PT - JOURNAL ARTICLE AU - Jiayi Pei AU - Renee G.C. Maas AU - Ema Nagyova AU - Johannes M.I.H. Gho AU - Christian Snijders Blok AU - Iris van Adrichem AU - Jorg J.A. Calis AU - René van Es AU - Shahrzad Sepehrkhouy AU - Dries Feyen AU - Noortje van den Dungen AU - Nico Lansu AU - Nicolaas de Jonge AU - Hester M. den Ruijter AU - Manon M.H. Huibers AU - Roel A. de Weger AU - Linda W. van Laake AU - Marianne C. Verhaar AU - Peter van Tintelen AU - Frank G. van Steenbeek AU - Alain van Mil AU - Jan W. Buikema AU - Boudewijn Burgering AU - Ioannis Kararikes AU - Mark Mercola AU - Pieter A. Doevendans AU - Joost Sluijter AU - Aryan Vink AU - Caroline Cheng AU - Michal Mokry AU - Folkert W. Asselbergs AU - Magdalena Harakalova TI - Transcriptional regulation profiling reveals disrupted lipid metabolism in failing hearts with a pathogenic phospholamban mutation AID - 10.1101/2020.11.30.402792 DP - 2020 Jan 01 TA - bioRxiv PG - 2020.11.30.402792 4099 - http://biorxiv.org/content/early/2020/12/01/2020.11.30.402792.short 4100 - http://biorxiv.org/content/early/2020/12/01/2020.11.30.402792.full AB - Background The R14del mutation in the phospholamban (PLN) gene is associated with various types of cardiomyopathies and increases the risk of developing life-threatening ventricular arrhythmias. In this study, we focused on a homogeneous Dutch founder cohort of genetic cardiomyopathy due to PLN R14del mutation and aimed to study the influence of epigenetic changes from a multi-dimensional perspective.Results Using cardiac tissue of PLN R14del patients and donors, we identified differentially acetylated promoters and enhancers (H3K27ac ChIPseq), annotated enriched transcription factor (TF) binding motifs located in those regions, and identified differentially expressed genes (RNA-seq). In line with the fibrofatty replacement in PLN R14del hearts at the histological level, our integrative analysis detected the downregulation of key TF regulators in fatty acid oxidation (FAO) metabolisms and their downstream target in PLN R14del hearts as compared to controls. We further examined heart tissue using immunofluorescence staining (IF) and to confirm the mitochondrial lipid abnormalities in the PLN R14del hearts. Furthermore, we observed the accumulation and deformation of lipid droplets and a disrupted morphology of mitochondria, the key organelle where FAO takes place, in PLN R14del heart using transmission electron microscopy (TEM).Conclusion Using multi-omics approaches, we successfully obtained a unique list of chromatin regions and genes, including TF-coding genes, which played important roles in the metabolism-related signalling in PLN R14del hearts.Competing Interest StatementThe authors have declared no competing interest.