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Research Background
Significant progress
has been made in the last decade in elucidating the molecular mechanisms
regulating cardiac morphogenesis, but this process is still only partially
understood. To date, only a
limited number of genes have been identified that play a role in the transcriptional
regulation of heart development (1-5).
Mutations in several of these genes have now been shown to cause human
congenital heart disease (6-9). We
have previously identified a gene critical for normal heart development
called FOG-2, a member of the FOG family of transcriptional modulators that
also includes FOG-1 and U-shaped (10-13). FOG-2
is a nuclear protein that contains 8 zinc-finger motifs and is expressed
early in the developing heart. We
demonstrated that FOG-2 physically associates with GATA4, a cardiac-enriched
transcription factor that strongly trans-activates a number of
cardiac-specific gene promoters. The interaction of FOG-2 with GATA4 blocks
GATA4Õs ability to activate transcription of these cardiac-specific
promoters, thus demonstrating that FOG-2 functions as a transcriptional
co-repressor (10). An analysis of the important functional domains of
FOG-2 indicated that the repression domain of FOG-2 localizes to the
N-terminus of the protein, while multiple zinc fingers of FOG-2 mediate its
interaction with GATA4 (Figure 1) (14).
Finally, we found that mice with a targeted disruption of the FOG-2
gene die in mid-gestation from cardiac failure secondary to cardiac
malformations (15,16). The
hearts of these mutant mice have tricuspid atresia, pulmonic stenosis, a
large ventricular septal defect, an atrial septal defect, and left
ventricular wall hypoplasia.
Taken together, these results demonstrate the importance of FOG-2 in
cardiogenesis and suggest that transcriptional repression, in addition to
activation, plays a critical role in cardiac development.
My general research
interest is to further our understanding of the transcriptional regulation of
cardiac development with the expectation that this will lead to an improved
understanding of the molecular basis of congenital heart disease. Further, a more in-depth
understanding of transcriptional pathways regulating cardiac development may
generate novel paradigms that will be broadly applicable to development of
many other organ systems.
Finally, elucidation of the transcriptional regulation of heart
formation may also suggest potential strategies to repair a heart damaged by
a myocardial infarction. For
example, fibroblasts or skin cells could potentially be genetically
ÒreprogrammedÓ to become cardiomyocytes if we understood the transcriptional
pathway required to commit cells to the cardiomyocyte lineage and to
differentiate them into mature cardiomyocytes. These cells could then be implanted into damaged
myocardium to repair the heart following a heart attack, leading to an
improvement in cardiac function and patient symptoms. If such a therapy were to be
developed, it would have profound effects on the way clinical cardiology is
practiced today and dramatically improve long-term outcomes for patients with
congestive heart failure.
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