Aging-regulated anti-apoptotic long non-coding RNA Sarrah augments recovery from acute myocardial infarction

  • 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.
Author:Dorotée Julia Trembinski, Diewertje I. BinkORCiD, Kosta Theodorou, Janina Sommer, Ariane Fischer, Anke van BergenORCiD, Chao-Chung KuoORCiDGND, Ivan G. CostaORCiDGND, Christoph SchürmannORCiDGND, Matthias LeisegangORCiDGND, Ralf BrandesORCiDGND, Tijna Alekseeva, Boris Brill, Astrid Wietelmann, Christopher N. Johnson, Alexander Spring-Connell, Manuel KaulichORCiD, Stanislas Werfel, Stefan EngelhardtORCiD, Marc Nikolaus Hirt, Kaja Yorgan, Thomas EschenhagenORCiDGND, Luisa KirchhofORCiDGND, Patrick Hofmann, Nicolas Christopher JaéGND, Ilka WittigORCiD, Nazha Hamdani, Corinne Bischof, Jaya KrishnanORCiD, Riekelt H. HoutkooperORCiD, Stefanie DimmelerORCiDGND, Reinier BoonORCiDGND
Pubmed Id:
Parent Title (English):Nature Communications
Publisher:Nature Publishing Group UK
Place of publication:[London]
Document Type:Article
Year of Completion:2020
Date of first Publication:2020/04/27
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2020/06/10
Tag:Apoptosis; Cardiology; Long non-coding RNAs
Issue:1, Art. 2039
Page Number:14
First Page:1
Last Page:14
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
Institutes:Medizin / Medizin
Angeschlossene und kooperierende Institutionen / Georg-Speyer-Haus
Exzellenzcluster / Exzellenzcluster Makromolekulare Komplexe
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Licence (German):License LogoCreative Commons - Namensnennung 4.0