4.6 Review

The heterocellular heart: identities, interactions, and implications for cardiology

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High-quality nuclei isolation from postmortem human heart muscle tissues for single-cell studies

Sarah Araten et al.

Summary: Single-cell approaches are popular for studying genetic factors in diseases. In this study, we isolated single nuclei from postmortem heart tissues and analyzed their DNA and RNA. The study provides a method for single-nuclei isolation from cardiac tissue, along with quality control measures for DNA amplification.

JOURNAL OF MOLECULAR AND CELLULAR CARDIOLOGY (2023)

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Diversity of cells and signals in the cardiovascular system

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Summary: This white paper summarises the outcomes of the seventh UC Davis Cardiovascular Research Symposium on Systems Approach to Understanding Cardiovascular Disease and Arrhythmia. The Symposium aimed to bring together experts in cardiovascular biomedicine to focus on the diversity and signaling involved in cardiovascular function. The paper presents an overview of major cell types, explores the complexity of cardiovascular development and disease at various levels, and discusses technological innovations for advancing understanding of integrated cardiovascular function and dysfunction.

JOURNAL OF PHYSIOLOGY-LONDON (2023)

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A tight squeeze: how do we make sense of small changes in microvascular diameter?

Harvey Davis et al.

Summary: The brain's energy demand requires constant regulation of its blood flow, with recent research suggesting a critical role for capillary pericytes. This article explains why pericytes have the potential for greater control over cerebral blood flow compared to arterioles, due to their smaller starting diameter. Additionally, the faster dilation response of low branch order capillary pericytes allows them to regulate blood flow in a more timely manner compared to slower responding arterioles. The role of pericytes in capillary stalling is also discussed.

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Inferring cell diversity in single cell data using consortium-scale epigenetic data as a biological anchor for cell identity

Yuliangzi Sun et al.

Summary: This article introduces a method called TRIAGE-Cluster that utilizes genome-wide epigenetic data to identify genes that delineate cell diversity in scRNA-seq data. By integrating repressive chromatin patterns with weighted density estimation, TRIAGE-Cluster determines cell type clusters in a 2D UMAP space. The article also presents TRIAGE-ParseR, a machine learning method that evaluates gene expression rank lists to define gene groups governing the identity and function of cell types.

NUCLEIC ACIDS RESEARCH (2023)

Article Cell Biology

Single-nucleus RNA sequencing in ischemic cardiomyopathy reveals common transcriptional profile underlying end-stage heart failure

Bridget Simonson et al.

Summary: Using single-nucleus RNA sequencing and computational analysis, the cellular and molecular signature of ischemic cardiomyopathy (ICM) was investigated. The study revealed alterations in the cellular composition of the ischemic heart, with decreased cardiomyocytes and increased proportions of lymphatic, angiogenic, and arterial endothelial cells in ICM patients. Furthermore, increased LAMININ signaling from endothelial cells and similarities in transcriptional changes were observed between ICM, hypertrophic, and dilated cardiomyopathies, which may help identify potential drug targets for end-stage heart failure.

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Single-cell RNA-seq of heart reveals intercellular communication drivers of myocardial fibrosis in diabetic cardiomyopathy

Wei Li et al.

Summary: Researchers investigated the drivers of intercellular communication in diabetic myocardial fibrosis at single-cell resolution in mouse hearts. Critical changes in ligand-receptor interactions were identified, and the specific inhibition of the Pdgfra axis was found to significantly improve diabetic myocardial fibrosis.
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Spatially resolved multiomics of human cardiac niches

Kazumasa Kanemaru et al.

Summary: In this study, single-cell and spatial transcriptomics data were used to explore cellular niches in eight regions of the human heart. Specific ion channels, G-protein-coupled receptors, and regulatory networks were identified in different cell types, highlighting the importance of FOXP2 in pacemaker cells. The sinoatrial node was found to be compartmentalized, with glial cells and fibroblasts supporting glutamatergic signaling. The study also introduced a drug target prediction tool, drug2cell, and revealed the presence of immune niches in the epicardium.

