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Updated: Jan 26, 2026

Author Spotlight: Investigating HR-Dependent Cardiac Function in Mouse Models Through a Novel Atrial-Pacing Approach
Published on: July 21, 2023
Epigenetic therapies in heart failure
Michael Alexanian1, Arun Padmanabhan2, Timothy A McKinsey3
1Gladstone Institutes, San Francisco, CA, United States of America.
Insights
Heart failure (HF) involves adverse cardiac remodeling driven by signaling pathways affecting gene control. Targeting chromatin regulators offers a promising therapeutic strategy for heart failure by addressing these molecular changes.
Area of Science:
- Cardiology
- Molecular Biology
- Genetics
Background:
- Heart failure (HF) is a leading cause of death with limited treatment options.
- Current therapies do not directly address the cellular state changes causing cardiac remodeling in HF.
- Stress-activated signaling pathways in HF influence nuclear gene control and cell state.
Purpose of the Study:
- To review the role of chromatin regulators in heart failure pathogenesis.
- To highlight specific proteins and RNA complexes as potential therapeutic targets in HF.
- To explore the link between cytosolic signaling and nuclear gene regulation in HF.
Main Methods:
- Literature review of current concepts in HF pathogenesis.
- Focus on chromatin regulatory apparatus and its role in cardiac remodeling.
- Identification of druggable targets within nuclear gene control machinery.
Main Results:
- Chromatin regulators are implicated in the molecular mechanisms of HF.
- Specific proteins and RNA complexes show therapeutic potential in experimental HF models.
- Understanding the coupling of signaling pathways to gene control is crucial for HF treatment.
Conclusions:
- Chromatin regulators represent a novel therapeutic avenue for heart failure.
- Targeting these nuclear components could overcome limitations of current pharmacotherapies.
- Further research into druggable targets may lead to improved HF management.
Abstract:
Heart failure (HF) is a dominant cause of morbidity and mortality in the developed world, with available pharmacotherapies limited by high rates of residual mortality and a failure to directly target the changes in cell state that drive adverse cardiac remodeling. Pathologic cardiac remodeling is driven by stress-activated cardiac signaling cascades that converge on defined components of the chromatin regulatory apparatus in the nucleus, triggering broad shifts in transcription and cell state. Thus, studies focusing on how cytosolic signaling pathways couple to the nuclear gene control machinery has been an area of therapeutic interest in HF. In this review, we discuss current concepts pertaining to the role of chromatin regulators in HF pathogenesis, with a focus on specific proteins and RNA-containing macromolecular complexes that have shown promise as druggable targets in the experimental setting.
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