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Loss of function of the obesity-associated gene MC4R reduces cardiovascular risk and increases lipid clearance 肥胖相关基因MC4R功能丧失可降低心血管风险并增加脂质清除率。
IF 10.8 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2026-01-02 DOI: 10.1038/s44161-025-00764-5
Elisa Martini
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引用次数: 0
A disrupted compartment boundary underlies abnormal cardiac patterning and congenital heart defects 隔室边界的破坏是心脏形态异常和先天性心脏缺陷的基础。
IF 10.8 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-29 DOI: 10.1038/s44161-025-00755-6
Irfan S. Kathiriya, Martin H. Dominguez, Kavitha S. Rao, Jonathon M. Muncie-Vasic, W. Patrick Devine, Kevin M. Hu, Swetansu K. Hota, Bayardo I. Garay, Diego Quintero, Piyush Goyal, Megan N. Matthews, Reuben Thomas, Tatyana Sukonnik, Dario Miguel-Perez, Sarah Winchester, Emily F. Brower, André Forjaz, Pei-Hsun Wu, Denis Wirtz, Ashley L. Kiemen, Benoit G. Bruneau
Failure of septation of the interventricular septum (IVS) is the most common congenital heart defect, but mechanisms for patterning the IVS are largely unknown. Here we show that a Tbx5+/Mef2cAHF+ progenitor lineage forms a compartment boundary bisecting the IVS. This coordinated population originates at a first and second heart field interface. Ablation of Tbx5+/Mef2cAHF+ progenitors causes IVS disorganization, right ventricular hypoplasia and mixing of IVS lineages. Reduced dosage of the congenital heart defect transcription factor TBX5 disrupts boundary position and integrity, resulting in ventricular septation defects and patterning defects, including misexpression of Slit2 and Ntn1, which encode guidance cues. Reducing NTN1 dosage partly rescues cardiac defects in Tbx5 mutant embryos. Loss of Slit2 or Ntn1 causes ventricular septation defects and perturbed septal lineage distributions. Thus, we identify Tbx5 as a candidate selector gene, directing progenitors and regulating essential cues, to pattern a compartment boundary for proper cardiac septation, revealing mechanisms for cardiac birth defects. Kathiriya et al. identify a cardiac progenitor lineage with expression of Tbx5 and anterior heart field-specific expression of Mef2c that bisects the intraventricular septum during development and show that alterations in this lineage lead to congenital heart defects in mice.
室间隔分隔失败是最常见的先天性心脏缺陷,但室间隔的机制在很大程度上是未知的。在这里,我们发现Tbx5+/Mef2cAHF+祖谱系形成了一个分隔IVS的隔室边界。这种协调的人口起源于第一和第二心脏场界面。Tbx5+/Mef2cAHF+祖细胞消融导致IVS紊乱、右心室发育不全和IVS谱系混合。减少先天性心脏缺陷转录因子TBX5的剂量会破坏边界位置和完整性,导致室间隔缺陷和模式缺陷,包括编码引导信号的Slit2和Ntn1的错误表达。减少NTN1剂量可部分挽救Tbx5突变胚胎的心脏缺陷。Slit2或Ntn1缺失导致室间隔缺损和室间隔谱系分布紊乱。因此,我们确定Tbx5是一个候选选择基因,它指导祖细胞并调节必要的线索,为适当的心脏间隔塑造一个室边界,揭示心脏出生缺陷的机制。
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引用次数: 0
A multimodal vision knowledge graph of cardiovascular disease 心血管疾病的多模态视觉知识图谱。
IF 10.8 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-29 DOI: 10.1038/s44161-025-00757-4
Khaled Rjoob, Kathryn A. McGurk, Sean L. Zheng, Lara Curran, Mahmoud Ibrahim, Lingyao Zeng, Vladislav Kim, Shamin Tahasildar, Soodeh Kalaie, Deva S. Senevirathne, Parisa Gifani, Vladimir Losev, Jin Zheng, Wenjia Bai, Antonio de Marvao, James S. Ware, Christian Bender, Declan P. O’Regan
Understanding gene–disease associations is important for uncovering pathological mechanisms and identifying potential therapeutic targets. Knowledge graphs can represent and integrate data from multiple biomedical sources, but lack individual-level information on target organ structure and function. Here we develop CardioKG, a knowledge graph that integrates over 200,000 computer vision-derived cardiovascular phenotypes from biomedical images with data extracted from 18 biological databases to model over a million relationships. We used a variational graph auto-encoder to generate node embeddings from the knowledge graph to predict gene–disease associations, assess druggability and identify drug repurposing strategies. The model predicted genetic associations and therapeutic opportunities for leading causes of cardiovascular disease, which were associated with improved survival. Candidate therapies included methotrexate for heart failure and gliptins for atrial fibrillation, and the addition of imaging data enhanced pathway discovery. These capabilities support the use of biomedical imaging to enhance graph-structured models for identifying treatable disease mechanisms. Rjoob et al. develop CardioKG, a knowledge graph built on cardiac imaging traits to identify genetic associations and potential therapeutic strategies and drug repurposing opportunities for cardiovascular diseases.
