactions between microtubules and intermediate filaments govern microtubule mechanical behavior upon compressive loading of microtubules [36], allowing desmin to orchestrate microtubule buckling and its viscoelastic contribution to the cardiomyocyte.
Combined with past and current work, we propose a unifying model for microtubule-intermediate filament interactions in the cardiomyocyte and how they contribute to myocardial mechanics (S. Fig. 6). Detyrosinated microtubules, with less frequent depolymerization, experience more chance interactions with intermediate filaments at the Z-disk. The altered surface chemistry of detyrosinated microtubules may also strengthen the electrostatic interactions with intermediate filaments and additional cross-linking proteins. The periodic, lateral reinforcement of microtubules increases their stability, leading to longer-lived microtubules and providing a dynamic cross-link with the sarcomere, increasing the viscoelastic resistance to myocyte motion and the ability of microtubules to bear and transduce mechanical stress. Increased microtubule lifetimes also promote microtubule acetylation, which itself increases the ability of microtubules to withstand mechanical stress [29] and increases myocyte viscoelasticity [11]. In the setting of heart disease, the increased abundance of both desmin intermediate filaments and detyrosinated microtubules thus promotes a feed-forward substrate for enhanced mechanotransduction and myocardial stiffening. Therapeutic strategies that selectively re-tyrosinate the network to basal levels may thus reduce myocardial stiffening in heart failure via restoring dynamicity to cardiac microtubules. However, our work also cautions that complete re-tyrosination of cardiac microtubules may excessively destabilize the network, which would likely compromise myocyte homeostasis over time. Encouragingly, previous literature suggests that only a partial reversal of detyrosination levels is sufficient to lower myocardial stiffness and improve myocyte mechanics in the setting of heart failure [8,9,35,43]. Together with past literature, this work thus helps illustrate a potential therapeutic index for re-tyrosination strategies through novel insight into the regulation of microtubule dynamics.