Integrative Single-Cell Analysis of Cardiomyopathy Identifies Differences in Cell Stemness and Transcriptional

Wenyang Nie1,2, Zhijie Zhao3,4, Yuhang Liu5

  • 1Department of Cardiovascular Diseases, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, 16369 Jing 10 Rd, Jinan 250000, China.

Insights

This study reveals that AGT+ fibroblasts are key players in cardiomyopathy progression, potentially worsening myocardial fibrosis and cardiac dysfunction. Targeting these specific fibroblast subpopulations offers new therapeutic avenues for treating cardiomyopathy.

Area of Science:

  • Cardiology
  • Molecular Biology
  • Genomics

Background:

  • Cardiomyopathy involves myocardial diseases leading to heart failure and arrhythmias.
  • Myocardial fibrosis is a key pathological process in cardiomyopathy, driven by cardiac fibroblasts.
  • Limited understanding exists regarding cardiac fibroblast plasticity and transcriptional regulation in cardiomyopathy.

Purpose of the Study:

  • To conduct a comprehensive single-cell analysis of cardiac fibroblasts in cardiomyopathy.
  • To explore differences in cellular plasticity and transcriptional regulatory networks among fibroblast subpopulations.
  • To provide references for cardiomyopathy diagnosis, prognosis, and treatment.

Main Methods:

  • Single-cell RNA sequencing and analysis of 179,927 cells.
  • Clustering into 32 cell types, including 4 cardiac fibroblast subpopulations.
  • Gene Ontology (GO) analysis, AUCell, Monocle, and SCENIC for transcriptional analysis.

Main Results:

  • Identified 4 cardiac fibroblast subpopulations: C0 THBS4+, C1 LINC01133+, C2 FGF7+, and C3 AGT+ Fibroblasts.
  • C3 AGT+ Fibroblasts are linked to immune response, protein transport, and myocardial function, correlating with disease progression.
  • FOS identified as a key transcription factor in C3 AGT+ Fibroblasts, associated with proliferation and protein hydrolysis.

Conclusions:

  • C3 AGT+ Fibroblasts show heightened sensitivity to adverse cardiomyopathy outcomes like fibrosis and impaired function.
  • Differential activity of fibroblast subpopulations offers novel therapeutic targets for cardiomyopathy.
  • Stemness genes EPAS1, MYC, and regulator FOS may modulate cardiac fibroblast biology in cardiomyopathy.
Abstract