Key result
FAP silencing attenuates cardiac fibroblast activation and ER stress while restoring ER-phagy transcripts.
Why the study?
The role of ER-phagy in pathological cardiac fibroblast activation and its association with fibroblast activation protein (FAP) induction in dilated cardiomyopathy was unclear.
Preclinical evidence suggests that epigenetic and metabolic modulation of histone modifications can regulate macrophage inflammatory responses and improve diabetic wound repair.
Dilated cardiomyopathy (DCM) is characterized by progressive myocardial fibrosis and extracellular matrix remodeling, which severely impair cardiac function. The endoplasmic reticulum (ER) is essential for collagen synthesis, but the role of ER-phagy, a selective autophagy pathway that maintains ER proteostasis, in pathological cardiac fibroblast activation remains unclear. We integrated single-cell RNA-seq, bulk RNA-seq, and ATAC-seq datasets from human cardiac tissue and cultured human and rat cardiac fibroblasts. Key findings were validated in TGF-β-treated primary neonatal rat cardiac fibroblasts using siRNA-mediated FAP silencing and autophagy-associated assays. Fibroblast activation was accompanied by reduced expression and promoter accessibility of selected ER-phagy-related genes. An FAP-high activated fibroblast population showed a lower ER-phagy-related transcriptional signature. Integrated regulon and promoter-motif analyses linked FAP induction to a SMAD3-centered, BET-sensitive transcriptional program associated with repression of a subset of ER-phagy genes. FAP silencing attenuated fibroblast activation and ER stress and was accompanied by restored expression of selected ER-phagy-related transcripts and changes in autophagy-associated markers. These findings support a role for FAP in cardiac fibroblast activation and link its induction to altered ER-phagy-related proteostasis and ER stress.
No takes yet. Share an insight, caveat, or question.
Huang et al. (2026) studied Dilated cardiomyopathy. siRNA-mediated FAP silencing vs. Control was evaluated on Cardiac fibroblast activation and ER stress. FAP silencing attenuated cardiac fibroblast activation and ER stress, restoring expression of selected ER-phagy-related transcripts.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: