Key result
Pathogenic DCM and ACM variants reveal distinct right and left ventricular responses and genotype-specific pathways.
Why the study?
Pathogenic variants causing dilated and arrhythmogenic cardiomyopathies convey high risks for heart failure through unknown mechanisms.
Population
880,000 nuclei from 18 control and 61 failing, non-ischemic human hearts
Comparison
Failing hearts with DCM/ACM pathogenic variants or idiopathic disease vs control hearts
Design
Single nucleus RNA sequencing study
Authors
Loading...
Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“Only this level of resolution allows us to see that cardiomyopathies do not uniformly trigger the same pathological pathways. Rather, different mutations evoked specific and some shared responses that lead to heart failure. These genotype-specific responses point to the importance of genotyping.”
“Our findings hold enormous potential for rethinking how we treat heart failure and point to the importance of understanding its root causes and the mutations that lead to changes that may alter how the heart functions. This is fundamental research, but it identifies targets that can be experimentally pursued to propel future therapeutics. Our findings also point to the importance of genotyping — not only does genotyping empower research but it can also lead to better, personalized treatment for patients.”
“We investigated pathogenic gene variants in heart tissue at the single-cell level, which allowed us to map precisely how specific pathogenic variants drive cardiac dysfunction. To our knowledge, this is the first such analysis conducted in cardiac tissue, and we hope this approach can be used to study other types of genetic heart diseases.”
Highlights chamber-specific transcriptional responses in genetic cardiomyopathies; hypothesis-generating for targeted therapies, requiring prospective validation before clinical translation.
Observational (n=79)
Single nucleus RNA sequencing of human hearts with DCM and ACM reveals distinct right and left ventricular responses and genotype-associated pathways, suggesting novel therapeutic targets.
Reichart et al. (2022) conducted an observational in Dilated and arrhythmogenic cardiomyopathies (n=79). Pathogenic variants in DCM and ACM genes vs. Control hearts was evaluated on Transcriptome characterization of ventricular cell lineages and transcriptional states. Pathogenic variants in DCM and ACM genes demonstrated distinct right and left ventricular responses, highlighting genotype-associated pathways and differential gene expression at single cell resolution.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: