Profiling cardiomyocytes at single cell resolution reveals COX7B could be a potential target for attenuating heart

Shi Chen1, Kui Wang2, Jingyu Wang3

  • 1State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Insights

Investigating cardiomyocyte transcriptomic heterogeneity in hypertrophic cardiomyopathy (HCM) revealed three subsets. Targeting Cytochrome c oxidase subunit 7B (COX7B) and preserving energy synthesis may offer new therapeutic strategies for heart failure (HF).

Area of Science:

  • Cardiovascular Biology
  • Molecular Cardiology
  • Genomics

Background:

  • Cardiac hypertrophy can progress to end-stage heart failure (HF), necessitating heart transplantation or leading to death.
  • Preserving cardiomyocyte (CM) function is crucial for improving outcomes in hypertrophic cardiomyopathy (HCM) patients.
  • Understanding CM transcriptomic heterogeneity in HCM is vital for identifying therapeutic targets.

Purpose of the Study:

  • To investigate the transcriptomic heterogeneity of cardiomyocytes in nonfailing hypertrophic cardiomyopathy (HCM) hearts.
  • To explore the role of Cytochrome c oxidase subunit 7B (COX7B) in cardiac hypertrophy and heart failure progression.

Main Methods:

  • Single-cell tagged reverse transcription sequencing (STRT-seq) was used to analyze transcriptomes of 338 primary human CMs from HCM patients.
  • Adeno-associated virus 9 (AAV9) mediated COX7B expression in a mouse model of pressure overload-induced cardiac hypertrophy.

Main Results:

  • HCM cardiomyocytes were categorized into three subsets: high energy synthesis, high cellular metabolism, and intermediate.
  • Electron transport chain (ETC) gene expression, including COX7B, was upregulated in larger CMs from the high energy synthesis cluster.
  • COX7B expression was compensatory upregulated in early-stage HCM but downregulated in failing hearts; its modulation affected HF progression in mice.

Conclusions:

  • Targeting COX7B and enhancing energy synthesis in hypertrophic CMs presents a promising therapeutic strategy for heart failure.
  • COX7B plays a role in both cardiac hypertrophy and heart failure progression, with potential for therapeutic intervention.

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