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Updated: Apr 20, 2026

T and B Cell Receptor Immune Repertoire Analysis using Next-generation Sequencing
Published on: January 12, 2021
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.
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.
Abstract:
Cardiovascular diseases (CVD) are shaped by a complex interplay with immune mechanisms. In particular, the distinct roles of antigen-specific T cell mechanisms are emerging as critical determinants across a broad spectrum of conditions, ranging from atherosclerosis, myocardial infarction (MI), heart failure (HF), and myocarditis. Because these T cell responses are fundamentally driven by antigen recognition of cardiovascular antigens, understanding T cell clonal dynamics via accessing T cell receptor (TCR) repertoires might provide valuable mechanistic insights for developing targeted diagnostic and therapeutic immunomodulatory approaches in cardiology. In this review, we discuss T cell-dependent mechanisms and TCR clonal dynamics across various CVD. Moreover, by curating public bulk and single-cell TCR datasets across different etiologies, we present a first-in-class adaptive immune receptor database in cardiovascular diseases (CVD-TCR database). The discussions and resources herein presented seek to promote an integrated understanding of tissue-specific immune mechanisms across different CVD, facilitate the identification of shared clonotypes and motifs, and provide a framework for computational modeling of TCR repertoires across the CVD spectrum.
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Diversity of Antigen Receptors
Before encountering any antigen, lymphocytes express these receptors. On B cells, the antigen receptor is a membrane-bound antibody molecule called BCR; on T cells, it is a T cell receptor or TCR. B and T cell receptors are composed of two...

