RT Journal Article SR Electronic T1 A microRNA program controls the transition of cardiomyocyte hyperplasia to hypertrophy and stimulates mammalian cardiac regeneration JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.02.25.432908 DO 10.1101/2021.02.25.432908 A1 Andrea Raso A1 Ellen Dirkx A1 Vasco Sampaio-Pinto A1 Hamid el Azzouzi A1 Ryan J. Cubero A1 Daniel W. Sorensen A1 Lara Ottaviani A1 Servé Olieslagers A1 Manon M. Huibers A1 Roel de Weger A1 Sailay Siddiqi A1 Silvia Moimas A1 Consuelo Torrini A1 Lorena Zentillin A1 Luca Braga A1 Paula A. da Costa Martins A1 Jop H. van Berlo A1 Serena Zacchigna A1 Mauro Giacca A1 Leon J. De Windt YR 2021 UL http://biorxiv.org/content/early/2021/02/25/2021.02.25.432908.abstract AB Myocardial regeneration is restricted to early postnatal life, when mammalian cardiomyocytes still retain the ability to proliferate. The molecular cues that induce cell cycle arrest of neonatal cardiomyocytes towards terminally differentiated adult heart muscle cells remain obscure. Here we report that the miR-106b∼25 cluster is higher expressed in the early postnatal myocardium and decreases in expression towards adulthood, especially under conditions of overload, and orchestrates the transition of cardiomyocyte hyperplasia towards cell cycle arrest and hypertrophy by virtue of its targetome. In line, gene delivery of miR-106b∼25 to the mouse heart provokes cardiomyocyte proliferation by targeting a network of negative cell cycle regulators including E2f5, Cdkn1c, Ccne1 and Wee1. Conversely, gene-targeted miR-106b∼25 null mice display spontaneous hypertrophic remodeling and exaggerated remodeling to overload by derepression of the prohypertrophic transcription factors Hand2 and Mef2d. Taking advantage of the regulatory function of miR-106b∼25 on cardiomyocyte hyperplasia and hypertrophy, viral gene delivery of miR-106b∼25 provokes nearly complete regeneration of the adult myocardium after ischemic injury. Our data demonstrate that exploitation of conserved molecular programs can enhance the regenerative capacity of the injured heart.Competing Interest StatementE.D., M.G. and L.D.W filed the data in the manuscript for patent protection. P.D.C.M. and L.D.W. are co-founders and stockholders of Mirabilis Therapeutics BV.