miR-363-5p- and IL-34-mediated modulation of pacemaker channel, HCN4, on iPSC-CM: Translation into the human sinus

Zeyuan Yin1, Tong Fu2, Lu Fu3

  • 1Cardiovascular Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom; Department of Cardiology, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China; The First Clinical Medical School, Xuzhou Medical University, Xuzhou, China; Jiangsu Key Laboratory of New Drug Research and Clinical Pharmacy, Xuzhou Medical University, Xuzhou, China.

Heart Rhythm
|July 11, 2025
PubMed
Abstract

Insights

Macrophages and interleukin-34 (IL-34) enhance sinus node (SN) function by promoting a nodal-like phenotype. However, elevated miR-363-5p in aging may reverse these beneficial effects, impacting heart rate regulation.

Area of Science:

  • Cardiovascular Biology
  • Cellular and Molecular Medicine
  • Regenerative Medicine

Background:

  • The human sinus node (SN) microenvironment involves cardiac fibroblasts and macrophages, with microRNAs (miRNAs) and interleukins regulating its function.
  • Mechanisms by which these factors influence heart rate are not fully understood.

Purpose of the Study:

  • Investigate the role of the SN microenvironment, including miRNAs, interleukins, macrophages, and fibroblasts.
  • Determine their impact on induced pluripotent stem cell-derived cardiomyocytes (iPSC-CMs) and heart rate modulation.

Main Methods:

  • Performed multiomics analysis comparing human SN and right atria.
  • Cocultured human iPSC-CMs with M2-type macrophages (M2s) and fibroblasts.
  • Investigated interleukin 34 (IL-34) signaling pathways and miRNA effects (miR-363-5p) in cellular and human serum samples.

Main Results:

  • M2 macrophages and fibroblasts were identified in the SN.
  • Coculture with M2s induced a nodal-like phenotype in iPSC-CMs, associated with elevated IL-34 secretion by M2s.
  • IL-34 promoted this phenotype via CSF1R/STAT3 signaling, upregulating HCN4. miR-363-5p inhibited M2 differentiation and reversed the nodal-like shift; it was elevated with reduced IL-34 in aged individuals with SN dysfunction.

Conclusions:

  • M2 macrophages contribute to SN function by secreting IL-34, enhancing SN activity through HCN4 upregulation.
  • Elevated miR-363-5p in age-related SN dysfunction may counteract these effects, potentially impairing heart rate regulation.