Abstract-Increased B-type natriuretic peptide (BNP) gene expression is regarded as one of the hallmarks of cardiac myocyte hypertrophy. Here we demonstrate that both basal-and endothelin-1-dependent stimulation of human (h) BNP gene transcription requires the presence of an intact Yin Yang 1 (YY1) binding site positioned at Ϫ62 bp relative to the transcription start site. Mutation of this site reduced both basal and stimulated hBNP promoter activity. This site was shown to bind YY1 both in vitro and within the context of the intact cell. The latter interaction increased after endothelin-1 treatment. Exposure to endothelin-1 also resulted in increased nuclear localization of YY1 and a reduction in acetylation of the YY1 protein. Overexpression of wild-type YY1 increased both basal and endothelin-stimulated hBNP promoter activity, whereas a carboxy-terminal deletion mutant of YY1 was devoid of activity. Treatment with the histone deacetylase inhibitor trichostatin A resulted in decreased hBNP reporter activity. YY1 was shown to associate with histone deacetylase 2, and histone deacetylase 2 was shown to associate directly with the hBNP promoter in the intact cell. Collectively these findings demonstrate that YY1 plays an important role in regulating the transcriptional activity of the hBNP gene promoter. These data suggest a model in which YY1 activates hBNP transcription through interaction with histone deacetylase 2. (Hypertension. 2009;53:549-555.)Key Words: B-type natriuretic peptide Ⅲ cardiac hypertrophy Ⅲ endothelin Ⅲ histone deacetylase Ⅲ Ying Yang 1 C ardiac hypertrophy is characterized by both positive and negative changes in the gene expression profile of the heart. 1,2 Increased expression of the cardiac natriuretic peptides, atrial natriuretic peptide and brain or B-type natriuretic peptide (BNP), has been linked to the development of hypertrophy in both animal models and humans. 3,4 Atrial natriuretic peptide and BNP both possess potent activity in the cardiovascular and renal systems. Through association with a shared receptor, they each reduce blood pressure; maintain or improve glomerular filtration rate; promote a natriuretic diuresis; inhibit secretion and/or action of vasopressin, renin, angiotensin, and aldosterone; and suppress hypertrophy, hyperplasia, and/or fibrosis in the heart and vasculature. 5 Thus, they function as endogenous antagonists of many of the factors that have been causally linked to the pathogenesis of human cardiovascular disease.Under normal conditions, BNP is expressed at relatively low levels in the adult heart and without a pronounced chamber-specific pattern. Expression is increased in late fetal and early neonatal life, and it increases dramatically in association with cardiac hypertrophy. Plasma BNP levels are used clinically in the diagnosis and management of heart failure. 6,7 The transcription factor Ying Yang 1 (YY1), also known as NF-F1, UCRBP, and CF1, is a ubiquitously expressed 68-kDa, zinc-finger transcription factor of the GLI-Kruppel family with the relati...