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Linking Mitochondrial Dysfunction to the Immune Microenvironment in HFpEF: An Integrated Bioinformatics and
Yingying Xie1,2, Haoming He1, Yike Li1
1Department of Cardiology, China-Japan Friendship Hospital (Institute of Clinical Medical Sciences), Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Two key mitochondrial genes, CHCHD1 and EFHD1, are linked to heart failure with preserved ejection fraction (HFpEF). Reduced EFHD1 expression correlates with increased macrophage infiltration and heart failure severity, suggesting new therapeutic targets.
Area of Science:
- Cardiology
- Mitochondrial Biology
- Immunology
Background:
- Heart failure with preserved ejection fraction (HFpEF) pathogenesis involves poorly understood mitochondrial dysfunction and immune infiltration.
- Elucidating the relationship between mitochondrial genes and immune response is crucial for understanding HFpEF.
Purpose of the Study:
- To investigate the interplay between mitochondrial dysfunction and immune cell infiltration in HFpEF.
- To identify key mitochondrial genes regulating these processes in HFpEF.
Main Methods:
- Integrated bioinformatics analysis of human HFpEF datasets (GSE108904, GSE126062).
- Differential gene expression analysis, Weighted Gene Co-expression Network Analysis (WGCNA), and MitoCarta3.0 database utilization.
- Experimental validation in peripheral blood mononuclear cells (PBMCs) from HFpEF patients and in HFpEF mouse/cell models.
Main Results:
- Identified CHCHD1 and EFHD1 as hub mitochondrial genes associated with HFpEF.
- Observed increased macrophage infiltration in HFpEF, negatively correlated with CHCHD1 and EFHD1 expression.
- Confirmed decreased EFHD1 expression in HFpEF PBMCs, mouse hearts, and cellular inflammation models; EFHD1 negatively correlated with HF indicators (NT-proBNP, E/e').
Conclusions:
- CHCHD1 and EFHD1 are key mitochondrial genes linking mitochondrial dysfunction to immune dysregulation in HFpEF.
- These findings offer novel insights into HFpEF molecular mechanisms.
- CHCHD1 and EFHD1 represent potential therapeutic targets for HFpEF.
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