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Endothelial ZBTB16: a molecular shield against cardiac aging
Kathrin A Stilz1, Vincent Elvin Leonard1, David Rodriguez Morales1
1Institute of Cardiovascular Regeneration, Goethe University Frankfurt, Theodor-Stern Kai 7, Building 25B, Frankfurt am Main 60590, Germany.
European Heart Journal
|January 6, 2026
Summary
Zinc finger and BTB domain-containing protein 16 (ZBTB16) is crucial for maintaining heart health during aging. Loss of ZBTB16 accelerates cardiac aging and dysfunction, while restoring it improves heart function and reduces cardiovascular disease risk.
Area of Science:
- Cardiovascular Biology
- Aging Research
- Epigenetics
Background:
- Aging increases cardiovascular disease risk via cardiac dysfunction.
- Endothelial cell (EC) impairment in aging is poorly understood.
- This study focuses on epigenetics in EC-dependent cardiac aging, highlighting ZBTB16.
Purpose of the Study:
- Investigate epigenetically regulated mechanisms of EC-dependent cardiac aging.
- Identify the role of zinc finger and BTB domain-containing protein 16 (ZBTB16) in cardiac aging.
- Determine if ZBTB16 can mitigate aging-associated cardiac dysfunction.
Main Methods:
- Chromatin accessibility (snATAC-seq) and transcriptomic (snRNA-seq) analyses of aged hearts.
- Functional studies using genetic models (Zbtb16 deletion, knockout) in mice.
- In vitro assays on EC senescence, secretory profiles, and effects of ZBTB16 deficiency.
Main Results:
- Aged hearts show reduced chromatin accessibility and ZBTB16 expression.
- Zbtb16 deletion in mice caused premature aging, diastolic dysfunction, and pro-fibrotic/inflammatory factor secretion.
- ZBTB16 overexpression reversed aging effects, reduced dysfunction, and suppressed nuclear receptor-interacting protein 1.
Conclusions:
- ZBTB16 maintains endothelial integrity and vascular niche homeostasis, protecting against cardiac aging.
- Loss of ZBTB16 promotes EC senescence and cardiac fibrosis.
- Restoring ZBTB16 expression is a potential therapeutic strategy for aging-related cardiovascular disease.

