5 Retinoic Acid Signaling and Heart Development
139
(ChIP-seq) (Barski and Zhao 2009; Delacroix et al. 2010; Moutier et al. 2012). In the
future, newer tools that require fewer cells, including single-cell RNA-seq (scRNAseq) (Wagner et al. 2016; Tanay and Regev 2017), Assay for Transposase-Accessible
Chromatin (ATAC-seq) (Buenrostro et al. 2013; Dirks et al. 2016), Cleavage under
targets and release using nuclease (CUT&RUN) (Skene et al. 2018), and Cleavage
Under Targets and Tagmentation (CUT&Tag) (Kaya-Okur et al. 2019), will provide
more powerful approaches to integrate and interrogate RA signaling in normal and
aberrant heart development.
Future work is needed to deconvolute RA-dependent epigenetic and transcriptional mechanisms. Specifically, the identity of all of the effectors that act in concert
with RA remains unknown, the nature of interactions, direct or otherwise, between
molecular participants is uncharted, and the identification of gene regulatory networks that govern how different levels of RA often lead to improper feedback and
the same overt phenotypes remains a mystery. Ultimately, given RA signaling’s role
as a central integrator of many other signaling pathways, the prospect that future
endeavors might reveal the etiologies of CHDs makes us optimistic that a clearer
understanding of cardiac development and the generation of novel therapeutics may
soon be on the horizon.
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