NATURE (2023)

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Nonmyocytes as electrophysiological contributors to cardiac excitation and conduction

Ana Simon-Chica et al.

Summary: This review provides an overview of heterocellular electrical communication in the heart, highlighting the roles of cardiac fibroblasts and macrophages in cardiac electrophysiology and arrhythmogenesis.

AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY (2023)

Article Cardiac & Cardiovascular Systems

Membrane remodelling triggers maturation of excitation-contraction coupling in 3D-shaped human-induced pluripotent stem cell-derived cardiomyocytes

Fatemeh Kermani et al.

Summary: The prospective use of human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CM) for cardiac regenerative medicine strongly depends on the electro-mechanical properties of these cells, especially regarding the Ca2+-dependent excitation-contraction (EC) coupling mechanism. Currently, the immature structural and functional features of hiPSC-CM limit the progression towards clinical applications. Here, we show that a specific microarchitecture is essential for functional maturation of hiPSC-CM.

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Pericyte Progenitor Coupling to the Emerging Endothelium During Vasculogenesis via Connexin 43

Laura Beth Payne et al.

Summary: This study found that a distinct lineage of pericytes emerges alongside vasculogenesis and directly communicates with nascent endothelial cells via Cx43. Loss of Cx43/Gja1 in pericyte progenitors can cause embryonic vessel dysmorphogenesis, but other connexin isoforms may compensate.

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Novel non-steroidal mineralocorticoid receptor antagonists in cardiorenal disease

Ulrich Kintscher et al.

Summary: This review provides information on the molecular pharmacology and relevant clinical data of a new class of non-steroidal MRAs, discussing their cardiorenal outcomes. These compounds have an improved benefit-risk profile in treating cardiovascular diseases, and finerenone has a novel indication.

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Approaches towards tissue-selective pharmacology of the mineralocorticoid receptor

Dorien Clarisse et al.

Summary: Mineralocorticoid receptor antagonists are effective therapies for cardiovascular and renal diseases, but their widespread clinical use is limited by the risk of hyperkalaemia. New strategies are needed to selectively target the harmful effects of the mineralocorticoid receptor while preserving its physiological function.

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Immune cells in cardiac homeostasis and disease: emerging insights from novel technologies

Sabine Steffens et al.

Summary: The use of single-cell immune profiling and advanced microscopic imaging technologies has enhanced our understanding of the cardiac immune system and its role in cardiac diseases.

EUROPEAN HEART JOURNAL (2022)

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Fibroblast-mediated intercellular crosstalk in the healthy and diseased heart

Luka Nicin et al.

Summary: Cardiac fibroblasts are a major cell population in the heart, secreting signals that influence other cells and potentially contributing to disease. Research focuses on interactions between fibroblasts and other heart cells, particularly through paracrine, electrical, and exosomal communication.

FEBS LETTERS (2022)

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CAR T cells produced in vivo to treat cardiac injury

Joel G. Rurik et al.

Summary: This study developed a therapeutic approach to generate antifibrotic CAR T cells in vivo by delivering modified mRNA in T cell-targeted nanoparticles. The efficacy of these in vivo-reprogrammed CAR T cells was evaluated in a mouse model of heart failure.

SCIENCE (2022)

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Remodelling of adult cardiac tissue subjected to physiological and pathological mechanical load in vitro

Fotios G. Pitoulis et al.

Summary: We developed a novel methodology to study chronic load in vitro by using a bioreactor that can recreate the electromechanical events of in vivo pressure-volume loops. Rat living myocardial slices (LMS) were cultured for 3 days with the bioreactor to simulate physiological load, pressure-overload, or volume-overload. The results showed that both pressure- and volume-overloaded LMS exhibited decreased contractility, with volume-overload showing more pronounced effects. Cardiomyocyte hypertrophy and dysregulation of signaling pathways were also observed.

CARDIOVASCULAR RESEARCH (2022)

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Consecutive-Day Ventricular and Atrial Cardiomyocyte Isolations from the Same Heart: Shifting the Cost-Benefit Balance of Cardiac Primary Cell Research

Joachim Greiner et al.

Summary: Freshly isolated primary cardiomyocytes (CM) are essential for cardiac research, but their short viability limits their use. This study presents a method of multi-day CM isolation, which prolongs cell viability and allows for exploration of regional differences in the heart.
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Nerve growth factor transfer from cardiomyocytes to innervating sympathetic neurons activates TrkA receptors at the neuro-cardiac junction

Lolita Dokshokova et al.

Summary: Cardiomyocytes release nerve growth factor (NGF) to support innervating sympathetic neurons in the heart, with neuro-cardiac junctions (NCJ) playing a crucial role in supporting retrograde neurotrophic signaling. The direct link between sympathetic neuron survival and neurotrophin release by cardiomyocytes is essential for heart cellular homeostasis.

JOURNAL OF PHYSIOLOGY-LONDON (2022)

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Electron microscopy of cardiac 3D nanodynamics: form, function, future

Peter Kohl et al.

Summary: This Review discusses the latest insight into the 3D nanostructure of the heart and its impact on cellular function during contraction and relaxation. Technological breakthroughs in biological sample preparation, 3D imaging, and data analysis have provided access to new data and driven the development of smart image-analysis algorithms. The authors highlight the scientific discovery and potential clinical relevance of understanding 3D cardiac nanodynamics, as well as predict further progress in the next decade.

NATURE REVIEWS CARDIOLOGY (2022)

Review Cardiac & Cardiovascular Systems

Epicardial adipose tissue in contemporary cardiology

Gianluca Iacobellis

Summary: There is growing interest in the role of epicardial adipose tissue (EAT) in cardiovascular disease. EAT has a protective effect on the myocardium through thermogenic function and can also be harmful by secreting inflammatory and fibrotic cytokines. EAT may also be involved in COVID-19-related cardiac syndrome. It is a modifiable risk factor that can be assessed using different imaging techniques.

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Mapping the cardiac vascular niche in heart failure

Fabian Peisker et al.

Summary: This study investigates the cellular heterogeneity and transcriptomic changes in the cardiac vascular and perivascular niche during heart failure. The researchers identify specific fibroblast and endothelial cell subpopulations that play important roles in cardiac fibrosis and response to injury, respectively. The findings contribute to a better understanding of hypertrophic cardiac remodeling.

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Fibrotic Signaling in Cardiac Fibroblasts and Vascular Smooth Muscle Cells: The Dual Roles of Fibrosis in HFpEF and CAD

Julian C. Bachmann et al.

Summary: Patients with heart failure and atherosclerosis-driven coronary artery disease experience fibrotic remodeling in both the heart and atherosclerotic plaques. However, the effects of fibrosis differ in these locations. While cardiac fibrosis compromises cardiac function, fibrotic remodeling stabilizes atherosclerotic plaques. Current research is focused on drugs targeting cardiac fibrosis, taking these considerations into account. This review explores the signaling pathways activated in human cardiac fibroblasts and vascular smooth muscle cells, highlighting the overlap and context-dependent effects on extracellular matrix remodeling.
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What is a cell type and how to define it?

Hongkui Zeng

Summary: Cell types are the fundamental units of an organism's function and exhibit diverse phenotypic properties. This review provides an overview of the principles of cell types rooted in evolution and development, focusing on the mammalian brain. It discusses approaches to characterize and classify cell types and proposes a roadmap for understanding the dynamic changes in cellular function under different conditions.
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CRISPR Modeling and Correction of Cardiovascular Disease

Ning Liu et al.

