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TingTing Hong

TingTing Hong, MD, PhD

Associate Professor, Pharmacology and Toxicology

Associate Professor, Pharmacology and Toxicology

Investigator, Nora Eccles Harrison Cardiovascular Research and Training Institute

Member, Diabetes & Metabolism Research Center


Office: Rm 3926, L.S. Skaggs Pharmacy Research Institute


  • M.D., 1997, Beijing Medical University (Peking University Health Science Center)

  • M.S., 2000, Peking University

  • Ph.D., 2005, University of Michigan, Ann Arbor

  • Postdoctoral Fellow, 2007-2013, University of California, San Francisco



Research Interests

My laboratory focuses on understanding the regulation and remodeling of membrane microdomains of cardiomyocytes during heart failure progression. We study how cardiomyocyte surface microdomains are organized to concentrate ion channels and signaling proteins for proper function and regulation in normal and failing hearts. The research interested includes the mechanisms of scaffolding protein and cytoskeleton-based maintenance of membrane structures and subdomains important in calcium signaling, turnover mechanisms of microdomains, and the mechanisms of heart failure progression. The goal is to identify, at the bench, new molecular and cellular targets that can be translated to develop new therapeutic tools for clinical management of heart failure.

Targeting cBIN1-microdomains for heart failure therapy development 

Transverse-tubules (T-tubules) are membrane invaginations specific to striated muscles. Cardiac T-tubules are enriched with L-type calcium channels (LTCCs), which form dyads with ryanodine receptors (RyRs) to initiate intracellular calcium signaling critical for the beat-to-beat heart contraction. We previously identified that a membrane curvature protein, the cardiac isoform of BIN1 (Bridging Integrator 1) now called cBIN1, folds the membrane bilayer within T-tubules to control extracellular ion diffusion, protecting the hearts from arrhythmias (Figure 1). Over the years, we have identified that cBIN1-microdomains regulate myocardial function by facilitating microtubule-dependent LTCC delivery, clustering LTCCs and recruiting RyRs for effective dyad formation, and organizing SERCA2a for effective diastolic calcium removal and myocardial relaxation. In heart failure, disruption of cBIN1 microdomains causes impaired myocardial function, which can be normalized by cBin1 gene therapy. We are now further resolving the fundamental cell biology underlying cBIN1-microdomain formation, regulation, and turnover. The translational goal is to explore new strategies, via targeting cBIN1-microdomains, to develop novel therapies effective for patients with heart failure.


Microdomain Turnover and cBIN1 Extracellular Vesicles

On the other hand, cardiomyocyte T-tubule cBIN1-microdomains turn over through microparticle release, and blood cBIN1 can aid in diagnosis and prognosis of heart failure. We also identified that cBIN1-microparticle release involves the ESCRT-III subunit CHMP4B (Figure 2), which is expressed in the mammalian cardiomyocytes and interacts with cBIN1.

For the first time, the BAR domain containing protein superfamily is found to serve as an early ESCRT factor to initiate the biogenesis of extracellular vesicles. These results introduce a new paradigm that cardiomyocyte membrane undergoes dynamic turnover, releasing membrane microdomains. We are currently further exploring the release mechanism, functional significance, and therapeutic potential of these cardiac origin cBIN1 vesicles.




    1. Liu Y, Zhou K, Li J, Agvanian S, Caldaruse AM, Shaw S, Hitzeman TC, Shaw RM, Hong TIn Mice Subjected to Chronic Stress, Exogenous cBIN1 Preserves Calcium-Handling Machinery and Cardiac Function. JACC Basic Transl Sci. 2020 Jun;5(6):561-578. doi: 10.1016/j.jacbts.2020.03.006. PMCID: PMC7315191.
    2. Li J, Agvanian S, Zhou K, Shaw RM, Hong TExogenous Cardiac Bridging Integrator 1 Benefits Mouse Hearts With Pre-existing Pressure Overload-Induced Heart Failure. Front Physiol. 2020;11:708. doi: 10.3389/fphys.2020.00708. PMCID: PMC7327113.
    3. Nikolova AP, Hitzeman TC, Baum R, Caldaruse AM, Agvanian S, Xie Y, Geft DR, Chang DH, Moriguchi JD, Hage A, Azarbal B, Czer LS, Kittleson MM, Patel JK, Wu AHB, Kobashigawa JA, Hamilton M, Hong T*, Shaw RM*. (Corresponding authors) Association of a Novel Diagnostic Biomarker, the Plasma Cardiac Bridging Integrator 1 Score, With Heart Failure With Preserved Ejection Fraction and Cardiovascular Hospitalization. JAMA Cardiol. 2018 Dec 1;3(12):1206-1210. doi: 10.1001/jamacardio.2018.3539. PMCID: PMC6583707.
    4. Xu B, Fu Y, Liu Y, Agvanian S, Wirka RC, Baum R, Zhou K, Shaw RM, Hong TThe ESCRT-III pathway facilitates cardiomyocyte release of cBIN1-containing microparticles. PLoS Biol. 2017 Aug;15(8):e2002354. doi: 10.1371/journal.pbio.2002354. PMCID: PMC5570487.
    5. Hong T, Shaw RM. Cardiac T-Tubule Microanatomy and Function. Physiol Rev. 2017 Jan;97(1):227-252. doi: 10.1152/physrev.00037.2015. PMCID: PMC6151489.
    6. Fu Y, Shaw SA, Naami R, Vuong CL, Basheer WA, Guo X, Hong TIsoproterenol Promotes Rapid Ryanodine Receptor Movement to Bridging Integrator 1 (BIN1)-Organized Dyads. Circulation. 2016 Jan 26;133(4):388-97. doi: 10.1161/CIRCULATIONAHA.115.018535. PMCID: PMC4729615.
    7. Hong T, Yang H, Zhang SS, Cho HC, Kalashnikova M, Sun B, Zhang H, Bhargava A, Grabe M, Olgin J, Gorelik J, Marbán E, Jan LY, Shaw RM. Cardiac BIN1 folds T-tubule membrane, controlling ion flux and limiting arrhythmia. Nat Med. 2014 Jun;20(6):624-32. doi: 10.1038/nm.3543. PMCID: PMC4048325.
    8. Hong T, Smyth JW, Chu KY, Vogan JM, Fong TS, Jensen BC, Fang K, Halushka MK, Russell SD, Colecraft H, Hoopes CW, Ocorr K, Chi NC, Shaw RM. BIN1 is reduced and Cav1.2 trafficking is impaired in human failing cardiomyocytes. Heart Rhythm. 2012 May;9(5):812-20. doi: 10.1016/j.hrthm.2011.11.055. PMCID: PMC3306544.
    9. Hong T, Cogswell R, James CA, Kang G, Pullinger CR, Malloy MJ, Kane JP, Wojciak J, Calkins H, Scheinman MM, Tseng ZH, Ganz P, De Marco T, Judge DP, Shaw RM. Plasma BIN1 correlates with heart failure and predicts arrhythmia in patients with arrhythmogenic right ventricular cardiomyopathy. Heart Rhythm. 2012 Jun;9(6):961-7. doi: 10.1016/j.hrthm.2012.01.024. PMCID: PMC3349006.
    10. Hong T, Smyth JW, Gao D, Chu KY, Vogan JM, Fong TS, Jensen BC, Colecraft HM, Shaw RM. BIN1 localizes the L-type calcium channel to cardiac T-tubules. PLoS Biol. 2010 Feb 16;8(2):e1000312. doi: 10.1371/journal.pbio.1000312. PMCID: PMC2821894.