BHF Centre for Cardiovascular Science, The Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK.
Cardiovasc Drugs Ther. 2024 Apr;38(2):223-236. doi: 10.1007/s10557-023-07484-7. Epub 2023 Jul 8.
Ischaemic heart disease is a global healthcare challenge with high morbidity and mortality. Early revascularisation in acute myocardial infarction has improved survival; however, limited regenerative capacity and microvascular dysfunction often lead to impaired function and the development of heart failure. New mechanistic insights are required to identify robust targets for the development of novel strategies to promote regeneration. Single-cell RNA sequencing (scRNA-seq) has enabled profiling and analysis of the transcriptomes of individual cells at high resolution. Applications of scRNA-seq have generated single-cell atlases for multiple species, revealed distinct cellular compositions for different regions of the heart, and defined multiple mechanisms involved in myocardial injury-induced regeneration. In this review, we summarise findings from studies of healthy and injured hearts in multiple species and spanning different developmental stages. Based on this transformative technology, we propose a multi-species, multi-omics, meta-analysis framework to drive the discovery of new targets to promote cardiovascular regeneration.
缺血性心脏病是一种具有高发病率和死亡率的全球医疗保健挑战。急性心肌梗死的早期血运重建改善了生存率;然而,有限的再生能力和微血管功能障碍常常导致功能受损和心力衰竭的发展。需要新的机制见解来确定稳健的靶点,以开发促进再生的新策略。单细胞 RNA 测序 (scRNA-seq) 使能够以高分辨率对单个细胞的转录组进行分析和分析。scRNA-seq 的应用为多种物种生成了单细胞图谱,揭示了心脏不同区域的不同细胞组成,并定义了心肌损伤诱导再生所涉及的多种机制。在这篇综述中,我们总结了来自多个物种和不同发育阶段的健康和受损心脏研究的发现。基于这项变革性技术,我们提出了一个多物种、多组学、元分析框架,以推动发现新的靶点,促进心血管再生。