HAND2 explained

Heart- and neural crest derivatives-expressed protein 2 is a protein that in humans is encoded by the HAND2 gene.[1] [2]

Function

See also: Aortic sac.

The protein encoded by this gene belongs to the basic helix-loop-helix family of transcription factors. This gene product is one of two closely related family members, the HAND proteins Hand1 and Hand2, which are asymmetrically expressed in the developing ventricular chambers and play an essential role in cardiac morphogenesis. Working in a complementary fashion, they function in the formation of the right ventricle and aortic arch arteries, implicating them as mediators of congenital heart disease. In addition, this transcription factor plays an important role in limb and branchial arch development.[2] In one study, it was found that a missense mutation of the Hand2 protein in patients with the congenital heart disease (CHD) Tetralogy of Fallot experienced significantly decreased Hand2 interactions with other key developmental genes such as GATA4 and NKX2.5.[3] Hand2 mutations have the potential to be genes for the future study of right ventricle stenosis and its pathogenesis. In avian species, Hand2 has been shown to be expressed in developing gut tissue and is believed to contribute to the formation of enteric neurons.[4]

Hand2 also plays a critical role in the establishment of a proper implantation environment for pregnancy in mice and humans. The induction of Hand2 by progesterone-dependent mechanisms in uterine stromal tissue suppresses fibroblast growth factors (FGFs) that would otherwise stimulate estrogen producing pathways and impair embryo implantation.[5]

In addition, Hand2 also plays a role in lower jaw formation and tongue morphogenesis in mice by suppressing the homeobox genes Dlx5 and Dlx6.[6]

It has been recently suggested based on in vitro studies that HAND2 and its associated antisense long noncoding RNA HAND2-AS1 (partially overlapping HAND2 first exon and regulatory promotor region), may have an essential role in fine-tuning mesenchymal-to-epithelial/endothelial (MET) plasticity.[7] In that study basal expression levels of HAND2 were necessary to maintain human mesenchymal stem cell identity, high expression levels were associated with MET towards an endothelial phenotype, and complete knockout (KO) resulted in a senescent-like hypertrophic and cell-cycle arrested phenotypes.  That same study also demonstrated by data mining and bioinformatic analyses the preservation of basal human HAND2/HAND2-AS1 expression levels across many different tissues, during embryonic development and in normal homeostatic adult tissue samples. They further demonstrated that deviation from those basal expression levels (up or down regulation) is associated with a long list of pathologies including many different metastasizing cancer types, which may be explained, at least in part by the speculative role of HAND2/HAND2-AS1 in regulation of MET states. Nevertheless, additional studies are required to further elucidate the involvement of HAND2/HAND2-AS1 in these processes, which may represent a promising therapeutic target for many related pathologies.

Interactions

HAND2 has been shown to interact with GATA4,[8] NKX2.5, PPP2R5D,[9] PHOX2A.,[10] TWIST1, and TWIST2.

Clinical significance

Hand2 interactions with TWIST1 and TWIST2 genes are critical for proper limb development. Recent literature shows over dosage of Hand2 can result in many defects in the limbs, face, heart, and lower lumbar vertebrae. In this instance, trisomy of the hand2 gene can directly cause human congenital heart disease.[11]

Hand2 gene hypermethylation and epigenetic silencing has also been implicated to increase the development of endometrial cancer. Mounting evidence showing its methylation increased chances of premalignant endometrial lesions. Hand2, in addition to its other functions in the developing heart and limbs, has been found to be an important transcription factor seen in the endometrial stroma. In fact, in mice with the Hand2 gene knocked out, they developed premalignant lesions as they grew older, further providing evidence of its role in endometrial cancer development. These findings have led to Hand2 becoming a potentially promising biomarker for early detection of endometrial cancer and may be used to predict its treatment.[12]

Regulation of Hand2

HAND2 is an important transcription factor in development of the endothelial to mesenchymal transition (EMT) which allows for the development of the cardiac cushion in the atrioventricular canal which forms the mitral and tricuspid valves. The Hand2 gene regulatory network contains many genes that function in the EMT process, most notably Snail1, whose expression is lost if Hand2 is deficient. Since HAND2 is essential for separation of the atria and ventricles, a mutation in this gene has been linked to ventricular septal defects. Deficiency in HAND2 is only partially replaced by SNAIL1.[13] The expression of Hand2 is regulated by an upstream long non-coding RNA called Upperhand (Uph) that is needed for RNA polymerase II to transcribe Hand2. If Uph is not present, then there is a decrease in the expression of Hand2 and thus a decrease in cardiac development. When Uph was knocked out, the right ventricular chamber did not develop and had a similar phenotype as when Hand2 is knocked out. In addition, Hand2 expression was absent in the atria, ventricles, and outflow tract of the heart and was reduced in the brachial arches and limb buds.[14]

