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Costantino S, Mohammed SA, Ambrosini S, Telesca M, Mengozzi A, Walavalkar K, Gorica E, Herwig M, van Heerebeek L, Xia J, Karsai G, Hornemann T, Dzemali O, Santoro R, Lin Q, Ruschitzka F, Hamdani N, Paneni F. Chromatin Rewiring by SETD2 Drives Lipotoxic Injury in Cardiometabolic HFpEF. Circ Res 2025; 136:1079-1095. [PMID: 40211947 DOI: 10.1161/circresaha.124.325310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2024] [Revised: 03/26/2025] [Accepted: 03/28/2025] [Indexed: 05/10/2025]
Abstract
BACKGROUND Cardiometabolic heart failure with preserved ejection fraction (cHFpEF) is a highly prevalent and deadly condition. Histone 3 trimethylation at lysine 36 (H3k36me3)-a chromatin signature induced by the histone methyltransferase SETD2 (SET domain containing 2)-correlates with changes in gene expression in human failing hearts; however, its role remains poorly understood. This study investigates the role of SETD2 in cHFpEF. METHODS Chromatin immunoprecipitation sequencing and RNA sequencing were used to investigate H3k36me3-related transcriptional regulation. Mice with cardiomyocyte-specific deletion of SETD2 (c-SETD2-/-) were generated and subjected to high-fat diet feeding and L-NAME treatment for 15 weeks to induce cHFpEF. Cardiac function and exercise tolerance were assessed by echocardiography and treadmill exhaustion test. A selective pharmacological inhibitor of SETD2, EZM0414, was also tested in cHFpEF mice. Mechanistic experiments were performed in cultured cardiomyocytes exposed to palmitic acid. SETD2 signaling and the effects of EZM0414 were also investigated in cardiomyocytes from patients with cHFpEF and control donors. RESULTS SETD2 was upregulated in cHFpEF mouse hearts, and its chromatin mark H3k36me3 was involved in lipid metabolism and highly enriched on the promoter of the Srebf1 gene, encoding for SREBP1 (sterol regulatory binding protein 1). SETD2 activation in cHFpEF led to SREBP1 upregulation, triglyceride accumulation, and lipotoxic damage. Of note, cardiomyocyte-specific deletion of SETD2 in mice prevented heart failure with preserved ejection fraction-related hypertrophy, diastolic dysfunction, and lung congestion while improving exercise tolerance. SETD2 deletion blunted H3K36me3 enrichment on Srebf1 promoter, thus leading to a marked rewiring of the cardiac lipidome and restoration of autophagic flux. In vivo treatment with the SETD2 inhibitor EZM0414 recapitulated the effects of SETD2 deletion. Silencing of SETD2 in palmitic acid-treated cardiomyocytes prevented SREBP1 upregulation, whereas SETD2 overexpression mirrored lipotoxic damage. Finally, SETD2 was upregulated in left ventricle specimens from patients with cHFpEF while EZM0414 attenuated cardiomyocyte stiffness. CONCLUSIONS Targeting SETD2 might prevent lipotoxic injury in cHFpEF.
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Affiliation(s)
- Sarah Costantino
- Department of Cardiology, Center for Translational and Experimental Cardiology, University Hospital Zurich (S.C., S.A.M., S.A., M.T., A.M., E.G., J.X., O.D., F.R., F.P.), University of Zurich, Switzerland
| | - Shafeeq A Mohammed
- Department of Cardiology, Center for Translational and Experimental Cardiology, University Hospital Zurich (S.C., S.A.M., S.A., M.T., A.M., E.G., J.X., O.D., F.R., F.P.), University of Zurich, Switzerland
| | - Samuele Ambrosini
- Department of Cardiology, Center for Translational and Experimental Cardiology, University Hospital Zurich (S.C., S.A.M., S.A., M.T., A.M., E.G., J.X., O.D., F.R., F.P.), University of Zurich, Switzerland
| | - Marialucia Telesca
- Department of Cardiology, Center for Translational and Experimental Cardiology, University Hospital Zurich (S.C., S.A.M., S.A., M.T., A.M., E.G., J.X., O.D., F.R., F.P.), University of Zurich, Switzerland
- Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy (M.T.)
| | - Alessandro Mengozzi
- Department of Cardiology, Center for Translational and Experimental Cardiology, University Hospital Zurich (S.C., S.A.M., S.A., M.T., A.M., E.G., J.X., O.D., F.R., F.P.), University of Zurich, Switzerland
- Department of Clinical and Experimental Medicine, University of Pisa, Italy (A.M.)
