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Updated: Dec 3, 2025

Epigenetic Regulation of Cardiac Differentiation of Embryonic Stem Cells and Tissues
Published on: June 3, 2016
Epigenetic Reader BRD4 (Bromodomain-Containing Protein 4) Governs Nucleus-Encoded Mitochondrial Transcriptome to
Soo Young Kim1, Xin Zhang2, Gabriele G Schiattarella1
1Division of Cardiology, Department of Internal Medicine (S.Y.K., G.G.S., F.A., K.M.F., N.J., P.A.S., H.I.M., X.L., L.I.S., S.L., T.G.G., J.A.H.), University of Texas Southwestern, Dallas.
Insights
Bromodomain and extraterminal (BET) protein BRD4 is essential for maintaining normal cardiac function. Loss of BRD4 in cardiomyocytes leads to dilated cardiomyopathy and disrupts mitochondrial energy production, highlighting its critical role in heart health.
Area of Science:
- Cardiovascular Biology
- Epigenetics
- Mitochondrial Physiology
Background:
- BET proteins, including BRD4, are therapeutic targets for cancer and cardiovascular diseases.
- Pharmacological inhibitors like JQ1 show promise in preclinical models of heart failure.
- Genetic validation of BRD4's role in the heart is lacking.
Purpose of the Study:
- To investigate the function of BRD4 in cardiac pathophysiology using a genetic approach.
- To elucidate the role of BRD4 in heart development and mature function.
- To validate findings from pharmacological BET inhibitor studies.
Main Methods:
- Generated a cardiomyocyte-specific BRD4 knockout mouse model.
- Performed comprehensive functional, transcriptomic, and mitochondrial analyses.
- Utilized computational analysis to identify regulatory transcription factors.
Main Results:
- BRD4 loss caused progressive decline in heart function, leading to dilated cardiomyopathy.
- Transcriptomic analysis revealed disruption of mitochondrial energy production genes.
- Mitochondrial studies confirmed altered electron transport chain activity.
- Estrogen-related receptor α was identified as a key regulator of BRD4-dependent genes.
Conclusions:
- BRD4 plays a critical, previously unrecognized role in cardiomyocyte mitochondrial homeostasis.
- BRD4 is indispensable for maintaining normal cardiac function.
- Genetic ablation of BRD4 has distinct and severe consequences compared to pharmacological inhibition.
Background:
BET (bromodomain and extraterminal) epigenetic reader proteins, in particular BRD4 (bromodomain-containing protein 4), have emerged as potential therapeutic targets in a number of pathological conditions, including cancer and cardiovascular disease. Small-molecule BET protein inhibitors such as JQ1 have demonstrated efficacy in reversing cardiac hypertrophy and heart failure in preclinical models. Yet, genetic studies elucidating the biology of BET proteins in the heart have not been conducted to validate pharmacological findings and to unveil potential pharmacological side effects.
Methods:
By engineering a cardiomyocyte-specific BRD4 knockout mouse, we investigated the role of BRD4 in cardiac pathophysiology. We performed functional, transcriptomic, and mitochondrial analyses to evaluate BRD4 function in developing and mature hearts.
Results:
Unlike pharmacological inhibition, loss of BRD4 protein triggered progressive declines in myocardial function, culminating in dilated cardiomyopathy. Transcriptome analysis of BRD4 knockout mouse heart tissue identified early and specific disruption of genes essential to mitochondrial energy production and homeostasis. Functional analysis of isolated mitochondria from these hearts confirmed that BRD4 ablation triggered significant changes in mitochondrial electron transport chain protein expression and activity. Computational analysis identified candidate transcription factors participating in the BRD4-regulated transcriptome. In particular, estrogen-related receptor α, a key nuclear receptor in metabolic gene regulation, was enriched in promoters of BRD4-regulated mitochondrial genes.
Conclusions:
In aggregate, we describe a previously unrecognized role for BRD4 in regulating cardiomyocyte mitochondrial homeostasis, observing that its function is indispensable to the maintenance of normal cardiac function.
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