PBX/Knotted 1 homeobox-2 (PKNOX2) is a novel regulator of myocardial fibrosis

Much effort has been made to uncover the cellular heterogeneities of human hearts by single-nucleus RNA sequencing. However, the cardiac transcriptional regulation networks have not been systematically described because of the limitations in detecting transcription factors. In this study, we optimiz...

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Detalles Bibliográficos
Autores: Chen, Liang, Li, Haotong, Liu, Xiaorui, Zhang, Ningning, Wang, Kui, Shi, Anteng, Gao, Hang, Akdis, Deniz, Saguner, Ardan M.|||0000-0003-1896-0803, Xu, Xinjie, Osto, Elena|||0000-0001-8196-5696, Van de Veen, Willem, Li, Guangyu, Bayés-Genís, Antoni|||0000-0002-3044-197X, Duru, Firat|||0000-0002-4748-0158, Song, Jiangping, Li, Xiangjie, Hu, Shengshou
Tipo de recurso: artículo
Fecha de publicación:2024
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:301870
Acceso en línea:https://ddd.uab.cat/record/301870
https://dx.doi.org/urn:doi:10.1038/s41392-024-01804-5
Access Level:acceso abierto
Palabra clave:Animals
Fibrosis
Genes, Homeobox
Heart
Humans
Mice
RNA
Transcription Factors
Descripción
Sumario:Much effort has been made to uncover the cellular heterogeneities of human hearts by single-nucleus RNA sequencing. However, the cardiac transcriptional regulation networks have not been systematically described because of the limitations in detecting transcription factors. In this study, we optimized a pipeline for isolating nuclei and conducting single-nucleus RNA sequencing targeted to detect a higher number of cell signal genes and an optimal number of transcription factors. With this unbiased protocol, we characterized the cellular composition of healthy human hearts and investigated the transcriptional regulation networks involved in determining the cellular identities and functions of the main cardiac cell subtypes. Particularly in fibroblasts, a novel regulator, PKNOX2, was identified as being associated with physiological fibroblast activation in healthy hearts. To validate the roles of these transcription factors in maintaining homeostasis, we used single-nucleus RNA-sequencing analysis of transplanted failing hearts focusing on fibroblast remodelling. The trajectory analysis suggested that PKNOX2 was abnormally decreased from fibroblast activation to pathological myofibroblast formation. Both gain- and loss-of-function in vitro experiments demonstrated the inhibitory role of PKNOX2 in pathological fibrosis remodelling. Moreover, fibroblast-specific overexpression and knockout of PKNOX2 in a heart failure mouse model induced by transverse aortic constriction surgery significantly improved and aggravated myocardial fibrosis, respectively. In summary, this study established a high-quality pipeline for single-nucleus RNA-sequencing analysis of heart muscle. With this optimized protocol, we described the transcriptional regulation networks of the main cardiac cell subtypes and identified PKNOX2 as a novel regulator in suppressing fibrosis and a potential therapeutic target for future translational studies.