Human heart failure is accompanied by repression of genes such as ␣ myosin heavy chain (␣MyHC) and SERCA2A and the induction of fetal genes such as MyHC and atrial natriuretic factor. It seems likely that changes in MyHC isoforms contribute to the poor contractility seen in heart failure, because small changes in isoform composition can have a major effect on the contractility of cardiac myocytes and the heart. Our laboratory has recently shown that YY1 protein levels are increased in human heart failure and that YY1 represses the activity of the human ␣MyHC promoter. We have now identified a region of the ␣MyHC promoter that binds a factor whose expression is increased sixfold in failing human hearts. Through peptide mass spectrometry, we identified this binding activity to be a heterodimer of Ku70 and Ku80. Expression of Ku represses the human ␣MyHC promoter in neonatal rat ventricular myocytes. Moreover, overexpression of Ku70/80 decreases ␣MyHC mRNA expression and increases skeletal ␣-actin. Interestingly, YY1 interacts with Ku70 and Ku80 in HeLa cells. Together, YY1, Ku70, and Ku80 repress the ␣MyHC promoter to an extent that is greater than that with YY1 or Ku70/80 alone. Our results suggest that Ku is an important factor in the repression of the human ␣MyHC promoter during heart failure.Cardiovascular disease, including heart failure, is the leading cause of death in the United States. Heart failure is characterized at the molecular level by changes in gene expression that result in the repression of adult genes, such as ␣ myosin heavy chain (␣MyHC) and SERCA2A, and the induction of fetal genes (e.g., MyHC, atrial natriuretic factor [ANF], and skeletal ␣-actin [1]). The change in MyHC expression is a logical candidate for affecting cardiac contractility, since small changes in isoform composition have been shown to affect contractility of cardiac myocytes and the heart. Despite sharing 93% amino acid identity, ␣MyHC has a higher rate of ATP hydrolysis than MyHC. Transgenic mice with cardiac myocytes expressing only 12% of total MyHC as the  isoform have decreased contractility and a 22% decrease in myofibrillar ATPase (40). In single-cell experiments, cardiac myocytes expressing only 12% of their MyHC as ␣ had 52% greater power output than those expressing only the  isoform (12).In the nonfailing, nonhypertrophied human heart, approximately 20 to 30% of total MyHC mRNA consists of ␣MyHC mRNA, whereas in the failing heart, ␣MyHC expression represents less than 2% of total MyHC mRNA (19,24). At the protein level, ␣MyHC in the normal heart constitutes 7 to 11% of total MyHC, but it is undetectable in the failing heart (21).The importance of ␣MyHC expression in the human heart has been recently emphasized by the finding that mutations in the ␣MyHC gene can cause both hypertrophic and dilated cardiomyopathies (7,25). The decrease in ␣MyHC in human heart failure may play an important role in the well-established reduction of cardiac contractility. The goal of this study was to determine the role of transcr...