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A reduced TBX5-dependent gene regulatory network links atrial fibrillation and heart failure - PubMed

3 hours ago
  • #Heart Failure
  • #Atrial Fibrillation
  • #Gene Regulatory Network
  • Atrial fibrillation (AF) and heart failure (HF) often coexist and worsen each other's outcomes.
  • Shared molecular mechanisms were investigated using mouse Tbx5 conditional knockout (Tbx5 cKO) AF model and transverse aortic constriction (TAC) HF model.
  • Highly correlated changes in atrial transcriptional and genomic profiles were observed, including downregulated atrial Tbx5 expression in both mouse and human HF.
  • Over 100 transcription factor genes were coordinately dysregulated in the atria of Tbx5 cKO and TAC models.
  • The wild-type atrial TBX5-driven gene regulatory network (GRN), including Klf15 (a repressor of cardiomyocyte hypertrophy), was disrupted in both models.
  • A disease-specific network featuring Sox9 emerged in activated fibroblasts of Tbx5 cKO and TAC models.
  • Results suggest a shared genomic injury response may underlie the reciprocal risk between AF and HF.