了解基因与疾病的关联对于揭示病理机制和确定潜在的治疗靶点非常重要。知识图谱可以表示和整合来自多个生物医学来源的数据,但缺乏目标器官结构和功能的个体水平信息。在这里,我们开发了CardioKG,这是一个知识图谱,集成了来自生物医学图像的20多万种计算机视觉衍生的心血管表型,以及从18个生物数据库中提取的数据,以模拟超过100万种关系。我们使用变分图自编码器从知识图中生成节点嵌入,以预测基因与疾病的关联,评估药物可药性并确定药物再利用策略。该模型预测了心血管疾病主要原因的遗传关联和治疗机会,这与生存率的提高有关。候选疗法包括用于心力衰竭的甲氨蝶呤和用于房颤的格列汀,以及增强途径发现的影像数据的添加。这些功能支持使用生物医学成像来增强图结构模型,以确定可治疗的疾病机制。
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引用次数: 0
Translating Nobel Prize-winning Treg cell science into cardiovascular therapy 将获得诺贝尔奖的Treg细胞科学应用于心血管治疗。
IF 10.8 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-17 DOI: 10.1038/s44161-025-00765-4
Ziad Mallat
The 2025 Nobel Prize in Physiology or Medicine honored a scientific breakthrough with hidden cardiovascular potential: regulatory T cells and peripheral immune tolerance. These mechanisms provide a paradigm shift for understanding and treating cardiovascular disease, dampening inflammation without compromising immunity, and offering safer and more effective therapies.
2025年诺贝尔生理学或医学奖授予了一项具有潜在心血管潜力的科学突破:调节性T细胞和外周免疫耐受。这些机制为理解和治疗心血管疾病提供了范式转变,在不损害免疫力的情况下抑制炎症,并提供更安全、更有效的治疗方法。
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引用次数: 0
Human genetics implicate thromboembolism in the pathogenesis of long COVID in individuals of European ancestry 人类遗传学与欧洲血统的长冠状病毒发病机制中的血栓栓塞有关
IF 10.8 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-16 DOI: 10.1038/s44161-025-00749-4
Art Schuermans, Andreas Verstraete, Vilma Lammi, Tomoko Nakanishi, Maddalena Ardissino, Jef Van den Eynde, Benjamin B. Sun, Marios K. Georgakis, Beatriz Guillen-Guio, Louise V. Wain, Christopher E. Brightling, PHOSP-COVID Collaborative Group, Johan Van Weyenbergh, Adam J. Lewandowski, Betty Raman, Hugo Zeberg, Hanna M. Ollila, Stephen Burgess, Pradeep Natarajan, Michael C. Honigberg, Kathleen Freson, Thomas Vanassche, Peter Verhamme
SARS-CoV-2 infection can result in long COVID, characterized by post-acute symptoms from multiple organs. Current hypotheses on mechanisms underlying long COVID include persistent inflammation and thromboembolism; however, compelling evidence from humans is limited and causal associations remain unclear. In this study, we tested the association of thromboembolism-related genetic variants with long COVID in the Long COVID Host Genetics Initiative (ncases = 3,018; ncontrols = 994,582). Primary analyses revealed that each unit increase in the log odds of genetically predicted venous thromboembolism risk was associated with 1.21-fold odds of long COVID (95% confidence interval (CI): 1.08−1.35; P = 1.2 × 10−3). This association was independent of acute COVID-19 severity, was robust across various sensitivity analyses and was replicated in external datasets. Downstream analyses using gene-specific instruments, along with protein and gene expression data, suggested the protease-activated receptor 1 (PAR-1) as a potential molecular contributor to long COVID. These findings provide human genetic evidence implicating shared pathogenetic pathways in thromboembolism and long COVID. Schuermans et al. discovered that genetic predisposition to thromboembolism is associated with a greater risk of post-acute sequelae after SARS-CoV-2 infection, including long COVID, and downstream analyses implicated PAR-1 as a potential contributor to long COVID.
