Why the study?
The molecular and cellular protagonists underpinning cardiac pathological remodeling in diabetes remain unclear, with limited data regarding the impact of diabetes on cardiac non-myocytes.
What are the key differences in the cellular and molecular landscape of cardiac non-myocytes between type-2 diabetic and healthy control mouse hearts?
What are the key differences in the cellular and molecular landscape of cardiac non-myocytes between type-2 diabetic and healthy control mouse hearts?
This study identifies specific transcriptomic changes in cardiac non-myocytes in diabetic mice, highlighting potential new cellular targets for treating diabetic cardiomyopathy.
Does not support clinical translation yet; hypothesis-generating for fibroblast and vascular targets in diabetic cardiomyopathy.
Summary Diabetes is associated with a significantly elevated risk of heart failure. However, despite extensive efforts to characterize the phenotype of the diabetic heart, the molecular and cellular protagonists that underpin cardiac pathological remodeling in diabetes remain unclear, with a notable paucity of data regarding the impact of diabetes on non-myocytes within the heart. Here we aimed to define key differences in cardiac non-myocytes between spontaneously type-2 diabetic (db/db) and healthy control (db/h) mouse hearts. Single-cell transcriptomic analysis revealed a concerted diabetes-induced cellular response contributing to cardiac remodeling. These included cell-specific activation of gene programs relating to fibroblast hyperplasia and cell migration, and dysregulation of pathways involving vascular homeostasis and protein folding. This work offers a new perspective for understanding the cellular mediators of diabetes-induced cardiac pathology, and pathways that may be targeted to address the cardiac complications associated with diabetes.
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Cohen et al. (2023) studied this question.
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