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Updated: Sep 30, 2025

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Published on: November 3, 2020
The dynamic facets of the cardiac stroma: from classical markers to omics and translational perspectives
Vittorio Picchio1, Antonella Bordin1, Erica Floris1
1Department of Medical Surgical Sciences and Biotechnologies, Sapienza University of Rome Italy.
Insights
Cardiac stromal cells, once underestimated, are now recognized for their complex roles in heart repair and homeostasis. Understanding these diverse cell populations is key to developing new therapies for cardiac fibrosis and remodeling.
Area of Science:
- Cardiology
- Cell Biology
- Biomedical Science
Background:
- Cardiac stromal cells, including cardiac fibroblasts, have historically been underestimated in their roles.
- Recent single-cell transcriptomic studies reveal significant phenotypic plasticity and diverse populations within the cardiac stroma.
- The complexity of cardiac stromal cells in homeostasis and response to injury is increasingly recognized.
Purpose of the Study:
- To review current phenotypical and molecular markers for identifying and classifying cardiac stromal cells.
- To synthesize recent advances in understanding cardiac stromal cell populations.
- To provide a foundation for developing novel therapeutic strategies for cardiac conditions.
Main Methods:
- Review of existing literature on cardiac stromal cells.
- Analysis of single-cell transcriptomic data.
- Identification and classification of cell markers and populations.
Main Results:
- The cardiac stroma comprises diverse cell populations with dynamic transcriptional profiles.
- Phenotypic plasticity of cardiac stromal cells is evident in both homeostatic and pathological conditions.
- New markers and classification approaches are emerging for these cell types.
Conclusions:
- A deeper understanding of cardiac stromal cells is crucial for comprehending myocardial function.
- Advances in characterizing these cells offer a platform for novel therapeutic interventions.
- Targeting cardiac stromal populations may counteract cardiac fibrosis and adverse remodeling.
Abstract:
Cardiac stromal cells have been long underestimated in their functions in homeostasis and repair. Recent evidence has changed this perspective in that many more players and facets than just "cardiac fibroblasts" have entered the field. Single cell transcriptomic studies on cardiac interstitial cells have shed light on the phenotypic plasticity of the stroma, whose transcriptional profile is dynamically regulated in homeostatic conditions and in response to external stimuli. Different populations and/or functional states that appear in homeostasis and pathology have been described, particularly increasing the complexity of studying the cardiac response to injury. In this review, we outline current phenotypical and molecular markers, and the approaches developed for identifying and classifying cardiac stromal cells. Significant advances in our understanding of cardiac stromal populations will provide a deeper knowledge on myocardial functional cellular components, as well as a platform for future developments of novel therapeutic strategies to counteract cardiac fibrosis and adverse cardiac remodeling.
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