SARS-CoV-2感染可导致长期COVID,其特征是多器官急性后症状。目前关于长期COVID机制的假设包括持续炎症和血栓栓塞;然而,来自人类的令人信服的证据有限,因果关系仍不清楚。在这项研究中,我们在长COVID宿主遗传学计划中测试了血栓栓塞相关遗传变异与长COVID的关系(ncases = 3018; n对照= 994,582)。初步分析显示,基因预测静脉血栓栓塞风险的对数概率每增加一个单位,长COVID的概率就增加1.21倍(95%置信区间(CI): 1.08−1.35;p = 1.2 × 10−3)。这种关联独立于COVID-19的急性严重程度,在各种敏感性分析中都是稳健的,并在外部数据集中得到了重复。使用基因特异性仪器进行下游分析,以及蛋白质和基因表达数据,表明蛋白酶激活受体1 (PAR-1)是长COVID的潜在分子贡献者。这些发现提供了人类遗传学证据,表明血栓栓塞和长COVID之间存在共同的发病途径。Schuermans等人发现,对血栓栓塞的遗传易感性与SARS-CoV-2感染后急性后后遗症的风险增加有关,包括长冠状病毒,下游分析表明PAR-1是长冠状病毒的潜在因素。
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引用次数: 0
Linking thromboembolism to the pathogenesis of long COVID 将血栓栓塞与长COVID的发病机制联系起来
IF 10.8 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-16 DOI: 10.1038/s44161-025-00756-5
Frederik Denorme, Robert A. Campbell
Long COVID is a major global health challenge but the underlying mechanisms are unclear, hampering the development of effective therapies. Evidence points to a causal link between thromboembolic processes and symptom persistence, suggesting a role for vascular and coagulation abnormalities in the pathogenesis of this complex syndrome.
新冠肺炎是一项重大的全球卫生挑战,但其潜在机制尚不清楚,阻碍了有效疗法的开发。有证据表明血栓栓塞过程和症状持续之间存在因果关系,表明血管和凝血异常在这种复杂综合征的发病机制中起作用。
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引用次数: 0
Rapid mitochondrial repolarization upon reperfusion after cardiac ischemia 心肌缺血后再灌注时线粒体快速复极化。
IF 10.8 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-11 DOI: 10.1038/s44161-025-00752-9
Abigail V. Giles, Raul Covian, Hiran A. Prag, Nils Burger, Bertrand Lucotte, Chak Shun Yu, Junhui Sun, Elizabeth Murphy, Thomas Krieg, Michael P. Murphy, Robert S. Balaban
The mitochondrial membrane potential (ΔΨm) drives oxidative phosphorylation and alterations contribute to cardiac pathologies, but real-time assessment of ΔΨm has not been possible. Here we describe noninvasive measurements using mitochondrial heme bL and bH absorbances, which rapidly respond to ΔΨm. Multi-wavelength absorbance spectroscopy enabled their continuous monitoring in isolated mitochondria and the perfused heart. Calibration of heme b absorbance in isolated mitochondria revealed that reduced heme bL relative to total reduced heme b (fbL = bL/(bL + bH)) exhibits a sigmoidal relationship with ΔΨm. Extrapolating this relationship to the heart enabled estimation of ΔΨm as 166 ± 18 mV (n = 25, mean ± s.d.). We used this approach to assess how ΔΨm changes during ischemia–reperfusion injury, an unknown limiting the understanding of ischemia–reperfusion injury. In perfused hearts, ΔΨm declined during ischemia and rapidly reestablished upon reperfusion, supported by oxidation of the succinate accumulated during ischemia. These findings expand our understanding of ischemia–reperfusion injury. Giles et al. developed a method for noninvasive absorbance measurement of mitochondrial hemes to monitor the mitochondrial membrane potential in the perfused heart. They then applied this approach to show how the mitochondrial membrane potential changed during cardiac ischemia.