- Health Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa (A.M.)
| | - Kaivalya Walavalkar
- Department of Molecular Mechanisms of Disease, DMMD, University of Zurich, Switzerland (K.W., R.S.), University of Zurich, Switzerland
| | - Era Gorica
- Department of Cardiology, Center for Translational and Experimental Cardiology, University Hospital Zurich (S.C., S.A.M., S.A., M.T., A.M., E.G., J.X., O.D., F.R., F.P.), University of Zurich, Switzerland
| | - Melissa Herwig
- Institute of Physiology (M.H., N.H.), Ruhr University, Bochum, Germany
- Molecular and Experimental Cardiology (M.H., N.H.), Ruhr University, Bochum, Germany
- Department of Cardiology, St. Josef-Hospital (M.H., N.H.), Ruhr University, Bochum, Germany
| | | | - Junyan Xia
- Department of Cardiology, Center for Translational and Experimental Cardiology, University Hospital Zurich (S.C., S.A.M., S.A., M.T., A.M., E.G., J.X., O.D., F.R., F.P.), University of Zurich, Switzerland
- Department of Cardiology, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, China (J.X., Q.L.)
| | - Gergely Karsai
- Institute of Clinical Chemistry, University Hospital Zurich (G.K., T.H.), University of Zurich, Switzerland
| | - Thorsten Hornemann
- Institute of Clinical Chemistry, University Hospital Zurich (G.K., T.H.), University of Zurich, Switzerland
| | - Omer Dzemali
- Department of Cardiology, Center for Translational and Experimental Cardiology, University Hospital Zurich (S.C., S.A.M., S.A., M.T., A.M., E.G., J.X., O.D., F.R., F.P.), University of Zurich, Switzerland
- Department of Cardiac Surgery (O.D.), University Hospital Zurich, Switzerland
- Departement of Cardiac Surgery, City Hospital Zurich Triemli, Switzerland (O.D.)
| | - Raffaella Santoro
- Department of Molecular Mechanisms of Disease, DMMD, University of Zurich, Switzerland (K.W., R.S.), University of Zurich, Switzerland
| | - Qian Lin
- Department of Cardiology, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, China (J.X., Q.L.)
| | - Frank Ruschitzka
- Department of Cardiology, Center for Translational and Experimental Cardiology, University Hospital Zurich (S.C., S.A.M., S.A., M.T., A.M., E.G., J.X., O.D., F.R., F.P.), University of Zurich, Switzerland
- University Heart Center, Cardiology (F.R., F.P.), University Hospital Zurich, Switzerland
| | - Nazha Hamdani
- Institute of Physiology (M.H., N.H.), Ruhr University, Bochum, Germany
- Molecular and Experimental Cardiology (M.H., N.H.), Ruhr University, Bochum, Germany
- Department of Cardiology, St. Josef-Hospital (M.H., N.H.), Ruhr University, Bochum, Germany
- HCEMM-SU Cardiovascular Comorbidities Research Group, Center for Pharmacology and Drug Research & Development, Department of Pharmacology and Pharmacotherapy, Intézet címe Semmelweis University, Hungary (N.H.)
- Department of Physiology, University Maastricht, the Netherlands (N.H.)
| | - Francesco Paneni
- Department of Cardiology, Center for Translational and Experimental Cardiology, University Hospital Zurich (S.C., S.A.M., S.A., M.T., A.M., E.G., J.X., O.D., F.R., F.P.), University of Zurich, Switzerland
- University Heart Center, Cardiology (F.R., F.P.), University Hospital Zurich, Switzerland
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Liang W, Xu F, Li L, Peng C, Sun H, Qiu J, Sun J. Epigenetic control of skeletal muscle atrophy. Cell Mol Biol Lett 2024; 29:99. [PMID: 38978023 PMCID: PMC11229277 DOI: 10.1186/s11658-024-00618-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2024] [Accepted: 06/26/2024] [Indexed: 07/10/2024] Open
Abstract
Skeletal muscular atrophy is a complex disease involving a large number of gene expression regulatory networks and various biological processes. Despite extensive research on this topic, its underlying mechanisms remain elusive, and effective therapeutic approaches are yet to be established. Recent studies have shown that epigenetics play an important role in regulating skeletal muscle atrophy, influencing the expression of numerous genes associated with this condition through the addition or removal of certain chemical modifications at the molecular level. This review article comprehensively summarizes the different types of modifications to DNA, histones, RNA, and their known regulators. We also discuss how epigenetic modifications change during the process of skeletal muscle atrophy, the molecular mechanisms by which epigenetic regulatory proteins control skeletal muscle atrophy, and assess their translational potential. The role of epigenetics on muscle stem cells is also highlighted. In addition, we propose that alternative splicing interacts with epigenetic mechanisms to regulate skeletal muscle mass, offering a novel perspective that enhances our understanding of epigenetic inheritance's role and the regulatory network governing skeletal muscle atrophy. Collectively, advancements in the understanding of epigenetic mechanisms provide invaluable insights into the study of skeletal muscle atrophy. Moreover, this knowledge paves the way for identifying new avenues for the development of more effective therapeutic strategies and pharmaceutical interventions.
