Heart failure & cardiomyopathies

Single-Cell Reconstruction of Progression Trajectory Reveals Intervention Principles in Pathological Cardiac Hypertrophy

CirculationPublished Mechanistic study

An erratum to this article was published (Circulation, 15 Apr 2025 ↗)

Authors' conclusion

Together, our study not only illustrated dynamically changing cell type crosstalk during pathological cardiac hypertrophy but also shed light on strategies for cell type- and stage-specific intervention in cardiac diseases.

Study context

Population
Mouse model of pressure overload-induced cardiac hypertrophy; human samples of hypertrophic cardiomyopathy and HF
Participants
11,492 single cells
Methodological detailsmouse model, single-cell transcriptomics
  • Mouse model
  • Single-cell transcriptomics

Main finding

As reported in the abstract

  • Dynamics of all major cardiac cell types (cardiomyocytes, endothelial cells, fibroblasts, macrophages) and subtypes during disease progression
  • Stagewise utilization of specific noncardiomyocytes during deterioration of heart function
  • Macrophage activation and subtype switching at middle-stage hypertrophy targeted by dapagliflozin (SGLT2 inhibitor), TD139 and Arglabin to preserve cardiac function and attenuate fibrosis
  • Similar molecular patterns of hypertrophy in human hypertrophic cardiomyopathy and HF samples

Original publication

Single-Cell Reconstruction of Progression Trajectory Reveals Intervention Principles in Pathological Cardiac Hypertrophy. Circulation. Published 26 February 2020. doi:10.1161/circulationaha.119.043053

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