Summary: Cardiovascular disease is the leading cause of deaths and illnesses in developed countries. Mouse models have played a significant role in studying the complex signaling pathways, genetic and epigenetic regulations, and multicellular interactions involved in cardiovascular disease. The advent of CRISPR genome editing has revolutionized cardiovascular research, allowing for rapid modeling and potential genetic correction of disease-causing mutations.

CIRCULATION RESEARCH (2022)

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Accelerating cardiovascular research: recent advances in translational 2D and 3D heart models

Elisa Mohr et al.

Summary: In vitro modeling of the heart is a challenging task in cardiovascular research. Three-dimensional cultivation methods have emerged as a solution to overcome the limitations of traditional two-dimensional cultivation. These methods aim to study the fundamental features of the heart and have great potential in disease research, drug screening, and regenerative therapy. However, there is a need for continuous improvement and adaptation to address limitations such as cardiomyocyte maturation and vascularization.

EUROPEAN JOURNAL OF HEART FAILURE (2022)

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Single-cell transcriptomic analysis identifies murine heart molecular features at embryonic and neonatal stages

Wei Feng et al.

Summary: A detailed single cell atlas of heart development using a large dataset of cells from embryonic and neonatal hearts provides insights into the stage and chamber specific features. The analysis reveals transcriptional profiles, cell type-specific gene expression, and ligand-receptor interactions during heart development, which contributes to our understanding of heart development and congenital heart defects.

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AAV capsid engineering identified two novel variants with improved in vivo tropism for cardiomyocytes

Laura Rode et al.

Summary: AAV2-THGTPAD and AAV2-NLPGSGD are promising novel tools for cardiac-directed gene therapy, outperforming AAV2 and AAV9 in terms of cardiac tissue tropism and transduction efficiency.

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Spatial multi-omic map of human myocardial infarction

Christoph Kuppe et al.

Summary: In this study, an integrative molecular map of human myocardial infarction was generated using multiple analysis methods. The results elucidated the molecular principles of cardiac tissue organization and provided an important reference for mechanistic and therapeutic studies of cardiac disease.

NATURE (2022)

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Characterizing cis-regulatory elements using single-cell epigenomics

Sebastian Preissl et al.

Summary: This article discusses cell type-specific gene regulation and its changes during development and disease. Single-cell epigenomic methods and data analysis tools provide a deeper understanding of gene regulatory programs and their roles in different environments and diseases.

NATURE REVIEWS GENETICS (2022)

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Histone Deacetylase 6 Inhibitor JS28 Prevents Pathological Gene Expression in Cardiac Myocytes

Vivien Ngo et al.

Summary: This study evaluated the potential of 4 epigenetic drugs to prevent adverse gene expression in cardiac myocytes. The HDAC6 inhibitor JS28 was found to be the most effective in preventing pathological gene expression with minimal impact on physiological gene expression. Genome-wide chromatin binding profiles revealed distinct effects of HDAC6 and BRD4 inhibitors on gene expression.

JOURNAL OF THE AMERICAN HEART ASSOCIATION (2022)

Review Cardiac & Cardiovascular Systems

Utilization and Potential of RNA-Based Therapies in Cardiovascular Disease

Emma Louise Robinson et al.

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Challenges and opportunities for the next generation of cardiovascular tissue engineering

Sangkyun Cho et al.

Summary: This Perspective discusses the technologies and challenges in cardiac tissue engineering, and proposes strategies to overcome these challenges. Engineered cardiac tissues derived from human induced pluripotent stem cells offer unique opportunities for personalized disease modeling, drug discovery, and cardiac repair. However, there are still major obstacles to be addressed before the field can move towards commercial and clinical translation.

NATURE METHODS (2022)

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A coalition to heal-the impact of the cardiac microenvironment

Eldad Tzahor et al.

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SCIENCE (2022)

Review Cardiac & Cardiovascular Systems

AAV-mediated gene therapy: Advancing cardiovascular disease treatment

Huili Zhang et al.