Further reading

Notes and References

  1. Russell MW, Kemp P, Wang L, Brody LC, Izumo S . Molecular cloning of the human HAND2 gene . Biochimica et Biophysica Acta (BBA) - Gene Structure and Expression . 1443 . 3 . 393–9 . December 1998 . 9878849 . 10.1016/S0167-4781(98)00237-1 .
  2. Web site: Entrez Gene: HAND2 heart and neural crest derivatives expressed 2.
  3. Lu CX, Gong HR, Liu XY, Wang J, Zhao CM, Huang RT, Xue S, Yang YQ . A novel HAND2 loss-of-function mutation responsible for tetralogy of Fallot . International Journal of Molecular Medicine . 37 . 2 . 445–51 . February 2016 . 26676105 . 10.3892/ijmm.2015.2436 . free .
  4. Wu X, Howard MJ . Transcripts encoding HAND genes are differentially expressed and regulated by BMP4 and GDNF in developing avian gut . Gene Expression . 10 . 5–6 . 279–93 . 2002-01-01 . 10.3727/000000002783992361 . 2024-03-31 . 12450220 . 5977526 .
  5. Li Q, Kannan A, DeMayo FJ, Lydon JP, Cooke PS, Yamagishi H, Srivastava D, Bagchi MK, Bagchi IC . The antiproliferative action of progesterone in uterine epithelium is mediated by Hand2 . Science . 331 . 6019 . 912–6 . February 2011 . 21330545 . 3320855 . 10.1126/science.1197454 . 2011Sci...331..912L .
  6. Barron F, Woods C, Kuhn K, Bishop J, Howard MJ, Clouthier DE . June 2011 . Downregulation of Dlx5 and Dlx6 expression by Hand2 is essential for initiation of tongue morphogenesis . Development . 138 . 11 . 2249–59 . 10.1242/dev.056929 . 3091495 . 21558373.
  7. Vazana-Netzarim R, Elmalem Y, Sofer S, Bruck H, Danino N, Sarig U . Distinct HAND2/HAND2-AS1 Expression Levels May Fine-Tune Mesenchymal and Epithelial Cell Plasticity of Human Mesenchymal Stem Cells . International Journal of Molecular Sciences . 24 . 22 . 16546 . November 2023 . 38003736 . 10672054 . 10.3390/ijms242216546 . free .
  8. Dai YS, Cserjesi P, Markham BE, Molkentin JD . The transcription factors GATA4 and dHAND physically interact to synergistically activate cardiac gene expression through a p300-dependent mechanism . The Journal of Biological Chemistry . 277 . 27 . 24390–8 . July 2002 . 11994297 . 10.1074/jbc.M202490200 . free .
  9. Firulli BA, Howard MJ, McDaid JR, McIlreavey L, Dionne KM, Centonze VE, Cserjesi P, Virshup DM, Firulli AB . PKA, PKC, and the protein phosphatase 2A influence HAND factor function: a mechanism for tissue-specific transcriptional regulation . Molecular Cell . 12 . 5 . 1225–37 . November 2003 . 14636580 . 10.1016/S1097-2765(03)00425-8 . free .
  10. Rychlik JL, Gerbasi V, Lewis EJ . The interaction between dHAND and Arix at the dopamine beta-hydroxylase promoter region is independent of direct dHAND binding to DNA . The Journal of Biological Chemistry . 278 . 49 . 49652–60 . December 2003 . 14506227 . 10.1074/jbc.M308577200 . free .
  11. Shen L, Li XF, Shen AD, Wang Q, Liu CX, Guo YJ, Song ZJ, Li ZZ . Transcription factor HAND2 mutations in sporadic Chinese patients with congenital heart disease . Chinese Medical Journal . 123 . 13 . 1623–7 . July 2010 . 10.3760/cma.j.issn.0366-6999.2010.13.002 . 20819618 . free .
  12. Jones A, Teschendorff AE, Li Q, Hayward JD, Kannan A, Mould T, West J, Zikan M, Cibula D, Fiegl H, Lee SH, Wik E, Hadwin R, Arora R, Lemech C, Turunen H, Pakarinen P, Jacobs IJ, Salvesen HB, Bagchi MK, Bagchi IC, Widschwendter M . Role of DNA methylation and epigenetic silencing of HAND2 in endometrial cancer development . PLOS Medicine . 10 . 11 . e1001551 . November 2013 . 24265601 . 3825654 . 10.1371/journal.pmed.1001551 . free .
  13. Laurent F, Girdziusaite A, Gamart J, Barozzi I, Osterwalder M, Akiyama JA, Lincoln J, Lopez-Rios J, Visel A, Zuniga A, Zeller R . HAND2 Target Gene Regulatory Networks Control Atrioventricular Canal and Cardiac Valve Development . Cell Reports . 19 . 8 . 1602–1613 . May 2017 . 28538179 . 5523860 . 10.1016/j.celrep.2017.05.004 .
  14. Anderson KM, Anderson DM, McAnally JR, Shelton JM, Bassel-Duby R, Olson EN . Transcription of the non-coding RNA upperhand controls Hand2 expression and heart development . Nature . 539 . 7629 . 433–436 . November 2016 . 27783597 . 5261552 . 10.1038/nature20128 . 2016Natur.539..433A .

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