单细胞转录组学揭示射血分数保留的心力衰竭中独特的成纤维细胞激活模式。
Single-cell transcriptomics reveal distinctive patterns of fibroblast activation in heart failure with preserved ejection fraction.
作者信息
Lanzer Jan D, Wienecke Laura M, Ramirez Flores Ricardo O, Zylla Maura M, Kley Celina, Hartmann Niklas, Sicklinger Florian, Schultz Jobst-Hendrik, Frey Norbert, Saez-Rodriguez Julio, Leuschner Florian
机构信息
Institute for Computational Biomedicine, Heidelberg University, Im Neuenheimer Feld 130.3, 69120, Heidelberg, Germany.
Internal Medicine II, Heidelberg University Hospital, Heidelberg, Germany.
出版信息
Basic Res Cardiol. 2024 Dec;119(6):1001-1028. doi: 10.1007/s00395-024-01074-w. Epub 2024 Sep 23.
Inflammation, fibrosis and metabolic stress critically promote heart failure with preserved ejection fraction (HFpEF). Exposure to high-fat diet and nitric oxide synthase inhibitor N[w]-nitro-l-arginine methyl ester (L-NAME) recapitulate features of HFpEF in mice. To identify disease-specific traits during adverse remodeling, we profiled interstitial cells in early murine HFpEF using single-cell RNAseq (scRNAseq). Diastolic dysfunction and perivascular fibrosis were accompanied by an activation of cardiac fibroblast and macrophage subsets. Integration of fibroblasts from HFpEF with two murine models for heart failure with reduced ejection fraction (HFrEF) identified a catalog of conserved fibroblast phenotypes across mouse models. Moreover, HFpEF-specific characteristics included induced metabolic, hypoxic and inflammatory transcription factors and pathways, including enhanced expression of Angiopoietin-like 4 (Angptl4) next to basement membrane compounds, such as collagen IV (Col4a1). Fibroblast activation was further dissected into transcriptional and compositional shifts and thereby highly responsive cell states for each HF model were identified. In contrast to HFrEF, where myofibroblast and matrifibrocyte activation were crucial features, we found that these cell states played a subsidiary role in early HFpEF. These disease-specific fibroblast signatures were corroborated in human myocardial bulk transcriptomes. Furthermore, we identified a potential cross-talk between macrophages and fibroblasts via SPP1 and TNFɑ with estimated fibroblast target genes including Col4a1 and Angptl4. Treatment with recombinant ANGPTL4 ameliorated the murine HFpEF phenotype and diastolic dysfunction by reducing collagen IV deposition from fibroblasts in vivo and in vitro. In line, ANGPTL4, was elevated in plasma samples of HFpEF patients and particularly high levels associated with a preserved global-longitudinal strain. Taken together, our study provides a comprehensive characterization of molecular fibroblast activation patterns in murine HFpEF, as well as the identification of Angiopoietin-like 4 as central mechanistic regulator with protective effects.
炎症、纤维化和代谢应激是射血分数保留的心力衰竭(HFpEF)的关键促发因素。高脂饮食和一氧化氮合酶抑制剂N[ω]-硝基-L-精氨酸甲酯(L-NAME)可在小鼠中重现HFpEF的特征。为了识别不良重塑过程中的疾病特异性特征,我们使用单细胞RNA测序(scRNAseq)对早期小鼠HFpEF中的间质细胞进行了分析。舒张功能障碍和血管周围纤维化伴随着心脏成纤维细胞和巨噬细胞亚群的激活。将HFpEF中的成纤维细胞与两种射血分数降低的心力衰竭(HFrEF)小鼠模型进行整合,确定了跨小鼠模型的保守成纤维细胞表型目录。此外,HFpEF的特异性特征包括诱导的代谢、缺氧和炎症转录因子及通路,包括在基底膜成分如胶原蛋白IV(Col4a1)旁边血管生成素样4(Angptl4)表达增强。成纤维细胞激活进一步细分为转录和组成变化,从而确定了每种HF模型的高反应性细胞状态。与HFrEF不同,肌成纤维细胞和基质成纤维细胞激活是HFrEF的关键特征,我们发现这些细胞状态在早期HFpEF中起辅助作用。这些疾病特异性的成纤维细胞特征在人类心肌大量转录组中得到了证实。此外,我们通过SPP1和TNFα确定了巨噬细胞和成纤维细胞之间的潜在相互作用,估计的成纤维细胞靶基因包括Col4a1和Angptl4。重组ANGPTL4治疗通过减少体内和体外成纤维细胞中的胶原蛋白IV沉积,改善了小鼠HFpEF表型和舒张功能障碍。同样,ANGPTL4在HFpEF患者的血浆样本中升高,特别是高水平与整体纵向应变保留相关。总之,我们的研究全面描述了小鼠HFpEF中分子成纤维细胞激活模式,并确定血管生成素样4是具有保护作用的核心机制调节因子。