Summary: Gene therapy has brought significant advancements to the field of medicine, offering hope for patients with various diseases. Adeno-associated virus (AAV) has shown great potential as a treatment tool due to its safety, sustainable gene expression, and low immunogenicity, especially in the field of cardiovascular disease.

FRONTIERS IN CARDIOVASCULAR MEDICINE (2022)

Article Cardiac & Cardiovascular Systems

Chemical and mechanical activation of resident cardiac macrophages in the living myocardial slice ex vivo model

F. J. G. Waleczek et al.

Summary: Resident cardiac macrophages (rcMACs) exhibit plasticity and activation in response to changes in the microenvironment, which is essential for in vitro experimentation. The ex vivo model of living myocardial slices (LMS) provides a tool to investigate rcMACs response to immunomodulatory and mechanical stimulations without the interference of other cells. The study identified potential marker genes for inflammation in rcMACs and microRNAs associated with transcriptomic changes, contributing to the understanding of load-triggered cardiac inflammation.

BASIC RESEARCH IN CARDIOLOGY (2022)

Article Multidisciplinary Sciences

Single-nucleus profiling of human dilated and hypertrophic cardiomyopathy

Mark Chaffin et al.

Summary: The study identified extensive molecular alterations in failing hearts through single-nucleus RNA sequencing, including changes in transcriptional profiles and the presence of a unique population of activated fibroblasts that are almost absent from non-failing samples. The findings provide new insights into the transcriptional diversity of the human heart in health and disease, as well as potential therapeutic targets and biomarkers for heart failure.

NATURE (2022)

Review Physiology

CARDIAC MECHANO-ELECTRIC COUPLING: ACUTE EFFECTS OF MECHANICAL STIMULATION ON HEART RATE AND RHYTHM

T. Alexander Quinn et al.

Summary: The heart is crucial for biological function and its continuous beating requires precise coordination of billions of cells. Mechano-electric coupling plays a key role in regulating cardiac function, providing acute beat-by-beat feedback from the local mechanical environment to electrical activity. This process is essential for understanding both healthy and diseased states of the heart.

PHYSIOLOGICAL REVIEWS (2021)

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Uncovering an Organ's Molecular Architecture at Single-Cell Resolution by Spatially Resolved Transcriptomics

Jie Liao et al.

Summary: Spatially resolved transcriptomics techniques provide near-single-cell or even subcellular resolution within tissues, revealing fine-scale cellular heterogeneity and the functional and structural foundations of tissue architecture. Mapping the whole 3D transcriptional landscape of tissues with position-coordinating labels enables massive information across higher dimensions.

TRENDS IN BIOTECHNOLOGY (2021)

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Integration of substrate- and flow-derived stresses in endothelial cell mechanobiology

Claire A. Dessalles et al.

Summary: In this review, Dessalles and colleagues examine how vascular endothelial cells respond to mechanical forces from blood flow and physical contact with the basement membrane. They focus on how endothelial cells integrate and interpret different mechanical cues simultaneously, highlighting the importance of understanding these complex interactions in health and disease. The authors also discuss the challenges and open questions in the field of endothelial cell mechanobiology.

COMMUNICATIONS BIOLOGY (2021)

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MicroRNAs: New contributors to mechano-electric coupling and atrial fibrillation

Flavia Ravelli et al.

Summary: Atrial fibrillation is a multifactorial disease that often occurs in the presence of underlying cardiac abnormalities and is supported by electrophysiological and structural alterations. MicroRNAs are emerging as potential regulators in the pathogenesis of AF, particularly in modulating atrial electrical and structural remodeling. Abnormal substrates in various conditions such as hypertension, heart failure, obesity, and sleep apnea contribute to the predisposition to AF.

PROGRESS IN BIOPHYSICS & MOLECULAR BIOLOGY (2021)

Article Cardiac & Cardiovascular Systems

Mechanism and potential treatment of the no reflow phenomenon after acute myocardial infarction: role of pericytes and GPR39

Carmen Methner et al.

