Anthracyclines induce global changes in chromatin accessibility in cardiomyocytes that overlap with cardiovascular disease loci [CUT&Tag]
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ABSTRACT: Breast cancer drugs can induce adverse effects on the heart in some women. Treatment with anthracyclines (ACs) or Trastuzumab increase the risk for cardiovascular diseases (CVD) such as atrial fibrillation (AF) and heart failure (HF) that ultimately affect the heart muscle. These CVD are associated with hundreds of genetic variants in non-coding regions of the genome. However, how these drugs affect the non-coding genome of the heart and CVD risk loci is unknown. We therefore measured chromatin accessibility across iPSC-derived cardiomyocytes from four individuals treated with the ACs, Doxorubicin, Epirubicin, and Daunorubicin, a related non-AC, Mitoxantrone, and the monoclonal antibody Trastuzumab, or a vehicle control for three and 24 hours. We identified 155,557 high-confidence regions of open chromatin across 48 samples where the major sources of variation are associated with treatment and time. Jointly modeling the data revealed three accessibility response signatures denoted as early acute, early-sustained, and late that correspond to 65,844 regions that open or close in response to drug treatment. Sequences associated with drug-induced chromatin opening contain motifs for DNA damage-associated transcription factors including p53 and ZBTB14, and associate with increases in active histone modifications and gene expression. 21 AF- and HF-associated SNPs directly overlap with regions associated with drug-induced opening. A shared intronic HF and AF SNP, rs3176326, that is also an eQTL for CDKN1A in heart tissue, associates with increased chromatin accessibility, histone acetylation and CDKN1A expression in response to all ACs. Our results demonstrate large-scale changes in chromatin accessibility in cardiomyocytes treated with ACs, which correspond to several regions harboring CVD risk loci.
ORGANISM(S): Homo sapiens
PROVIDER: GSE291262 | GEO | 2025/06/17
REPOSITORIES: GEO
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