Heart failure & cardiomyopathies

CCND1 Mitigates Ischemia-Induced Pathological Cardiac Remodeling by Promoting Cardiac Monocyte–Derived Macrophage Transition to a Reparative Phenotype

CirculationPublished Mechanistic study

Authors' conclusion

Our findings identify the CCND1-PDK4 axis as a key regulator of macrophage functional reprogramming toward a reparative phenotype after MI

Study context

Population
Patients with and without myocardial infarction (MI) (peripheral blood mononuclear cells); mouse MI model
Methodological detailshuman single-cell RNA sequencing, genetic lineage tracing, macrophage-specific Ccnd1 knockout mice, MI mouse model
  • Human single-cell RNA sequencing
  • Genetic lineage tracing
  • Macrophage-specific Ccnd1 knockout mice
  • MI mouse model

Main finding

As reported in the abstract

  • CCND1 levels in PBMCs, monocytes and cardiac macrophages from MI patients significantly decreased
  • Macrophage-specific and monocyte-derived macrophage-specific CCND1 deletion worsened MI-induced cardiac dysfunction and adverse remodeling, via amplified inflammatory responses
  • CCND1 directly interacted with PDK4 and facilitated its ubiquitination by recruiting RPL11 and mouse double minute 2
  • CCND1 suppressed PDK4-driven PDH phosphorylation, enhanced glucose oxidation and shifted macrophages toward an anti-inflammatory phenotype
  • Overexpression of the CCND1-PDK4 binding motif or PDK4 knockdown in macrophages improved cardiac function and mitigated adverse remodeling after MI, independent of CCND1's cell cycle role

Original publication

CCND1 Mitigates Ischemia-Induced Pathological Cardiac Remodeling by Promoting Cardiac Monocyte–Derived Macrophage Transition to a Reparative Phenotype. Circulation. Published 15 September 2026. doi:10.1161/circulationaha.126.079966

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