High-resolution transcriptomic profiling of the heart during chronic stress reveals cellular drivers of cardiac fibrosis and hypertrophy
Author(s)
Type
Journal Article
Abstract
BACKGROUND: Cardiac fibrosis is a key antecedent to many types of cardiac dysfunction including heart failure. Physiological factors leading to cardiac fibrosis have been recognized for decades. However, the specific cellular and molecular mediators that drive cardiac fibrosis, and the relative effect of disparate cell populations on cardiac fibrosis, remain unclear. METHODS: We developed a novel cardiac single-cell transcriptomic strategy to characterize the cardiac cellulome, the network of cells that forms the heart. This method was used to profile the cardiac cellular ecosystem in response to 2 weeks of continuous administration of angiotensin II, a profibrotic stimulus that drives pathological cardiac remodeling. RESULTS: Our analysis provides a comprehensive map of the cardiac cellular landscape uncovering multiple cell populations that contribute to pathological remodeling of the extracellular matrix of the heart. Two phenotypically distinct fibroblast populations, Fibroblast-Cilp and Fibroblast-Thbs4, emerged after induction of tissue stress to promote fibrosis in the absence of smooth muscle actin-expressing myofibroblasts, a key profibrotic cell population. After angiotensin II treatment, Fibroblast-Cilp develops as the most abundant fibroblast subpopulation and the predominant fibrogenic cell type. Mapping intercellular communication networks within the heart, we identified key intercellular trophic relationships and shifts in cellular communication after angiotensin II treatment that promote the development of a profibrotic cellular microenvironment. Furthermore, the cellular responses to angiotensin II and the relative abundance of fibrogenic cells were sexually dimorphic. CONCLUSIONS: These results offer a valuable resource for exploring the cardiac cellular landscape in health and after chronic cardiovascular stress. These data provide insights into the cellular and molecular mechanisms that promote pathological remodeling of the mammalian heart, highlighting early transcriptional changes that precede chronic cardiac fibrosis.
Date Issued
2020-10-13
Date Acceptance
2020-06-30
Citation
Circulation, 2020, 142 (15), pp.1448-1463
ISSN
0009-7322
Publisher
Lippincott, Williams & Wilkins
Start Page
1448
End Page
1463
Journal / Book Title
Circulation
Volume
142
Issue
15
Copyright Statement
© 2020 The Authors. Circulation is
published on behalf of the American
Heart Association, Inc., by Wolters
Kluwer Health, Inc. This is an open
access article under the terms of
the Creative Commons Attribution
Non-Commercial-NoDerivs License,
which permits use, distribution, and
reproduction in any medium, provided
that the original work is properly cited,
the use is noncommercial, and no
modifications or adaptations are made
published on behalf of the American
Heart Association, Inc., by Wolters
Kluwer Health, Inc. This is an open
access article under the terms of
the Creative Commons Attribution
Non-Commercial-NoDerivs License,
which permits use, distribution, and
reproduction in any medium, provided
that the original work is properly cited,
the use is noncommercial, and no
modifications or adaptations are made
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/32795101
Subjects
fibroblasts
fibrosis
heart failure
Publication Status
Published
Coverage Spatial
United States
Date Publish Online
2020-07-30