Coronary disease & ACS

Fibroblast-Specific Loss of TGF-β Signaling Mediates Lipomatous Metaplasia in the Infarcted Heart

CirculationPublished Mechanistic study

Authors' conclusion

TGF-β signaling plays a central role in maintaining fibroblast cell specification after cardiac injury. Fibroblast-to-adipocyte conversion induced by disrupted TGF-β signaling may underlie scar-associated lipomatous metaplasia and may play an important role in the pathogenesis of heart failure and arrhythmogenesis in patients with ischemic cardiomyopathy.

Study context

Population
Mice undergoing reperfused and nonreperfused MI; human infarcted hearts (single-cell RNA sequencing)
Comparison
Fibroblast-specific TbR2 loss vs controls
Outcome
Postinfarction cardiac rupture, adipocyte replacement of mature scar and fibroblast-to-adipocyte conversion with fibroblast-specific TbR2 loss
Methodological detailsmouse models, lineage tracing, human single-cell RNA sequencing
  • Mouse models
  • Lineage tracing
  • Human single-cell RNA sequencing

Main finding

As reported in the abstract

Fibroblast-specific TbR2 loss: replacement of mature scar with adipocytes in reperfused and nonreperfused infarcts

30% to 40%

Original publication

Fibroblast-Specific Loss of TGF-β Signaling Mediates Lipomatous Metaplasia in the Infarcted Heart. Circulation. Published 19 September 2025. doi:10.1161/circulationaha.125.075676

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