Relaxed striated muscle cells exhibit mechanical fatigue when exposed to re
peated stretch and release cycles. To understand the molecular basis of suc
h mechanical fatigue, single molecules of the giant filamentous protein tit
in, which is the main determinant of sarcomeric elasticity, were repetitive
ly stretched and released while their force response was characterized with
optical tweezers. During repeated stretch-release cycles titin becomes mec
hanically worn out in a process we call molecular fatigue. The process is c
haracterized by a progressive shift of the stretch-force curve toward incre
asing end-to-end lengths, indicating that repeated mechanical cycles increa
se titin's effective contour length. Molecular fatigue occurs only in a res
tricted force range (0-25 pN) during the initial part of the stretch half-c
ycle, whereas the rest of the force response is repeated from one mechanica
l cycle to the other. Protein-folding models fail to explain molecular fati
gue on the basis of an incomplete refolding of titin's globular domains. Ra
ther, the process apparently derives from the formation of labile nonspecif
ic bonds cross-linking various sites along a pre-unfolded titin segment. Be
cause titin's molecular fatigue occurs in a physiologically relevant force
range, the process may play an important role in dynamically adjusting musc
le's response to the recent history of mechanical perturbations.