Muscle Physiology and Contraction · USMLE Step 1

Which protein complex undergoes a conformational shift upon Ca²⁺ binding to expose the myosin-binding sites on actin?

  1. Myosin heavy chain
  2. Titin
  3. Troponin-tropomyosin complex
  4. Nebulin
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Correct answer: Troponin-tropomyosin complex

When Ca²⁺ binds to troponin C, the troponin–tropomyosin complex changes shape, moving tropomyosin away from actin’s myosin-binding sites, allowing cross-bridge formation.

Difficulty: Medium Question 15 of 20

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