Summary: The no reflow phenomenon following treatment of acute myocardial infarction is associated with worse outcomes, with the mechanism remaining unknown. This study demonstrates that GPR39-mediated pericyte contraction during reduced coronary perfusion pressure leads to capillary constriction and subsequent no reflow. Smaller no reflow zones in GPR39-knockout animals and those treated with a GPR39 inhibitor are associated with reduced infarct size, indicating potential therapeutic implications.

AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY (2021)

Article Cardiac & Cardiovascular Systems

Beat-by-Beat Cardiomyocyte T-Tubule Deformation Drives Tubular Content Exchange

Eva A. Rog-Zielinska et al.

Summary: The sarcolemma of cardiomyocytes contains important proteins essential for electromechanical function, with TT playing a crucial role in supporting electromechanical synchronicity within cells. This study suggests the presence of an advective component to TT content exchange, which assists in equilibration with bulk extracellular fluid. The mechanical state of cardiomyocytes affects the speed of diffusion within TT, with cyclic contractile activity accelerating TT diffusion dynamics.

CIRCULATION RESEARCH (2021)

Article Biochemistry & Molecular Biology

A single-cell atlas of chromatin accessibility in the human genome

Kai Zhang et al.

Summary: This study utilized single-cell chromatin accessibility assays to analyze gene regulatory elements in diverse cell types and tissues in the human body, integrating data from adult and fetal tissue to reveal the specificity of cCREs in 222 distinct cell types. The findings provide a foundation for understanding gene regulatory programs across tissues, life stages, and organ systems in humans.
Article Cardiac & Cardiovascular Systems

Autocrine Signaling in Cardiac Remodeling: A Rich Source of Therapeutic Targets

Vincent F. M. Segers et al.

Summary: The myocardium is composed of different cell types, including endothelial cells, cardiomyocytes, and fibroblasts, and communication between these cells is crucial for normal cardiac function. Studies have shown that many ligand-receptor pairs are present in most heart cells, indicating that autocrine signaling is a widespread phenomenon in cardiac remodeling and heart failure. Autocrine signaling is involved in various pathophysiological mechanisms observed in myocardial biology and disease, highlighting its essential role in heart health.

JOURNAL OF THE AMERICAN HEART ASSOCIATION (2021)

Article Cardiac & Cardiovascular Systems

HDAC Inhibition Reverses Preexisting Diastolic Dysfunction and Blocks Covert Extracellular Matrix Remodeling

Joshua G. Travers et al.

Summary: The study demonstrates the therapeutic potential of HDAC inhibition in reversing diastolic dysfunction and uncovers a new mechanism of cardiac fibrosis. The importance of evaluating cardiac fibrosis using diverse methodologies is highlighted through this research.

CIRCULATION (2021)

Article Cardiac & Cardiovascular Systems

Proximity to injury, but neither number of nuclei nor ploidy define pathological adaptation and plasticity in cardiomyocytes

Michael Hesse et al.

Summary: Researchers investigated transcriptomes and cellular features of mononuclear and binuclear cardiomyocytes in adult mouse hearts, finding that mononuclear cardiomyocytes generally had a higher ploidy level. However, gene expression profiles and injury responses in cardiomyocytes were independent of the number of nuclei or ploidy levels.

JOURNAL OF MOLECULAR AND CELLULAR CARDIOLOGY (2021)

Article Cardiac & Cardiovascular Systems

Diabetes changes gene expression but not DNA methylation in cardiac cells

Achim Lother et al.

Summary: Diabetes affects gene expression and DNA methylation in cardiac cells, with stable methylation patterns despite changes in gene expression. Cell type-specific analysis reveals differentially regulated gene programs associated with distinct biological processes in diabetes, highlighting the importance of fibroblast and monocyte interactions in the diabetic heart.

JOURNAL OF MOLECULAR AND CELLULAR CARDIOLOGY (2021)

Review Cardiac & Cardiovascular Systems

The quiescent endothelium: signalling pathways regulating organ-specific endothelial normalcy

Nicolas Ricard et al.

