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Dual genetic tracing reveals a unique fibroblast subpopulation modulating cardiac fibrosis
论文作者 Han, MY; Liu, ZX; Liu, L; Huang, XZ; Wang, HX; Pu, WJ; Wang, EC; Liu, XX; Li, Y; He, LJ; Li, XF; Wu, JY; Qiu, L; Shen, RL; Wang, QD; Ji, Y; Ardehali, R; Shu, Q; Lui, KO; Wang, LX; Zhou, B
期刊/会议名称 NATURE GENETICS
论文年度 2023
论文类别 Article
摘要 After severe heart injury, fibroblasts are activated and proliferate excessively to form scarring, leading to decreased cardiac function and eventually heart failure. It is unknown, however, whether cardiac fibroblasts are heterogeneous with respect to their degree of activation, proliferation and function during cardiac fibrosis. Here, using dual recombinase-mediated genetic lineage tracing, we find that endocardium-derived fibroblasts preferentially proliferate and expand in response to pressure overload. Fibroblast-specific proliferation tracing revealed highly regional expansion of activated fibroblasts after injury, whose pattern mirrors that of endocardium-derived fibroblast distribution in the heart. Specific ablation of endocardium-derived fibroblasts alleviates cardiac fibrosis and reduces the decline of heart function after pressure overload injury. Mechanistically, Wnt signaling promotes activation and expansion of endocardium-derived fibroblasts during cardiac remodeling. Our study identifies endocardium-derived fibroblasts as a key fibroblast subpopulation accounting for severe cardiac fibrosis after pressure overload injury and as a potential therapeutic target against cardiac fibrosis. Genetic lineage tracing in mice shows that endocardium-derived fibroblasts preferentially proliferate in response to pressure overload. Ablation of these cells alleviates cardiac fibrosis and reduces functional decline after pressure overload injury.
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