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Updated: Oct 13, 2025

Scanning Electron Microscopy of Macerated Tissue to Visualize the Extracellular Matrix
Published on: June 14, 2016
Fibroblast-mediated intercellular crosstalk in the healthy and diseased heart
Luka Nicin1,2,3, Julian U G Wagner1,2,3, Guillermo Luxán1,2,3
1Institute for Cardiovascular Regeneration, Goethe University, Frankfurt am Main, Germany.
Insights
Cardiac fibroblasts are key signaling hubs in the heart, influencing health and disease. This review explores their interactions with cardiomyocytes, endothelial, and immune cells via paracrine, electrical, and exosomal routes.
Area of Science:
- Cardiovascular Biology
- Cellular Communication
- Cardiac Fibroblast Biology
Background:
- Cardiac fibroblasts are a major cell type in the heart, crucial for tissue structure and function.
- They secrete extracellular matrix and signaling factors, significantly shaping the cardiac microenvironment.
- Single-cell RNA sequencing reveals fibroblasts as primary sources of intercellular communication signals.
Purpose of the Study:
- To review current knowledge on cardiac fibroblast interactions in healthy, diseased, and aging hearts.
- To focus on interactions between fibroblasts and cardiomyocytes, endothelial cells, and immune cells.
- To highlight communication modes including paracrine, electrical, and exosomal signaling.
Main Methods:
- In silico analysis of single-cell RNA sequencing data.
- Literature review of existing research on cardiac fibroblast interactions.
- Focus on specific cell-cell communication pathways.
Main Results:
- Fibroblasts are identified as the predominant source of outgoing signals in the heart.
- These signals orchestrate cellular interactions vital for homeostasis.
- Dysregulated fibroblast signaling contributes to cardiac disease states.
Conclusions:
- Cardiac fibroblasts play pivotal roles in maintaining heart function and in the pathogenesis of cardiac diseases.
- Understanding fibroblast communication networks is essential for developing therapeutic strategies.
- Further research into paracrine, electrical, and exosomal interactions will elucidate fibroblast roles in cardiac health and aging.
Abstract:
Cardiac fibroblasts constitute a major cell population in the heart. They secrete extracellular matrix components and various other factors shaping the microenvironment of the heart. In silico analysis of intercellular communication based on single-cell RNA sequencing revealed that fibroblasts are the source of the majority of outgoing signals to other cell types. This observation suggests that fibroblasts play key roles in orchestrating cellular interactions that maintain organ homeostasis but that can also contribute to disease states. Here, we will review the current knowledge of fibroblast interactions in the healthy, diseased, and aging heart. We focus on the interactions that fibroblasts establish with other cells of the heart, specifically cardiomyocytes, endothelial cells and immune cells, and particularly those relying on paracrine, electrical, and exosomal communication modes.
Related Concept Videos
Introduction to Fibroblasts
Myocarditis I: Introduction
Extracellular Matrix
Heart Failure II: Pathophysiology

