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Unwind to the beat: chromatin and cardiac conduction
Douglas J. Chapski, Thomas M. Vondriska
Douglas J. Chapski, Thomas M. Vondriska
Published February 1, 2023
Citation Information: J Clin Invest. 2023;133(3):e165663. https://doi.org/10.1172/JCI165663.
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Commentary

Unwind to the beat: chromatin and cardiac conduction

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Abstract

How chromatin accessibility and structure endow highly specialized cells with their unique phenotypes is an area of intense investigation. In the mammalian heart, an exclusive subset of cardiac cells comprise the conduction system. Many molecular components of this system are well studied and genetic variation in some of the components induces abnormal cardiac conduction. However, genetic risk for cardiac arrhythmias in human populations also occurs in noncoding regions. A study by Bhattacharyya, Kollipara, et al. in this issue of the JCI examines how chromatin accessibility and structure may explain the mechanisms by which noncoding variants increase susceptibility to cardiac arrhythmias. We discuss the implications of these findings for cell type–specific gene regulation and highlight potential therapeutic strategies to engineer locus-specific epigenomic remodeling in vivo.

Authors

Douglas J. Chapski, Thomas M. Vondriska

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Figure 1

Chromatin accessibility may be targeted for gene regulation of the cardiac conduction system in vivo.

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Chromatin accessibility may be targeted for gene regulation of the cardi...
(A) Cells of the cardiac conduction system possess specific chromatin accessibility regions (3). Nucleosome density determines local chromatin accessibility, with less dense nucleosome packing allowing for gene access and transcription. (B) Cardiac conduction system cells also possess CRE (3). Transcriptional microenvironments are created when CRE (i.e., distal enhancers) come into contact with genes. In vivo strategies to alter chromatin accessibility and transcriptional microenvironments could alter transcription in cells specific to the CCS. For example, epigenetic targeting using a dCas9-dependent experimental design could activate transcription via P300-mediated acetylation of histone H3K27 or inhibit transcription via KRAB-mediated histone methylation. Such treatments may modify heart rhythm phenotypes.

Copyright © 2023 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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