Loss of H3K9 remodelling methylation contributes to cardiac hypertrophic Bernard Thienpont1,2,8, Jan Aronsen3,4,8, Emma Robinson1, Hanneke Okkenhaug1, Elena Loche1,5, Arianna Ferrini1, Patrick Brien1,6, Olaf Bergmann7, Asmita Tingare1, Wolf Reik1, Ivar Sjaastad3, H. Llewelyn Roderick1,6,* 1Epigenetics, Babraham Inst, Cambridge, UK. 2Lab of Translational Genetics, VIB and KULeuven, Leuven, Belgium. 3IEMR, University of Oslo and Oslo University Hospital, Oslo, Norway. 4Bjørknes College, Oslo, Norway. 5University of Cambridge Metabolic Research Labs, Addenbrooke's Hospital, Cambridge, UK. 6Dept of Cardiovascular Sciences KULeuven, Leuven, Belgium. 7Cell and Molecular Biology, Karolinska Inst, Stockholm, Sweden. In response to increase workload, the heart elicits a hypertrophic response. When induced by development, or as a result of exercise, the response is adaptive, whereas when stimulated by disease conditions, the hypertrophic response is maladaptive involving a re-expression of fetal genes, and is often a precursor of future heart failure. Cardiac hypertrophy is mediated by wholesale reprogramming of the myocyte transcriptome. Given that methylation of lysines at position 9 and 27 in histone 3 (H3K9me2 and H3K27me3) is a key determinant of transcriptional control mediating stable gene silencing, we hypothesised that loss of these marks contributed to the re-expression of fetal genes and the reprogramming of the myocyte transcriptome during pathological hypertrophy. We performed a comparison of the effect of hypertrophy induced by treadmill exercise (exercise; physiological hypertrophy) and aortic banding (AB; pathological hypertrophy) upon the genomic landscape of H3K9me2 and H3K27me3 (ChIP-Seq) in cardiac myocytes. RNA levels in the same samples were determined by RNA-Seq. To avoid confounding effects of fibrosis, DNA and RNA extracted from myocyte nuclei isolated by flow cytometry. Gene expression patterns were distinct and characteristic in myocytes isolated from AB and exercised rats. AB induced fetal genes, whereas these were not induced in response to exercise. AB induced a greater loss of H3K9me2 than exercise. In genomic regions where H3K9me2 was lost, transcription of genes, including those of the fetal gene programme, typical of the pathological hypertrophic response, were increased. H3K27me3 did not change substantially in either model of hypertrophy. Chemical or genetic (cardiac specific inducible KO) inhibition of the enzymes responsible for alteration in H3K9me2 (Ehmt1/2) was sufficient to induce a hypertrophic response, demonstrating the importance of this mark in cardiac physiology. In conclusion, we have identified a new mechanism by which the transcription underlying the hypertrophic response to pathological stimuli is regulated.