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May 28, 2026European Heart Journal75 citationsOpen Access

Immune cells in cardiac homeostasis and disease: emerging insights from novel technologies

SSSabine SteffensMNMatthias NahrendorfRMRosalinda Madonna

Key Result

Single-cell RNA sequencing and advanced microscopic imaging technologies reveal unprecedented immune cell heterogeneity and novel immunometabolic functions in cardiac homeostasis and disease.

Key Points

  • This review aims to summarize advancements in understanding immune cells within the cardiac environment and their roles in disease.
  • Overview of recent single-cell immune profiling and advanced imaging technologies.
  • Discussion of immune cell heterogeneity and their functions in cardiac disease.
  • Examination of the impact of biological sex on cardiac immune responses.
  • Immune cells in the healthy heart support cardiac homeostasis and normal function.
  • Cardiac inflammation plays a crucial role in healing after ischaemic injury.
  • Emerging therapeutic concepts include targeting immunometabolism and nanomedicine.

PICO

P
Population
Cardiac disease

Limitations

  • Cardiac tissue processing for generating single-cell suspensions may cause cell damage and changes in gene expression.
  • Limitations in sequencing depth mean less abundantly expressed genes are often not detectable in scRNA-seq databases.
  • Intravital microscopy of the beating mouse heart is invasive and requires complex acquisition gating algorithms.

Abstract

The increasing use of single-cell immune profiling and advanced microscopic imaging technologies has deepened our understanding of the cardiac immune system, confirming that the heart contains a broad repertoire of innate and adaptive immune cells. Leucocytes found in the healthy heart participate in essential functions to preserve cardiac homeostasis, not only by defending against pathogens but also by maintaining normal organ function. In pathophysiological conditions, cardiac inflammation is implicated in healing responses after ischaemic or non-ischaemic cardiac injury. The aim of this review is to provide a concise overview of novel methodological advancements to the non-expert readership and summarize novel findings on immune cell heterogeneity and functions in cardiac disease with a focus on myocardial infarction as a prototypic example. In addition, we will briefly discuss how biological sex modulate the cardiac immune response. Finally, we will highlight emerging concepts for novel therapeutic applications, such as targeting immunometabolism and nanomedicine.

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Cite This Study

Steffens et al. (2021) conducted a review in Cardiac disease. Single-cell RNA sequencing and advanced microscopic imaging technologies reveal unprecedented immune cell heterogeneity and novel immunometabolic functions in cardiac homeostasis and disease.

synapsesocial.com/papers/6a18b145736f1e52be454a56https://doi.org/10.1093/eurheartj/ehab842
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