Summary: Endothelial cells play a crucial role in controlling oxygen, nutrient exchange, and cellular trafficking between blood and organs. The quiescent state of endothelium is actively regulated and constantly receives important signalling inputs. Understanding organ-specific pathways and their disruption in vascular pathologies can lead to the development of preventive strategies and new therapeutic targets.

NATURE REVIEWS CARDIOLOGY (2021)

Review Biochemistry & Molecular Biology

Intercellular Communication in the Heart: Therapeutic Opportunities for Cardiac Ischemia

Tania Martins-Marques et al.

Summary: Cell-to-cell communication plays a crucial role in maintaining tissue homeostasis, and disruptions in this communication have been implicated in harmful consequences of heart ischemia and reperfusion, such as arrhythmias and heart failure. Targeting intercellular communication mechanisms may offer potential therapeutic strategies to prevent or repair these consequences and restore myocardial function.

TRENDS IN MOLECULAR MEDICINE (2021)

Article Cell Biology

PDGFRb+ mesenchymal cells, but not NG2+ mural cells, contribute to cardiac fat

Zhen Jiang et al.

Summary: Studies have shown that cardiac mesenchymal cells (MCs) contribute to the formation of cardiac adipocytes (CAs), with PDGFRb(+) MCs identified as the major source. PDGFRb(+) cells are heterogeneous, and PDGFRa(+)PDGFRb(+) double-positive periendothelial fibroblasts play a significant role in contributing to intramyocardial adipocytes.

CELL REPORTS (2021)

Review Cardiac & Cardiovascular Systems

Intrinsic cardiac autonomic nervous system: What do clinical electrophysiologists need to know about the heart brain?

Tolga Aksu et al.

Summary: The autonomic nervous system plays a major role in cardiac arrhythmias, with extrinsic and intrinsic parts affecting cardiac function. Catheter-based modulation of the intrinsic cardiac ANS is emerging as a novel therapy, but the distribution and functional properties of intrinsic cardiac neural elements are still not well understood. This review aims to integrate clinical and anatomical elements to guide clinical electrophysiologists and serve as a reference for further research.

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY (2021)

Article Cardiac & Cardiovascular Systems

Periostin-expressing Schwann cells and endoneurial cardiac fibroblasts contribute to sympathetic nerve fasciculation after birth

Luis Hortells et al.

Summary: This study investigates the origins, heterogeneity, and functions of cardiac SC and ECF during postnatal ICNS maturation, revealing different embryonic origins of these cells. Ablation of Postn+ cells leads to reduced fasciculation of cardiac sympathetic nerves, highlighting the importance of these cells in nerve development.

JOURNAL OF MOLECULAR AND CELLULAR CARDIOLOGY (2021)

Article Multidisciplinary Sciences

Spatiotemporal single-cell RNA sequencing of developing chicken hearts identifies interplay between cellular differentiation and morphogenesis

Madhav Mantri et al.

Summary: By utilizing single-cell and spatial transcriptomics in chicken hearts, the authors conducted a census of cellular interactions from early to late four-chambered heart stage, identifying a distinct epicardial-mesenchymal cell population with a migratory phenotype.

NATURE COMMUNICATIONS (2021)

Article Multidisciplinary Sciences

AAV-mediated YAP expression in cardiac fibroblasts promotes inflammation and increases fibrosis

Jamie Francisco et al.

Summary: Fibrosis is a hallmark of heart disease and the mechanisms that regulate fibroblast differentiation and fibrotic responses are not fully understood. Studies show that overexpression of YAP in cardiac fibroblasts can lead to increased fibrosis and inflammation, negatively impacting cardiac function.

SCIENTIFIC REPORTS (2021)

Article Multidisciplinary Sciences

Cardiac cell type-specific gene regulatory programs and disease risk association

James D. Hocker et al.

