T Cell Receptor Repertoires Across the Continuum of Vascular, Myocardial, and Age-Related Diseases

Leon Richter1,2, João Dias-Ferreira2,3, Gustavo Campos Ramos1,2

  • 1Department of Internal Medicine I, University Hospital Würzburg, Würzburg, Germany.

Immunological Reviews
|April 19, 2026
PubMed

Insights

Cardiovascular diseases involve immune responses, particularly T cells recognizing heart antigens. Analyzing T cell receptor repertoires offers insights into disease mechanisms and potential immunotherapies for heart conditions.

Area of Science:

  • Immunology
  • Cardiology
  • Computational Biology

Background:

  • Cardiovascular diseases (CVD) are influenced by complex immune system interactions.
  • Antigen-specific T cell responses are critical in conditions like atherosclerosis, myocardial infarction (MI), heart failure (HF), and myocarditis.
  • Understanding T cell receptor (TCR) repertoires is key to elucidating CVD mechanisms.

Purpose of the Study:

  • To review T cell-dependent mechanisms and TCR clonal dynamics in various CVD.
  • To present the first cardiovascular disease T cell receptor (CVD-TCR) database.
  • To promote integrated understanding and computational modeling of immune responses in CVD.

Main Methods:

  • Review of existing literature on T cell mechanisms in CVD.
  • Curation of public bulk and single-cell TCR sequencing datasets.
  • Development of the CVD-TCR database.

Main Results:

  • Identification of T cell clonal dynamics as a significant factor in CVD.
  • Establishment of a comprehensive CVD-TCR database integrating diverse datasets.
  • Framework for analyzing shared TCR clonotypes and motifs across CVD.

Conclusions:

  • TCR repertoire analysis provides valuable mechanistic insights into CVD.
  • The CVD-TCR database serves as a resource for understanding tissue-specific immunity in heart diseases.
  • This work facilitates the development of targeted immunomodulatory diagnostics and therapeutics for cardiovascular conditions.

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