Gray squares represent histone octamers with red DNA strands wrapped around them. The dark lines with Me (methyl groups) and Ac (acetyl groups) protruding from H3 and H4 represent histone tail domains that are subject to H4 and H3 acetylation and H3 Lys4 methylation. In this model, signals such as vascular injury that repress myocardin and/or recruit KLF4-dependent HDAC activity at SMC gene promoters result in loss of SRF binding and transcriptional repression of these genes, to promote the dedifferentiated phenotype. In contrast, in the absence of KLF4, SRF is able to recognize accessible CArG box sequences within “open” chromatin containing H4Ac, synergizing with docking of myocardin to H3K4dMe, to facilitate SRF binding to chromatin and transcriptional activation, which promotes SMC differentiation. The blue protein labeled “??” represents a putative myocardin-accessory factor that may assist myocardin in docking to methylated histones near CArG DNA sequences, to help tether and/or stabilize SRF binding to SMC gene chromatin, which is enriched with H3K4dMe in SMCs.