RT Journal Article T1 The SRSF4–GAS5-Glucocorticoid Receptor Axis Regulates Ventricular Hypertrophy A1 Larrasa-Alonso, Javier A1 Martí-Gómez, Carlos A1 López-Olañeta, Marina M. A1 Rey-Martín, M. Ascensión A1 Sánchez-Cabo, Fátima A1 McNicoll, François A1 Müller-McNicoll, Michaela A1 García-Pavía, Pablo A1 Lara-Pezzi, Enrique A1 Villalba Orero, María A1 Ortiz Sánchez, Paula AB Objective:To investigate the role of SRSF4 in the heart.Methods and Results:Echocardiography of mice specifically lacking SRSF4 in the heart (SRSF4 KO) revealed left ventricular hypertrophy and increased cardiomyocyte area, which led to progressive diastolic dysfunction with age. SRSF4 KO mice showed altered electrophysiological activity under isoproterenol-induced cardiac stress, with a post-QRS depression and a longer QT interval, indicating an elevated risk of sudden cardiac death. RNA-Seq analysis revealed expression changes in several long noncoding RNAs, including GAS5 (growth arrest-specific 5), which we identified as a direct SRSF4 target in cardiomyocytes by individual-nucleotide-resolution cross-linking and immuno-precipitation. GAS5 is a repressor of the GR (glucocorticoid receptor) and was downregulated in SRSF4 KO hearts. This corresponded with elevated GR transcriptional activity in cardiomyocytes, leading to increases in hypertrophy markers and cell size. Furthermore, hypertrophy in SRSF4 KO cardiomyocytes was reduced by overexpressing GAS5.Conclusions:Loss of SRSF4 expression results in cardiac hypertrophy, diastolic dysfunction, and abnormal repolarization. The molecular mechanism underlying this effect involves GAS5 downregulation and consequent elevation of GR transcriptional activity. Our findings may help to develop new therapeutic tools for the treatment of cardiac hypertrophy and myocardial pathology in patients with Cushing syndrome. SN 0009-7330 SN 1524-4571 YR 2021 FD 2021-09-03 LK https://hdl.handle.net/20.500.14352/96820 UL https://hdl.handle.net/20.500.14352/96820 LA eng NO Larrasa-Alonso, J., Villalba-Orero, M., Martí-Gómez, C., Ortiz-Sánchez, P., López-Olañeta, M. M., Rey-Martín, M. A., Sánchez-Cabo, F., McNicoll, F., Müller-McNicoll, M., García-Pavía, P., & Lara-Pezzi, E. (2021). The SRSF4-GAS5-Glucocorticoid Receptor Axis Regulates Ventricular Hypertrophy. Circulation research, 129(6), 669–683. https://doi.org/10.1161/CIRCRESAHA.120.318577 NO European Union NO Ministerio de Economía y Competitividad NO Instituto de Salud Carlos III NO Comunidad de Madrid NO Plan Estatal I+D+I 2013-2016 NO Ministerio de Ciencia, Innovación y Universidades NO Fundación Pro-CNIC NO Severo Ochoa Center de Excellence DS Docta Complutense RD 14 dic 2025