A lthough already discovered in 1976, 1 circular RNAs (circRNAs) remained largely unrecognized in the following decades or were even disregarded as transcriptional artifacts. Recent advances in RNA-sequencing technology and computational approaches, however, lead to the identification of numerous circRNAs in different transcriptomes.2 On the molecular level, circRNAs are generated primarily by a specific form of alternative splicing, so-called back-splicing, catalyzed by the spliceosomal machinery. Generally, little is known about the expression, regulation, and function of circRNAs. In the cardiovascular field, a recent study identified numerous hypoxia-responsive circRNAs in endothelial cells and showed a proangiogenic function for the circular transcript of ZNF292 (zinc finger protein 292).3 In addition, two more bioinformatically oriented studies profiled circRNAs in human, mouse, and rat heart tissue and provided a comprehensive catalog of RNase R-resistant circRNA species. 4,5 Recently, a heart-related circRNA was proposed to control hypertrophy, 6 suggesting that circRNAs may elicit functions in cardiomyocytes as well.
Article, see p 996In this issue of Circulation Research, Khan et al 7 performed whole-transcriptome-based circRNA profiling in left ventricle RNA samples, comparing control individuals with hypertrophic cardiomyopathy or dilated cardiomyopathy (DCM) patients and identified 826 back-splice junctions common to these 3 sample groups. Strikingly, approximately one tenth of these shared back-splice sites arose from the titin transcript solely. A detailed biochemical survey of 22 selected candidate circRNAs established them as bona fide circRNAs because they were shown to be resistant to RNase R, enriched in poly(A)-negative fractions, and validated on sequence level by Sanger sequencing, a finding that is consistent with the results from Werfel et al 5 who also reported and validated titin circRNAs. Moreover, an RT-PCR-based differential expression analysis uncovered a reduction of circRNA formation from the titin host gene in DCM samples, whereas linear titin transcript levels were not significantly affected. This strongly argues for a specific interference of heart failure with the biogenesis of titin circRNAs, rather than for a secondary reduction of circRNAs by the inhibition of titin transcription. Because DCM is linked to aberrant splicing of titin pre-mRNA, originating from mutations in the splicing factor RNA-binding motif protein 20 (RBM20), 8 the authors investigated whether RBM20 is also essential for titin-derived circRNA biogenesis. In this context, they found RBM20-binding sites to be enriched in the introns flanking the identified titin back-splice junctions. In vivo, RBM20 null mice showed an early onset of DCM, impaired cardiac function, and aberrant titin splicing. To elucidate the role of RBM20 in titin circRNA biogenesis in more detail, Khan et al 7 analyzed the expression of circRNAs that originate from pre-mRNA regions that critically depend on RBM20 processing (Ig and PEVK...