Heart failure & cardiomyopathies

A Genomic Link From Heart Failure to Atrial Fibrillation Risk: FOG2 Modulates a TBX5/GATA4-Dependent Atrial Gene Regulatory Network

CirculationPublished Mechanistic study

Authors' conclusion

Transcriptional changes in the atria observed in human HF directly antagonize the atrial rhythm gene regulatory network, providing a genomic link between HF and AF risk independent of atrial remodeling.

Study context

Population
Human atria in heart failure (HF); mice with adult cardiomyocyte-specific FOG2 overexpression
Methodological detailshuman atrial tissue, mouse model
  • Human atrial tissue
  • Mouse model

Main finding

As reported in the abstract

  • FOG2 significantly upregulated in human atria during HF
  • Adult cardiomyocyte-specific FOG2 overexpression in mice caused primary spontaneous atrial fibrillation (AF) before development of HF or atrial remodeling
  • FOG2 overexpression generated arrhythmia substrate and trigger in cardiomyocytes, incl. calcium cycling defects
  • FOG2 repressed atrial gene expression promoted by TBX5
  • FOG2 bound a subset of GATA4/TBX5 co-bound genomic locations, defining a shared atrial gene regulatory network
  • FOG2 repressed TBX5-dependent transcription from a subset of co-bound enhancers, incl. a conserved enhancer at the Atp2a2 locus
  • Atrial rhythm abnormalities from Tbx5 haploinsufficiency rescued by Zfpm2 haploinsufficiency

Original publication

A Genomic Link From Heart Failure to Atrial Fibrillation Risk: FOG2 Modulates a TBX5/GATA4-Dependent Atrial Gene Regulatory Network. Circulation. Published 8 January 2024. doi:10.1161/circulationaha.123.066804

Summarised from the published abstract; every number is checked against it

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