Key result
Multi-omics in diabetic cardiomyopathy mice identifies ~21,000 transcripts and uncovers Fam210b epigenetic coupling.
Why the study?
Diabetic cardiomyopathy is a major contributor to heart failure in diabetic patients, but the multi-layered epitranscriptomic and post-transcriptional networks involved remain poorly understood.
Integrative multi-omics analysis of a diabetic cardiomyopathy mouse model reveals extensive post-transcriptional and epitranscriptomic remodeling, highlighting m6A-APA interplay and Fam210b-associated immune changes as potential pathogenic mechanisms.
Hypothesis-generating for Fam210b in diabetic cardiomyopathy; leaves open translation from mouse models to human disease.
Diabetic cardiomyopathy (DCM) is a major contributor to heart failure in diabetic patients, characterized by profound metabolic remodeling and diastolic dysfunction. However, the multi-layered epitranscriptomic and post-transcriptional networks involved in this disease remain poorly understood. To address this, we established a type 2 diabetes-associated DCM mouse model using a high-fat diet (HFD) combined with low-dose streptozotocin (STZ) injections. By integrating single-molecule direct RNA sequencing (DRS-seq), chromatin accessibility profiling (ATAC-seq), and conventional bulk RNA-seq, we constructed a comprehensive epigenetic-transcriptional regulatory map of DCM. Using DRS-seq, we identified 21,156 full-length transcripts, including 8,457 (39.97%) novel unannotated isoforms, and observed a systemic 3’-UTR elongation under diabetic stress. Joint ATAC-seq and DRS-seq analysis identified concurrent reductions in promoter chromatin accessibility and transcript abundance for four genes, including Fam210b (mitochondrial iron homeostasis), Cdh22 (intercalated disc adhesion), Fbxo10 (ubiquitin-mediated RAGE degradation), and Cenpx (DNA double-strand break repair), suggesting a potential link between altered chromatin accessibility and transcriptional regulation in DCM. Additionally, DRS-seq revealed extensive alterations in the cardiac epitranscriptome, identifying 1,719 differential m 6 A sites and 3,146 differential m 5 C sites at single-molecule resolution. Among these epitranscriptomic changes, we observed a potential post-transcriptional interplay between m 6 A and alternative polyadenylation (APA). Furthermore, by applying the CIBERSORT algorithm to the DRS-seq dataset, we characterized the cardiac immune microenvironment, revealing distinct pathological remodeling defined by decreased plasma cells and Th1 cells alongside a specific increase in CD4+ memory T-cell infiltration. Pearson correlation analysis showed that, among the candidate genes, only the down-regulated mitochondrial regulator Fam210b exhibited a significant negative correlation with CD4+ memory T-cell infiltration, suggesting a potential molecular association between mitochondrial dysfunction and local adaptive immune changes. Together, our study provides a high-resolution landscape of the native cardiac transcriptome and epitranscriptome, highlighting epigenetic-transcriptional coupling, m 6 A-APA cooperative decay, and Fam210b -associated local immune microenvironment remodeling as potential pathogenic contributor, thus offering candidate therapeutic targets for diabetic heart failure.
No takes yet. Share an insight, caveat, or question.
Ding et al. (2026) studied Diabetic cardiomyopathy (n=6). High-fat diet and streptozotocin vs. Standard chow diet was evaluated on Transcriptomic and epitranscriptomic landscape. Integrative multi-omics analysis in a mouse model of diabetic cardiomyopathy identified 21,156 full-length transcripts and revealed epigenetic-transcriptional coupling involving Fam210b.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: