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Endocardial transcription factor HAND2 orchestrates hypoxic and TGF-β signaling to modulate coronary artery formation
Huijuan Wang, Haosheng Zhang, Leiyin Zheng, Peihan Zhang, Yuqian Wang, Sijia Ding, Wenping Liu, Yuanming Cheng, Zhongzhou Yang, Wen Luo
Huijuan Wang, Haosheng Zhang, Leiyin Zheng, Peihan Zhang, Yuqian Wang, Sijia Ding, Wenping Liu, Yuanming Cheng, Zhongzhou Yang, Wen Luo
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Research Article Cardiology Vascular biology

Endocardial transcription factor HAND2 orchestrates hypoxic and TGF-β signaling to modulate coronary artery formation

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Abstract

The endocardium is a major source of coronary angiogenesis and arterialization, through coordinated cell fate transition and migration. However, the transcriptional regulatory network synchronizing cell fate determination and movement remains unclear. Here, we identified transcription factor HAND2 as a key candidate for coronary vascular formation. Endocardial deletion of Hand2 in mice disrupted arterial-venous networks and stunted coronary arteries, paralleling a ventricular noncompaction phenotype. Moreover, deletion of Hand2 produced excessive tip cells with defective movement. RNA-seq analysis revealed enhanced hypoxic metabolic activation but declined TGF-β/p38MAPK–dependent endothelial-mesenchymal transition. In contrast, genetic inhibition of the core hypoxic regulators or pharmaceutical administration of TGF-β2 partially recovered the coronary arterial defects in Hand2 mutants. Furthermore, HAND2 was found to directly bind to promoters of the target genes, harmonizing cell migration and cell fate transition. These findings pinpoint HAND2 as an essential regulator of the endocardial transcriptional regulatory network for coronary arterialization and provide potential therapeutic targets for coronary artery diseases.

Authors

Huijuan Wang, Haosheng Zhang, Leiyin Zheng, Peihan Zhang, Yuqian Wang, Sijia Ding, Wenping Liu, Yuanming Cheng, Zhongzhou Yang, Wen Luo

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Figure 3

Endocardial deletion of Hand2 caused defective cardiovascular development.

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Endocardial deletion of Hand2 caused defective cardiovascular developmen...
(A and B) Experimental strategy of Hand2 ablation in endocardium with Bmx-creERT2 lineage and Cre expression pattern in iSuRe-Cre; Bmx-creERT2 mice. (C) Confocal images showing deletion of Hand2 in endocardium of E15.5 Hand2-EKOBmx hearts with quantification analysis. n = 4 hearts per group. (D) qPCR analysis of Hand2 mRNA level in Hand2-EKOBmx heart ECs. n = 4 samples per group. (E) Bright-field images of E15.5 gross embryos and hearts showing abnormal embryonic and cardiac morphologies. (F) H&E staining showing decreased myocardial wall thickness in Hand2-EKOBmx hearts at E15.5. n = 3 hearts per group. (G and H) Representative images (G) and quantitative analysis (H) of EMCN+ endocardium indicate hypertrabeculation in Hand2-EKOBmx hearts at E15.5. n = 5 hearts per group. (I and J) Whole-mount staining of EMCN and ERG in coronary veins showing normal venous plexuses formation with quantification analysis. n = 4 hearts per group. (K and L) Whole-mount staining of arterial markers showing abnormal coronary artery development and remodeling in Hand2 mutants, with decreased diameter and length of arteries (K), and quantification analysis (L). n = 6 hearts per group. Data represent mean ± SEM. Statistical significance was assessed using multiple unpaired 2-tailed t tests with Benjamini-Krieger-Yekutieli FDR correction for (C and H) and unpaired 2-tailed Student’s t tests for (D, J, and L). **P < 0.01, ***P < 0.001. Scale bars: 200 μm (B, F, G, I and K); 100 μm (C); 500 μm (E).

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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