Summary: This study identified cCREs in the human heart and found their associations with cardiac cell types and heart failure. It also discovered that genetic variants associated with cardiovascular diseases are enriched within these cCREs, with some potentially linked to atrial fibrillation.

SCIENCE ADVANCES (2021)

Review Biochemistry & Molecular Biology

Fibroblasts: Origins, definitions, and functions in health and disease

Maksim Plikus et al.

Summary: Fibroblasts are diverse mesenchymal cells that play a role in tissue homeostasis and disease, producing complex extracellular matrix and creating signaling niches. They are transcriptionally and functionally heterogeneous across and within organs, encoding positional information and maintaining distinct cellular progeny. Their unique properties make them poised for tissue repair but can also drive fibrotic disorders if activated aberrantly.
Article Biotechnology & Applied Microbiology

Noncoding RNA therapeutics - challenges and potential solutions

Melanie Winkle et al.

Summary: In recent years, RNA-based therapies have gained FDA approval, but there are still challenges in targeting ncRNAs. Therapeutic targeting of noncoding RNAs has the potential to become a new approach for treating diseases such as cancer.

NATURE REVIEWS DRUG DISCOVERY (2021)

Review Physiology

CARDIAC TRANSMEMBRANE ION CHANNELS AND ACTION POTENTIALS: CELLULAR PHYSIOLOGY AND ARRHYTHMOGENIC BEHAVIOR

Andras Varro et al.

Summary: Cardiac arrhythmias often stem from changes in the electro-physiological properties of cardiac cells and their ionic mechanisms. Understanding the pathophysiology of human cellular electrophysiology can aid in developing novel antiarrhythmic strategies.

PHYSIOLOGICAL REVIEWS (2021)

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Mechanical forces regulate endothelial-to-mesenchymal transition and atherosclerosis via an Alk5-Shc mechanotransduction pathway

Vedanta Mehta et al.

Summary: The response of endothelial cells to mechanical forces plays a critical role in vascular health, and vascular pathologies may lead to endothelial-to-mesenchymal transition. This study identifies a unique mechanoreceptor, Alk5, and an Alk5-Shc pathway that are crucial for EndMT and atherosclerosis.

SCIENCE ADVANCES (2021)

Article Cardiac & Cardiovascular Systems

Single-Cell RNA Sequencing of the Adult Mammalian Heart-State-of-the-Art and Future Perspectives

Monika M. Gladka

Summary: The application of scRNA-seq in cardiovascular research is growing, offering detailed insights into cardiac pathophysiology.

CURRENT HEART FAILURE REPORTS (2021)

Review Oncology

Recent advances and discoveries in the mechanisms and functions of CAR T cells

Rebecca C. Larson et al.

Summary: This review summarizes the major advances that have been made in the efficacy and safety of CAR T cell therapies over the past 3 years and looks ahead to new findings that will impact the future of this immunotherapy.

NATURE REVIEWS CANCER (2021)

Article Cardiac & Cardiovascular Systems

Novel antisense therapy targeting microRNA-132 in patients with heart failure: results of a first-in-human Phase 1b randomized, double-blind, placebo-controlled study

Jorg Taubel et al.

Summary: The study evaluated the safety and mechanism of action of CDR132L in patients with chronic ischemic heart failure, showing that CDR132L is safe and well tolerated, effectively reducing miR-132 levels and improving cardiac function.

EUROPEAN HEART JOURNAL (2021)

Article Cardiac & Cardiovascular Systems

Novel antisense therapy targeting microRNA-132 in patients with heart failure: results of a first-in-human Phase 1b randomized, double-blind, placebo-controlled study

Jorg Taubel et al.

Summary: The first-in-class miR-132 inhibitor, CDR132L, showed good safety and tolerability in HF patients. It effectively reduced miR-132 levels, decreased NT-proBNP levels, and potentially improved cardiac function.

EUROPEAN HEART JOURNAL (2021)

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