Key result
MLL4 overexpression protects against myocardial ischemia-reperfusion injury and apoptosis via STAT3 activation.
Why the study?
Myocardial ischemia-reperfusion injury is an inevitable consequence of revascularization after myocardial ischemia, but effective targeted therapies remain an unmet medical need.
Does MLL4 protect cardiomyocytes against ischemia-reperfusion injury in preclinical models?
Does MLL4 protect cardiomyocytes against ischemia-reperfusion injury in preclinical models?
MLL4 acts as a critical epigenetic protector against myocardial ischemia-reperfusion injury by maintaining mitochondrial homeostasis via STAT3 activation, highlighting a potential therapeutic target.
Answers are grounded in this paper and cite their sources.
Supports MLL4-STAT3 exploration in preclinical cardioprotection; leaves open any clinical translation for ischemia-reperfusion injury.
Myocardial ischemia-reperfusion injury (MIRI) is an inevitable pathophysiological response during the revascularization process following myocardial ischemia. Despite its clinical significance, effective targeted therapies for MIRI remain an unmet medical need. Mixed-lineage leukemia 4 (MLL4), a member of the SET family of histone methyltransferases, exhibits particular methyltransferase action toward histone H3 lysine 4 (H3K4). This study establishes a protective role for MLL4 in MIRI pathogenesis. Utilizing cardiomyocyte-specific Mll4 knockout mice and an in vivo ischemia-reperfusion (I/R) model induced by left anterior descending coronary artery ligation, we observed significant upregulation of MLL4 expression in cardiac tissue following I/R. Genetic ablation of Mll4 in cardiomyocytes markedly exacerbated both acute and chronic phases of MIRI. In vitro, Mll4 knockdown in neonatal rat cardiomyocytes (NRCMs) amplified mitochondrial dysfunction and apoptosis under hypoxia/reoxygenation (H/R) conditions. Integrated analysis of Cleavage Under Targets and Tagmentation sequencing (CUT&Tag-seq) and RNA sequencing (RNA-seq) revealed that Mll4 deficiency induces a pronounced reduction in H3K4 monomethylation (H3K4me1) and histone H3 lysine 27 acetylation (H3K27ac) enrichment at the Stat3 genomic locus. Mechanistically, MLL4 functions as a transcriptional activator of Stat3 by depositing H3K4me1 and H3K27ac, thereby facilitating STAT3 transcription. This regulatory cascade ultimately governs STAT3-dependent mitochondrial homeostasis. Collectively, these findings identify MLL4 as a critical epigenetic regulator of MIRI and suggest its therapeutic targeting may offer a promising strategy for mitigating reperfusion injury.
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Pang et al. (2026) studied Myocardial ischemia-reperfusion injury. Mll4 knockout / MLL4 overexpression vs. Wild-type / Sham / Control was evaluated on Myocardial infarct size, cardiac function, and apoptosis. Cardiomyocyte-specific Mll4 knockout exacerbated myocardial ischemia-reperfusion injury, while MLL4 overexpression protected against mitochondrial dysfunction and apoptosis via STAT3 activation.
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