Cited by 140Cardiac Fibrosis and RemodelingCongenital heart defects researchGenomics and Chromatin Dynamics

The DOI matches its Crossref record; 56 of the 57 references it cites were found in a registry or an index; 42 of the 45 sources its claims cite were checked for support.

Chromatin remodelling drives immune cell–fibroblast communication in heart failure

Open access

Abstract

Chronic inflammation and tissue fibrosis are common responses that worsen organ function, yet the molecular mechanisms governing their cross-talk are poorly understood. In diseased organs, stress-induced gene expression changes fuel maladaptive cell state transitions1 and pathological interaction between cellular compartments. Although chronic fibroblast activation worsens dysfunction in the lungs, liver, kidneys and heart, and exacerbates many cancers2, the stress-sensing mechanisms initiating transcriptional activation of fibroblasts are poorly understood. Here we show that conditional deletion of the transcriptional co-activator Brd4 in infiltrating Cx3cr1+ macrophages ameliorates heart failure in mice and significantly reduces fibroblast activation. Analysis of single-cell chromatin accessibility and BRD4 occupancy in vivo in Cx3cr1+ cells identified a large enhancer proximal to interleukin-1β (IL-1β, encoded by Il1b), and a series of CRISPR-based deletions revealed the precise stress-dependent regulatory element that controls Il1b expression. Secreted IL-1β activated a fibroblast RELA-dependent (also known as p65) enhancer near the transcription factor MEOX1, resulting in a profibrotic response in human cardiac fibroblasts. In vivo, antibody-mediated IL-1β neutralization improved cardiac function and tissue fibrosis in heart failure. Systemic IL-1β inhibition or targeted Il1b deletion in Cx3cr1+ cells prevented stress-induced Meox1 expression and fibroblast activation. The elucidation of BRD4-dependent cross-talk between a specific immune cell subset and fibroblasts through IL-1β reveals how inflammation drives profibrotic cell states and supports strategies that modulate this process in heart disease and other chronic inflammatory disorders featuring tissue remodelling. Conditional deletion of the transcriptional co-activator Brd4 in infiltrating Cx3cr1+ mouse macrophages ameliorates heart failure and substantially reduces fibroblast activation.

Overview

Integrity signals

Registry

Crossref · 10.1038/s41586-024-08085-6

Cites

56 of 56 references verified0 citation errors · 0 not checkable

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Nothing to recompute.

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Claims the paper makes

96 Own result · 13 Supported · 13 Own interpretation · 10 Partly supported · 8 Own method · 2 No basis given · 1 Couldn’t confirm · accuracy not yet measured

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  • Probably not a substantial claim. 12
  • It may state two separate claims as one. 42
47 of 47
  • The paper relies on this without support.

    Before this study, the mechanism by which organ-level stress is sensed by cells to trigger downstream fibroblast activation was unknown.

    “However, the mechanism by which organ-level stress is sensed by cells to trigger downstream fibroblast activation remains unknown.”
  • The paper relies on this without support.

    IL1B is a secreted factor that can influence other cell states through paracrine signaling.

    “Importantly, Il1b encodes a secreted factor (IL1B) that can influence other cell states via paracrine signaling.”
  • The paper relies on this without support.

    In response to stress, chromatin remodeling can alter expression of secreted factors and thereby influence neighboring cells through non-cell autonomous mechanisms.

    “In response to stress, chromatin remodeling can alter the expression of secreted factors thus influencing neighboring cells through non-cell autonomous mechanisms and fueling pathological crosstalk between diverse cellular compartments.”
  • The paper relies on this without support.

    The molecular mechanisms governing crosstalk between chronic inflammation and tissue fibrosis are poorly understood.

    “Chronic inflammation and tissue fibrosis are common responses that worsen organ function, yet the molecular mechanisms governing their crosstalk are poorly understood.”
  • The paper relies on this without support.

    Systemic neutralizing antibody administration blocked IL1B from various possible cellular sources.

    “As systemic neutralizing antibody administration blocked IL1B from various possible cellular sources”
  • The paper relies on this without support.

    Little is known about how inflammatory signals can influence fibroblast cell states in disease.

    “little is known about how inflammatory signals can influence fibroblast cell states in disease.”
  • The paper relies on this without support.

    Findings from the mouse TAC model and anti-IL1B treatment translate to human heart disease.

    “IL1B antibody-mediated neutralization is sufficient to improve cardiac function in heart disease.”
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Metadata

Authors
Alexanian, M., Padmanabhan, A., Nishino, T., Travers, J. G., Ye, L., Pelonero, A., Lee, C. Y., Sadagopan, N., Huang, Y., Auclair, K., Zhu, A., An, Y., Ekstrand, C. A., Martinez, C., Teran, B. G., Flanigan, W. R., Kim, C. K.-S., Lumbao-Conradson, K., Gardner, Z., Li, L., Costa, M. W., Jain, R., Charo, I., Combes, A. J., Haldar, S. M., Pollard, K. S., Vagnozzi, R. J., McKinsey, T. A., Przytycki, P. F., & Srivastava, D.
Affiliations
  • Gladstone Institutes (US)
  • University of Colorado Anschutz (US)
  • University of California, San Francisco (US)
  • University of Pennsylvania (US)
  • Amgen (United States) (US)
  • Boston University (US)
Corresponding author
Alexanian, Michael
Venue
Nature
Published
2024-10-23
Volume
635
Issue
8038
Pages
434-443
ISSN
  • 0028-0836 (ISSN-L)
  • 1476-4687
OpenAlex
W4403680473
Cited by
140
References
57
Citations by year
2026: 69 · 2025: 64 · 2024: 7
FWCI
41.90
Type
journal article
Language
en
Open access
Locations
  • Nature (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • eScholarship (California Digital Library) (submittedVersion, cc-by-nc-nd)
Funders
  • National Science Foundation
  • American Heart Association
  • A.P. Giannini Foundation
  • Tobacco-Related Disease Research Program
  • Giannini Foundation of Agricultural Economics
  • Frank A. Campini Foundation
  • Sarnoff Cardiovascular Research Foundation
  • Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (186704)
  • Italfarmaco
  • National Institutes of Health
  • Agency for Healthcare Research and Quality (R01HS015100)
  • Japan Society for the Promotion of Science
  • National Heart, Lung, and Blood Institute (R01HL147558, K99HL166708, R01HL116848, P01HL146366, R01HL150100, P01HL089707, R01HL127240, U01HL098179, R01HL150225, R01HL057181, K08HL157700, R01HL169578, R35HL166663)
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK119594)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Fibrosis and Remodeling
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Congenital heart defects research
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Genomics and Chromatin Dynamics
Keywords
heart failure, myocardial fibrosis, BRD4, chromatin remodeling, macrophages, CX3CR1+ macrophages, fibroblast activation, IL-1β, MEOX1, RelA/p65, chromatin accessibility, chronic inflammation, tissue remodeling
MeSH terms
CX3C Chemokine Receptor 1, Bromodomain Containing Proteins, Animals, Cell Communication, Chromatin, Enhancer Elements, Genetic, Female, Fibroblasts, Fibrosis, Heart Failure, Humans, Macrophages, Male, Mice, Inbred C57BL, Nuclear Proteins, Transcription Factors, Homeodomain Proteins, Cell Cycle Proteins, Chromatin Assembly and Disassembly, Mice, Transcription Factor RelA, Interleukin-1beta, Single-Cell Analysis

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