Dose-dependent sensitivity of human three-dimensional chromatin to a heart disease-linked transcription factor.

Grant, Zoe L; Kuang, Shuzhen; Zhang, Shu; Horrillo, Abraham J; Chen, Zhe; Rao, Kavitha S; Celen, Cemre; Kameswaran, Vasumathi et al. · Science · 2026

basic_science · Level V

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Abstract

Dosage-sensitive transcription factors (TFs) underlie altered gene regulation in human developmental disorders, and cell type-specific gene regulation is linked to the reorganization of three-dimensional (3D) chromatin during cellular differentiation. In this work, we show dose-dependent regulation of chromatin organization by the congenital heart disease (CHD)-linked, lineage-restricted TF TBX5 in human cardiomyocyte differentiation. Genome organization, including compartments, topologically associated domains, and chromatin loops, was sensitive to reduced <i>TBX5</i> dosage in a human model of CHD, with variations in response across individual cells. Cohesin binding was reduced at TBX5-bound enhancer elements in a TBX5 dose-dependent manner, providing a potential mechanism for disrupted loop formation. These results highlight the importance of lineage-restricted TF dosage in cell type-specific 3D chromatin dynamics, suggesting a mechanism for TF-dependent disease.

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