线粒体膜电位(ΔΨm)驱动氧化磷酸化和改变,有助于心脏病理,但实时评估ΔΨm是不可能的。在这里,我们描述了使用线粒体血红素bL和bH吸光度的无创测量,其快速响应ΔΨm。多波长吸收光谱使其能够在分离的线粒体和灌注的心脏中进行连续监测。对分离线粒体中血红素b吸光度的校正显示,还原血红素bL相对于总还原血红素b (fbL = bL/(bL + bH))与ΔΨm呈s型关系。将这种关系外推到心脏使能的ΔΨm估计为166±18 mV (n = 25,平均值±s.d)。我们使用这种方法来评估ΔΨm在缺血再灌注损伤期间的变化,这一未知限制了对缺血再灌注损伤的理解。在灌注的心脏中,ΔΨm在缺血期间下降,并在再灌注时迅速重建,这是由于缺血期间积累的琥珀酸盐氧化的支持。这些发现扩大了我们对缺血再灌注损伤的认识。
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引用次数: 0
Development and modeling of cardiac autonomic innervation 心脏自主神经支配的发展与建模。
IF 10.8 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-12-05 DOI: 10.1038/s44161-025-00746-7
Marisa Patsy, Kyle Ge, Alastair Khodabukus, Nenad Bursac
Autonomic innervation is important for heart development and function, as well as for the response to injury and hemodynamic stress. However, the mechanisms underlying neurocardiac interactions are difficult to investigate in vivo, prompting the need for advanced engineering of in vitro models of innervated cardiac tissues. Here, we review the embryonic development of the heart and postganglionic autonomic neurons and discuss the functional consequences of cardiac autonomic innervation, focusing on its trophic roles in neonatal and adult hearts. We highlight methods for generating functional cardiomyocytes and autonomic neurons from human pluripotent stem cells and discuss the benefits and limitations of existing in vivo and in vitro cardiac innervation models. Lastly, we present a roadmap for the development of high-fidelity, mature pluripotent stem cell-derived models of cardiac autonomic innervation to address outstanding questions in the field. Patsy et al. review the relationship between the heart and the nervous system during development and the functional consequences of cardiac innervation. They describe the generation of cardiomyocytes and autonomic neurons and propose a roadmap toward the development of cardiac innervation models.
自主神经支配对心脏的发育和功能,以及对损伤和血流动力学应激的反应都很重要。然而,神经心脏相互作用的机制很难在体内研究,这就需要对神经支配心脏组织的体外模型进行先进的工程设计。在这里,我们回顾了心脏和神经节后自主神经的胚胎发育,并讨论了心脏自主神经支配的功能后果,重点是其在新生儿和成人心脏中的营养作用。我们强调了从人类多能干细胞生成功能性心肌细胞和自主神经元的方法,并讨论了现有的体内和体外心脏神经支配模型的优点和局限性。最后,我们提出了发展高保真、成熟的多能干细胞衍生的心脏自主神经支配模型的路线图,以解决该领域的突出问题。
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引用次数: 0
Modeling HFpEF in animals HFpEF动物模型。
IF 10.8 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-28 DOI: 10.1038/s44161-025-00754-7
David A. Kass
There is great interest in modeling human HFpEF in animals to identify underlying mechanisms and ultimately improve sorely needed therapies. Our current models are a step forward but still fall short in several crucial ways, particularly by not capturing the severity of heart failure features common in patients.
人们对在动物身上建立人类HFpEF模型非常感兴趣,以确定潜在的机制,并最终改善急需的治疗方法。我们目前的模型是向前迈进了一步,但在几个关键方面仍然存在不足,特别是没有捕捉到患者常见的心力衰竭特征的严重程度。
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引用次数: 0
A cardiotropic viral vector can safely and effectively facilitate therapeutic gene delivery to the heart 嗜心性病毒载体可以安全有效地促进治疗性基因传递到心脏。
IF 10.8 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Pub Date : 2025-11-25 DOI: 10.1038/s44161-025-00759-2
Gerburg Schwaerzer
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引用次数: 0
期刊
Nature cardiovascular research
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