Specialized fibroblast differentiated states underlie scar formation in the infarcted mouse heart

Fibroblasts are a dynamic cell type that achieve selective differentiated states to mediate acute wound healing and long-term tissue remodeling with scarring. With myocardial infarction injury, cardiomyocytes are replaced by secreted extracellular matrix proteins produced by proliferating and differ...

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Veröffentlicht in:The Journal of clinical investigation 2018-05, Vol.128 (5), p.2127-2143
Hauptverfasser: Fu, Xing, Khalil, Hadi, Kanisicak, Onur, Boyer, Justin G, Vagnozzi, Ronald J, Maliken, Bryan D, Sargent, Michelle A, Prasad, Vikram, Valiente-Alandi, Iñigo, Blaxall, Burns C, Molkentin, Jeffery D
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container_end_page 2143
container_issue 5
container_start_page 2127
container_title The Journal of clinical investigation
container_volume 128
creator Fu, Xing
Khalil, Hadi
Kanisicak, Onur
Boyer, Justin G
Vagnozzi, Ronald J
Maliken, Bryan D
Sargent, Michelle A
Prasad, Vikram
Valiente-Alandi, Iñigo
Blaxall, Burns C
Molkentin, Jeffery D
description Fibroblasts are a dynamic cell type that achieve selective differentiated states to mediate acute wound healing and long-term tissue remodeling with scarring. With myocardial infarction injury, cardiomyocytes are replaced by secreted extracellular matrix proteins produced by proliferating and differentiating fibroblasts. Here, we employed 3 different mouse lineage-tracing models and stage-specific gene profiling to phenotypically analyze and classify resident cardiac fibroblast dynamics during myocardial infarction injury and stable scar formation. Fibroblasts were activated and highly proliferative, reaching a maximum rate within 2 to 4 days after infarction injury, at which point they expanded 3.5-fold and were maintained long term. By 3 to 7 days, these cells differentiated into myofibroblasts that secreted abundant extracellular matrix proteins and expressed smooth muscle α-actin to structurally support the necrotic area. By 7 to 10 days, myofibroblasts lost proliferative ability and smooth muscle α-actin expression as the collagen-containing extracellular matrix and scar fully matured. However, these same lineage-traced initial fibroblasts persisted within the scar, achieving a new molecular and stable differentiated state referred to as a matrifibrocyte, which was also observed in the scars of human hearts. These cells express common and unique extracellular matrix and tendon genes that are more specialized to support the mature scar.
doi_str_mv 10.1172/JCI98215
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection; Journals@Ovid Complete
subjects Actin
Animal models
Animals
Apoptosis
Biomedical research
Cardiomyocytes
Cell Differentiation
Cicatrices
Cicatrix - metabolism
Cicatrix - pathology
Collagen
Complications and side effects
Cytological research
Development and progression
Extracellular matrix
Extracellular Matrix - metabolism
Extracellular Matrix - pathology
Extracellular Matrix Proteins - metabolism
Female
Fibroblasts
Genes
Genetic engineering
Growth factors
Health aspects
Heart attack
Heart attacks
Humans
Kinases
Male
Medical research
Mice
Myoblasts, Cardiac - metabolism
Myoblasts, Cardiac - pathology
Myocardial infarction
Myocardial Infarction - metabolism
Myocardial Infarction - pathology
Myocardium - metabolism
Myocardium - pathology
Myofibroblasts - metabolism
Myofibroblasts - pathology
Phenotypes
Physiological aspects
Proteins
Rodents
Scars
Smooth muscle
Wound healing
title Specialized fibroblast differentiated states underlie scar formation in the infarcted mouse heart
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