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Single-cell transcriptomic identified HIF1A as a target for attenuating acute rejection after heart transplantation

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单位: [1]Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Wuhan 430000, Peoples R China [2]Nankai Univ, Sch Stat & Data Sci, Tianjin 300371, Peoples R China [3]Chinese Acad Med Sci & Peking Union Med Coll, Natl Ctr Cardiovasc Dis, Fuwai Hosp, State Key Lab Cardiovasc Dis,Cardiomyopathy Res G, Beijing 100000, Peoples R China [4]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Hepat Surg Ctr, Wuhan 430000, Peoples R China [5]Chinese Acad Med Sci, Minist Educ, Natl Hlth Commiss, Key Lab Organ Transplantat, Wuhan 430000, Peoples R China
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关键词: Heart transplantation Acute rejection HIF1A Immune metabolism

摘要:
Acute rejection (AR) is an important contributor to graft failure, which remains a leading cause of death after heart transplantation (HTX). The regulation of immune metabolism has become a new hotspot in the development of immunosuppressive drugs. In this study, Increased glucose metabolism of cardiac macrophages was found in patients with AR. To find new therapeutic targets of immune metabolism regulation for AR, CD45(+) immune cells extracted from murine isografts, allografts, and untransplanted donor hearts were explored by single-cell RNA sequencing. Total 20 immune cell subtypes were identified among 46,040 cells. The function of immune cells in AR were illustrated simultaneously. Cardiac resident macrophages were substantially replaced by monocytes and proinflammatory macrophages during AR. Monocytes/macrophages in AR allograft were more active in antigen presentation and inflammatory recruitment ability, and glycolysis. Based on transcription factor regulation analysis, we found that the increase of glycolysis in monocytes/macrophages was mainly regulated by HIF1A. Inhibition of HIF1A could alleviate inflammatory cells infiltration in AR. To find out the effect of HIF1A on AR, CD45(+) immune cells extracted from allografts after HIF1A inhibitor treatment were explored by single-cell RNA sequencing. HIF1A inhibitor could reduce the antigen presenting ability and pro-inflammatory ability of macrophages, and reduce the infiltration of Cd4+ and Cd8a+ T cells in AR. The expression of Hif1 alpha in AR monocytes/macrophages was regulated by pyruvate kinase 2. Higher expression of HIF1A in macrophages was also detected in human hearts with AR. These indicated HIF1A may serve as a potential target for attenuating AR.

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出版当年[2020]版:
大类 | 1 区 医学
小类 | 2 区 心脏和心血管系统
最新[2025]版:
大类 | 1 区 医学
小类 | 2 区 心脏和心血管系统
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出版当年[2019]版:
Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
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Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

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第一作者单位: [1]Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Wuhan 430000, Peoples R China [3]Chinese Acad Med Sci & Peking Union Med Coll, Natl Ctr Cardiovasc Dis, Fuwai Hosp, State Key Lab Cardiovasc Dis,Cardiomyopathy Res G, Beijing 100000, Peoples R China
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