Heart failure & cardiomyopathies

Recovery From Heart Failure: Microvascular Mechanisms

CirculationPublished Mechanistic study

Authors' conclusion

HF recovery involves reduced fibrosis and enhanced microvascularization, partly driven by fibroblast-to-endothelial cell fate transition.

Study context

Population
Patients with heart failure (HF) undergoing left ventricular assist device (LVAD) implantation and explantation; murine model of HF recovery
Comparison
Post-LVAD vs pre-LVAD myocardium

Main finding

As reported in the abstract

  • Post-LVAD tissue: reduced fibrosis and increased capillary density vs pre-LVAD
  • Fibroblast abundance inversely correlated with endothelial cell abundance
  • Single-nucleus RNA sequencing: fibroblast subset predisposed to mesenchymal-to-endothelial transition
  • Pre-LVAD nonmyocytes proliferated poorly, no vascular structures; post-LVAD nonmyocytes greater proliferation and angiogenesis, vessel-like structures
  • c-Myc knockdown shifted post-LVAD nonmyocytes to pre-LVAD-like state; c-Myc overexpression induced post-LVAD-like phenotype in pre-LVAD cells
  • Murine HF recovery model: increased microvascular perfusion with fibroblast-to-endothelial transition by lineage tracing

Original publication

Recovery From Heart Failure: Microvascular Mechanisms. Circulation. Published 25 March 2026. doi:10.1161/circulationaha.125.078996

Composed by AI from the published abstract and checked against it. How Briefs are made →

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