Cell specification and differentiation of cardiomyocytes from mesodermal precursors is orchestrated by epigenetic and transcriptional inputs throughout heart formation. Of the many transcription factor super families that play a role in this process, the basic Helix-loop Helix (bHLH) family of proteins is well represented. The bHLH protein by design allows for dimerization-both as homodimers and heterodimers with other proteins within the family. Although DNA binding is mediated via a short variable cis-element termed an E-box, it is clear that DNAaffinity for these elements as well as the transcriptional input conveyed is dictated largely by the transcriptional partners within the dimer complex. Dimer partner choice has a number of inputs requiring co-expression within a given cell nucleus and dimerization modulation by the level of protein present, and post-translational modifications that can both enhance or reduce protein-protein interactions. Due to these complex interrelationships, it has been difficult to identity bona-fide downstream transcriptional targets and define the molecular pathways regulated of bHLH factors within cardiogenesis, despite the clear roles suggested via loss-of-function animals models. This review focuses on the Hand bHLH proteins -key members of the Twist-family of bHLH factors. Despite over a decade of investigation, questions regarding functional redundancy, downstream targets, and biological role during heart specification and differentiation have still not been fully addressed. Our goal is to review what is currently known and address strategies for gaining further understanding of Hand/Twist gene dosage and functional redundancy relationships within the developing heart that may underlie congenital heart defect pathogenesis.
KeywordsCongenital heart diseases; Basic helix-loop-helix transcription factors; Gene dosage
Hand1 and Hand2 Transcription Factors and Cardiovascular DevelopmentIn the mouse, cardiac progenitors can be identified as early as E7.5 (roughly equivalent to day 18 in human embryos) and their presence in the embryo is dependent upon multiple epigenetic and transcriptional inputs from an ever growing number of essential transcription factors [2,14,35,42]. The bHLH factors Hand1 and Hand2 are members of the Twist-family of proteins and are broadly expressed throughout development in a number of tissues including: neural crest that contribute to craniofacial structures, sympathetic and enteric neurons and cardiac outflow tract (OFT); developing limbs; extraembryonic tissues; placenta and most significantly the cardiomyocytes [12,13]. Hand mRNA is first detected around E7.5 throughout the cardiac crescent [8,9,22,43]. In chick embryos, both Hand genes mark the entire cardiac crescent and expression is completely overlapping through linear heart tube and cardiac chamber septation . Subtle expression variation within species is not uncommon and given that Hand factors share a high amino acid identity (90%) within the functional bHLH domain, the idea of functio...