Related Experiment Video
Updated: Apr 7, 2026

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Suppression of Pro-fibrotic Signaling Potentiates Factor-mediated Reprogramming of Mouse Embryonic Fibroblasts into Induced Cardiomyocytes
Published on: June 3, 2018
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Hemoglobin inhibits fibroblast-to-cardiomyocyte reprogramming via TLR2/TLR4-dependent chromatin compaction
Iqra Anwar1, Xinghua Wang1, Richard E Pratt1
1Mandel Center for Heart and Vascular Research, and the Duke Cardiovascular Research Center, Duke University Medical Center, Durham, NC 27710, USA.
Molecular Therapy. Nucleic Acids
|April 6, 2026
Summary
Hemoglobin (Hb) inhibits cardiac fibroblast reprogramming into cardiomyocytes. Blocking both TLR2 and TLR4 receptors reverses this suppression, revealing Hb as a key factor in cardiac regeneration.
Area of Science:
- Cardiovascular Biology
- Regenerative Medicine
- Molecular Cardiology
Background:
- Fibroblast-to-cardiomyocyte reprogramming is crucial for cardiac repair after injury.
- Signals within the injured heart influence reprogramming efficacy, but their identity remains largely unknown.
Purpose of the Study:
- To identify inhibitory factors affecting fibroblast-to-cardiomyocyte reprogramming in cardiac tissue.
- To elucidate the mechanism by which hemoglobin (Hb) suppresses this reprogramming process.
Main Methods:
- Mass spectrometry to identify proteins in cardiac tissue extracts.
- In vitro assays to assess fibroblast-to-cardiomyocyte reprogramming.
- Inhibition of Toll-like receptors (TLR2 and TLR4).
- Assay for transposase-accessible chromatin using sequencing (ATAC-seq) to analyze gene regulation.
Main Results:
- Cardiac tissue extracts negatively impacted reprogramming; hemoglobin (Hb) was identified as the most abundant protein.
- Hb suppressed cardiomyocyte marker expression and formation, an effect reversed by inhibiting both TLR2 and TLR4.
- ATAC-seq revealed Hb-induced remodeling of transcription factor networks, suppressing cardiomyocyte-specific gene expression.
Conclusions:
- Hb acts as a negative regulator of fibroblast-to-cardiomyocyte reprogramming.
- Hb exerts its suppressive effects via TLR2 and TLR4, leading to altered gene regulatory networks.
- These findings have significant implications for developing strategies for cardiac regeneration.
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