Zeyuan Yin MD, PhD , Tong Fu BMBS , Lu Fu MD, PhD , Chengbiao Zhang PhD , Andrew Atkinson PhD , Abimbola Aminu PhD , Filip Perde MD, PhD , Peter Molenaar PhD , Amy Feather MRes , Joseph Adu-Amankwaah MRes , Chaoqun Zhang MD, PhD , Bei Zhang MD, PhD , Xueyan Zhou PhD , Hong Sun MD, PhD , Halina Dobrzynski PhD, DSc
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引用次数: 0
Abstract
Background
The human sinus node (SN) contains cardiac fibroblasts and resident macrophages, with microRNAs (miRNAs) and interleukins as regulators of SN function. However, the mechanisms by which they influence heart rate remain unclear.
Objective
This study aimed to investigate the SN microenvironment, encompassing miRNAs, interleukins, macrophages, and fibroblasts and modulating induced pluripotent stem cell–derived cardiomyocytes (iPSC-CMs) and hence beating rate.
Methods
Multiomics analysis was conducted to compare human SN with the right atria. Human iPSC-CMs were cocultured with M2-type macrophages (M2s) and fibroblasts. Mechanistic studies involved the application of interleukin 34 (IL-34) and the silencing or overexpression of colony-stimulating factor 1 receptor and signal transducer and activator of transcription 3. Messenger RNA–miRNA interactions were predicted using the Ingenuity Pathway Analysis. miR-363-5p was applied to 3 cell lines and a coculture system and, along with IL-34, was tested in human serum samples.
Results
M2 and fibroblast markers were identified. Coculturing iPSC-CMs with M2s induced a more nodal-like phenotype. Elevated IL-34 in the coculture medium suggested that M2s may secrete IL-34, driving these nodal-like features. IL-34 promoted a nodal-like phenotype in iPSC-CMs by upregulating hyperpolarization-activated cyclic nucleotide-gated channel subtype 4 expression probably through colony-stimulating factor 1 receptor/signal transducer and activator of transcription 3 signaling. Three key miRNAs were identified, with miR-363-5p inhibiting the differentiation of macrophages into the M2 phenotype. The nodal-like shift of iPSC-CMs in the coculture system was reversed by miR-363-5p. Although miR-363-5p (together with miR-486-3p) was highly expressed, IL-34 was reduced in aged individuals with SN dysfunction.
Conclusion
M2s contribute to the SN microenvironment by secreting IL-34 and thus enhance SN function by upregulating hyperpolarization-activated cyclic nucleotide-gated channel subtype 4. Elevated miR-363-5p, seen in age-related SN dysfunction, may reverse these effects.
期刊介绍:
HeartRhythm, the official Journal of the Heart Rhythm Society and the Cardiac Electrophysiology Society, is a unique journal for fundamental discovery and clinical applicability.
HeartRhythm integrates the entire cardiac electrophysiology (EP) community from basic and clinical academic researchers, private practitioners, engineers, allied professionals, industry, and trainees, all of whom are vital and interdependent members of our EP community.
The Heart Rhythm Society is the international leader in science, education, and advocacy for cardiac arrhythmia professionals and patients, and the primary information resource on heart rhythm disorders. Its mission is to improve the care of patients by promoting research, education, and optimal health care policies and standards.