RT Journal Article SR Electronic T1 Dynamic chromatin targeting of BRD4 stimulates cardiac fibroblast activation JF bioRxiv FD Cold Spring Harbor Laboratory SP 563445 DO 10.1101/563445 A1 Matthew S. Stratton A1 Rushita A. Bagchi A1 Rachel A. Hirsch A1 Andrew S. Riching A1 Marina B. Felisbino A1 Blake Y. Enyart A1 Keith A. Koch A1 Maria A. Cavasin A1 Michael Alexanian A1 Kunhua Song A1 Jun Qi A1 Madeleine E. Lemieux A1 Maggie P.Y. Lam A1 Saptarsi M. Haldar A1 Charles Y. Lin A1 Timothy A. McKinsey YR 2019 UL http://biorxiv.org/content/early/2019/02/28/563445.abstract AB Small molecule inhibitors of the acetyl-histone binding protein BRD4 have been shown to block cardiac fibrosis in pre-clinical models of heart failure (HF). However, the mechanisms by which BRD4 promotes pathological myocardial fibrosis remain unclear. Here, we demonstrate that BRD4 functions as an effector of TGF-β signaling to stimulate conversion of quiescent cardiac fibroblasts into Periostin (Postn)-positive cells that express high levels of extracellular matrix. BRD4 undergoes stimulus-dependent, genome-wide redistribution in cardiac fibroblasts, becoming enriched on a subset of enhancers and super-enhancers, and leading to RNA polymerase II activation and expression of downstream target genes. Employing the SERTA domain-containing protein 4 (Sertad4) locus as a prototype, we demonstrate that dynamic chromatin targeting of BRD4 is controlled, in part, by p38 mitogen-activated protein kinase, and provide evidence of a novel function for Sertad4 in TGF-β-mediated cardiac fibroblast activation. These findings define BRD4 as a central regulator of the pro-fibrotic cell state of cardiac fibroblasts, and establish a signaling circuit for epigenetic reprogramming in HF.