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Affiliation(s)
- Wenpeng Liang
- Key Laboratory of Neuroregeneration of Jiangsu and Ministry of Education, Co-Innovation Center of Neuroregeneration, NMPA Key Laboratory for Research and Evaluation of Tissue Engineering Technology Products, Nantong University, Nantong, 26001, China
- Department of Prenatal Screening and Diagnosis Center, Affiliated Maternity and Child Health Care Hospital of Nantong University, Nantong, 226001, China
| | - Feng Xu
- Department of Endocrinology, Affiliated Hospital 2 of Nantong University and First People's Hospital of Nantong City, Nantong, 226001, China
| | - Li Li
- Nantong Center for Disease Control and Prevention, Medical School of Nantong University, Nantong, 226001, China
| | - Chunlei Peng
- Department of Medical Oncology, Tumor Hospital Affiliated to Nantong University, Nantong, 226000, China
| | - Hualin Sun
- Key Laboratory of Neuroregeneration of Jiangsu and Ministry of Education, Co-Innovation Center of Neuroregeneration, NMPA Key Laboratory for Research and Evaluation of Tissue Engineering Technology Products, Nantong University, Nantong, 26001, China
| | - Jiaying Qiu
- Department of Prenatal Screening and Diagnosis Center, Affiliated Maternity and Child Health Care Hospital of Nantong University, Nantong, 226001, China.
| | - Junjie Sun
- Key Laboratory of Neuroregeneration of Jiangsu and Ministry of Education, Co-Innovation Center of Neuroregeneration, NMPA Key Laboratory for Research and Evaluation of Tissue Engineering Technology Products, Nantong University, Nantong, 26001, China.
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Wiedner HJ, Blue RE, Sadovsky M, Mills CA, Wehrens XH, Herring LE, Giudice J. RBFOX2 regulated EYA3 isoforms partner with SIX4 or ZBTB1 to control transcription during myogenesis. iScience 2023; 26:108258. [PMID: 38026174 PMCID: PMC10665822 DOI: 10.1016/j.isci.2023.108258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 08/14/2023] [Accepted: 10/17/2023] [Indexed: 12/01/2023] Open
Abstract
Alternative splicing is a prevalent gene-regulatory mechanism, with over 95% of multi-exon human genes estimated to be alternatively spliced. Here, we describe a tissue-specific, developmentally regulated, highly conserved, and disease-associated alternative splicing event in exon 7 of the eyes absent homolog 3 (Eya3) gene. We discovered that EYA3 expression is vital to the proliferation and differentiation of myoblasts. Genome-wide transcriptomic analysis and mass spectrometry-based proteomic studies identified SIX homeobox 4 (SIX4) and zinc finger and BTB-domain containing 1 (ZBTB1), as major transcription factors that interact with EYA3 to dictate gene expression. EYA3 isoforms differentially regulate transcription, indicating that splicing aids in temporal control of gene expression during muscle cell differentiation. Finally, we identified RNA-binding fox-1 homolog 2 (RBFOX2) as the main regulator of EYA3 splicing. Together, our findings illustrate the interplay between alternative splicing and transcription during myogenesis.
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Affiliation(s)
- Hannah J. Wiedner
- Department of Cell Biology and Physiology, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Curriculum in Genetics and Molecular Biology (GMB), The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - R. Eric Blue
- Department of Cell Biology and Physiology, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Matheus Sadovsky
- Department of Cell Biology and Physiology, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - C. Allie Mills
- UNC Proteomics Core Facility, Department of Pharmacology, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Xander H.T. Wehrens
- Cardiovascular Research Institute, Baylor College of Medicine, Houston, TX, USA
| | - Laura E. Herring
- UNC Proteomics Core Facility, Department of Pharmacology, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Jimena Giudice
- Department of Cell Biology and Physiology, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Curriculum in Genetics and Molecular Biology (GMB), The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- McAllister Heart Institute, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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