RT Journal Article SR Electronic T1 Epigenetic gene-expression links heart failure to memory impairment JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.01.22.915637 DO 10.1101/2020.01.22.915637 A1 Rezaul Islam A1 Dawid Lbik A1 Sadman Sakib A1 Raoul Maximilian Hofmann A1 Tea Berulava A1 Martí Jiménez Mausbach A1 Julia Cha A1 Elerdashvili Vakhtang A1 Christian Schiffmann A1 Anke Zieseniss A1 Dörthe Magdalena Katschinski A1 Farahnaz Sananbenesi A1 Karl Toischer A1 Andre Fischer YR 2020 UL http://biorxiv.org/content/early/2020/01/23/2020.01.22.915637.abstract AB In current clinical practice care of diseased patients is often restricted to separated disciplines. However, such an organ-centered approach is not always suitable. For example, cognitive dysfunction is a severe burden in heart failure patients. Moreover, these patients have an increased risk for age-associated dementias. The underlying molecular mechanisms are presently unknown and thus corresponding therapeutic strategies to improve cognition in heart failure patients are missing. Using mice as model organisms we show that heart failure leads to specific changes in hippocampal gene-expression, a brain region intimately linked to cognition. These changes reflect increased cellular stress pathways which eventually lead to loss of neuronal euchromatin and reduced expression of a hippocampal gene cluster essential for cognition. Consequently, mice suffering from heart failure exhibit impaired memory function. These pathological changes are ameliorated via the administration of a drug that promotes neuronal euchromatin formation. Our study provides first insight to the molecular processes by which heart failure contributes to neuronal dysfunction and point to novel therapeutic avenues to treat cognitive defects in heart failure patients.