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Updated: Apr 10, 2026

Suppression of Pro-fibrotic Signaling Potentiates Factor-mediated Reprogramming of Mouse Embryonic Fibroblasts into Induced Cardiomyocytes
Published on: June 3, 2018
A specific inflammatory suppression fibroblast subpopulation characterized by MHCII expression in human dilated
Xi Fan1, Kai Huang1, Yuming Wu2
1Department of Cardiothoracic Surgery, Huashan Hospital of Fudan University, 12 Wulumuqi Rd, Shanghai, 200040, China.
Insights
Researchers discovered a new fibroblast subtype, antigen-presenting fibroblasts (apFBs), in dilated cardiomyopathy (DCM). These apFBs express MHCII genes and help suppress inflammation, offering a potential therapeutic target for heart failure.
Area of Science:
- Cardiovascular Biology
- Immunology
- Single-cell Genomics
Background:
- Dilated cardiomyopathy (DCM) is a major cause of heart failure, often necessitating transplantation.
- Fibroblasts are key players in the DCM's fibro-inflammatory microenvironment.
- The cellular diversity and immune interactions of fibroblasts in DCM remain poorly understood.
Purpose of the Study:
- To identify novel fibroblast subpopulations and their roles in the DCM microenvironment.
- To investigate intercellular communication between fibroblasts and immune cells in DCM.
- To explore the diagnostic and prognostic potential of identified fibroblast signatures.
Main Methods:
- Integrative analysis of single-cell RNA sequencing (ScRNA-Seq) data from human heart tissues (healthy and DCM).
- Immunofluorescence staining to confirm the presence of identified fibroblast subtypes.
- Analysis of intercellular communication pathways and gene expression signatures.
- Validation using bulk RNA sequencing datasets.
Main Results:
- Identification of a novel fibroblast subtype, antigen-presenting fibroblasts (apFBs), characterized by MHCII gene expression.
- apFBs exhibit high expression of IFN-γ-responsive genes and JAK-STAT pathway activity.
- Upregulation of anti-inflammatory ligand-receptor pairs (TGFB-TGFR, CLEC2B-KLRB1, CD46-JAG1) in apFB-CD4+ T cell communication in DCM.
- apFB signature correlates with immunosuppression and shows diagnostic/prognostic value.
Conclusions:
- A novel MHCII-expressing fibroblast subpopulation (apFBs) has been identified in DCM.
- These apFBs play a role in suppressing inflammation within the DCM microenvironment.
- Findings provide insights into DCM's fibro-inflammatory landscape and suggest apFBs as a therapeutic target.
Abstract:
Dilated cardiomyopathy (DCM) is a significant cause of heart failure that requires heart transplantation. Fibroblasts play a central role in the fibro-inflammatory microenvironment of DCM. However, their cellular heterogeneity and interaction with immune cells have not been well identified. An integrative analysis was conducted on single-cell RNA sequencing (ScRNA-Seq) data from human left ventricle tissues, which comprised 4 hearts from healthy donors and 6 hearts with DCM. The specific antigen-presenting fibroblast (apFB) was explored as a subtype of fibroblasts characterized by expressing MHCII genes, the existence of which was confirmed by immunofluorescence staining of 3 cardiac tissues from DCM patients with severe heart failure. apFB highly expressed the genes that response to IFN-γ, and it also have a high activity of the JAK-STAT pathway and the transcription factor RFX5. In addition, the analysis of intercellular communication between apFBs and CD4+T cells revealed that the anti-inflammatory ligand-receptor pairs TGFB-TGFR, CLEC2B-KLRB1, and CD46-JAG1 were upregulated in DCM. The apFB signature exhibited a positive correlation with immunosuppression and demonstrated diagnostic and prognostic value when evaluated using a bulk RNA dataset comprising 166 donors and 166 DCM samples. In conclusion, the present study identified a novel subpopulation of fibroblasts that specifically expresses MHCII-encoding genes. This specific apFBs can suppress the inflammation occurring in DCM. Our findings further elucidate the composition of the fibro-inflammatory microenvironment in DCM, and provide a novel therapeutic target.
Related Concept Videos
Introduction to Fibroblasts
Myocarditis I: Introduction
Cardiomyopathy II: Dilated Cardiomyopathy
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Cardiomyopathy IV: Restrictive Cardiomyopathy

