Abstract

We have discovered that innate immunity plays an important role in the reprogramming of fibroblasts into cardiomyocytes. Previously, we have focused on the role of the TLR3-NFkB pathway. We have now found evidence for an alternative Rig-1:YY1 pathway. Specific Rig-1 agonists such as 3p-hpRNA were found to enhance the efficacy of cardiac reprogramming with cardiomyocyte-specific gene expression increasing by 10 to 20 fold (Actn2, Myh6, Tnni3; N=6; P<0.01). Similarly, formation of new cardiomyocytes was increased 5 fold (N=3, P<0.01). To determine the mechanism of action, MNase-seq was performed. MNase-seq indicated that Rig-1 activation induced transcription factor binding to genomic regions immediately downstream of the transcription start site of cardiomyocyte-specific genes (N=3, P<0.01). Further analysis of the binding regions revealed an overabundance of YY1 binding sequences (N=3, P<0.001). To understand the role of YY1, knockdown experiments were performed. YY1 knockdown completely ablated the effects of Rig-1 agonists on cardiac reprogramming (N=5, P<0.01). To understand how YY1 was activating cardiomyocyte-specific genes, ChIP-seq and ChIP-qPCR was carried out. ChIP-seq and ChIP-qPCR indicated that following Rig-1 activation, YY1 associated with Kdm6 and P300. Kdm6 and P300 were found to work in concert; activating cardiomyocyte-specific gene expression via the removal of the inhibitory epigenetic mark tri-methylated lysine-27 of Histone-H3 and deposition of the stimulatory epigenetic mark acetylated lysine-4 of Histone-H3 (N=3, P<0.01). To conclude, the Rig-1:YY1 pathway plays a critical role in cardiac reprogramming. Manipulation of the Rig-1:YY1 pathway may enhance the effectiveness of cardiac reprogramming in vivo.

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