Key result
Cardiovascular adipose depots display distinct cellular networks that remodel significantly in AF and aortic aneurysm.
Why the study?
The cellular and molecular characteristics of cardiac and vascular adipose tissue depots at single-cell resolution remain incompletely characterized, limiting understanding of their regional specialization and intercellular communication in health and disease.
Cross-Sectional (n=10)
No
Single-nucleus RNA sequencing reveals that cardiac and vascular adipose depots harbor transcriptionally specialized adipocytes and progenitors with distinct, depot-specific intercellular communication networks that actively remodel during cardiovascular diseases.
Remodeling of adipose networks in AF and aneurysm is hypothesis-generating; leaves open causal roles or therapeutic targeting.
Background: Adipose tissue surrounding the heart and vasculature plays critical roles in cardiovascular homeostasis and disease, yet the cellular and molecular milieu of these depots at single-cell resolution remains incompletely characterized. Understanding how regional adipocytes differ transcriptionally and communicate with neighboring cardiovascular cells is essential for developing targeted therapeutic strategies. Methods: We performed single-nucleus RNA sequencing (snRNA-seq) on human adipose tissue from four anatomically distinct depots: ascending aorta, left atrium, right coronary artery, and subcutaneous fat. We characterized cellular composition, adipocyte and progenitor heterogeneity, depot-specific transcriptional programs, and intercellular communication networks. We further examined signaling remodeling in disease contexts, including atrial fibrillation and aortic aneurysm. Results: We identified six transcriptionally distinct adipocyte subpopulations and six adipocyte stromal and progenitor cell (ASPC) subpopulations were shared across depots but showed marked differences in abundance and gene expression reflecting developmental imprinting, including HOX family genes and anterior-posterior patterning programs. Intercellular communication analysis revealed depot-specific ligand-receptor interactions, with EPHA signaling identified as selectively enriched in the left atrial adipose depot. Disease-state analyses demonstrated extensive change in cell-cell communication in atrial fibrillation and aortic aneurysm, with differential regulation of FN1, EGF, SLIT, NOTCH, and CD46 signaling pathways. Conclusions: Our study reveals that cardiac and vascular adipose depots harbor transcriptionally specialized adipocytes and progenitors with distinct intercellular communication programs that are remodeled in atrial fibrillation and aortic aneurysm.
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Tran et al. (2026) conducted a cross-sectional in Patients undergoing cardiac surgery (n=10). Epicardial and perivascular adipose tissue (LA, RCA, AA) vs. Subcutaneous adipose tissue (SAT) was evaluated on Depot-specific transcriptional programs and intercellular communication networks. Cardiac and vascular adipose depots harbor transcriptionally distinct cells with unique intercellular communication networks that are significantly remodeled in atrial fibrillation and aortic aneurysm.
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