TY - JOUR A1 - Trembinski, Dorotée Julia A1 - Bink, Diewertje I. A1 - Theodorou, Kosta A1 - Sommer, Janina A1 - Fischer, Ariane A1 - Bergen, Anke van A1 - Kuo, Chao-Chung A1 - Costa, Ivan G. A1 - Schürmann, Christoph A1 - Leisegang, Matthias A1 - Brandes, Ralf A1 - Alekseeva, Tijna A1 - Brill, Boris A1 - Wietelmann, Astrid A1 - Johnson, Christopher N. A1 - Spring-Connell, Alexander A1 - Kaulich, Manuel A1 - Werfel, Stanislas A1 - Engelhardt, Stefan A1 - Hirt, Marc Nikolaus A1 - Yorgan, Kaja A1 - Eschenhagen, Thomas A1 - Kirchhof, Luisa A1 - Hofmann, Patrick A1 - Jaé, Nicolas Christopher A1 - Wittig, Ilka A1 - Hamdani, Nazha A1 - Bischof, Corinne A1 - Krishnan, Jaya A1 - Houtkooper, Riekelt H. A1 - Dimmeler, Stefanie A1 - Boon, Reinier T1 - Aging-regulated anti-apoptotic long non-coding RNA Sarrah augments recovery from acute myocardial infarction T2 - Nature Communications N2 - Long non-coding RNAs (lncRNAs) contribute to cardiac (patho)physiology. Aging is the major risk factor for cardiovascular disease with cardiomyocyte apoptosis as one underlying cause. Here, we report the identification of the aging-regulated lncRNA Sarrah (ENSMUST00000140003) that is anti-apoptotic in cardiomyocytes. Importantly, loss of SARRAH (OXCT1-AS1) in human engineered heart tissue results in impaired contractile force development. SARRAH directly binds to the promoters of genes downregulated after SARRAH silencing via RNA-DNA triple helix formation and cardiomyocytes lacking the triple helix forming domain of Sarrah show an increase in apoptosis. One of the direct SARRAH targets is NRF2, and restoration of NRF2 levels after SARRAH silencing partially rescues the reduction in cell viability. Overexpression of Sarrah in mice shows better recovery of cardiac contractile function after AMI compared to control mice. In summary, we identified the anti-apoptotic evolutionary conserved lncRNA Sarrah, which is downregulated by aging, as a regulator of cardiomyocyte survival. KW - Apoptosis KW - Cardiology KW - Long non-coding RNAs Y1 - 2020 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/53576 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-535769 SN - 2041-1723 N1 - Open Access: This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. VL - 11 IS - 1, Art. 2039 SP - 1 EP - 14 PB - Nature Publishing Group UK CY - [London] ER -