The Macrophage–Fibroblast Dipole in the Context of Cardiac Repair and Fibrosis

Stromal and immune cells and their interactions have gained the attention of cardiology researchers and clinicians in recent years as their contribution in cardiac repair is increasingly recognized. The repair process in the heart is a particularly critical constellation of complex molecular and cel...

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Main Author: Stelios Psarras
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Biomolecules
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Online Access:https://www.mdpi.com/2218-273X/14/11/1403
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author Stelios Psarras
author_facet Stelios Psarras
author_sort Stelios Psarras
collection DOAJ
description Stromal and immune cells and their interactions have gained the attention of cardiology researchers and clinicians in recent years as their contribution in cardiac repair is increasingly recognized. The repair process in the heart is a particularly critical constellation of complex molecular and cellular events and interactions that characteristically fail to ensure adequate recovery following injury, insult, or exposure to stress conditions in this regeneration-hostile organ. The tremendous consequence of this pronounced inability to maintain homeostatic states is being translated in numerous ways promoting progress into heart failure, a deadly, irreversible condition requiring organ transplantation. Fibrosis is in fact a repair response eventually promoting cardiac dysfunction and cardiac fibroblasts are the major cellular players in this process, overproducing collagens and other extracellular matrix components when activated. On the other hand, macrophages may differentially affect fibroblasts and cardiac repair depending on their status and subsets. The opposite interaction is also probable. We discuss here the multifaceted aspects and crosstalk of this cell dipole and the opportunities it may offer for beneficial manipulation approaches that will hopefully lead to progress in heart disease interventions.
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spelling doaj-art-969388b64fba44e7a899e0160036d3ac2024-11-26T17:54:09ZengMDPI AGBiomolecules2218-273X2024-11-011411140310.3390/biom14111403The Macrophage–Fibroblast Dipole in the Context of Cardiac Repair and FibrosisStelios Psarras0Center of Basic Research, Biomedical Research Foundation of the Academy of Athens, Soranou Efesiou 4, 115 27 Athens, GreeceStromal and immune cells and their interactions have gained the attention of cardiology researchers and clinicians in recent years as their contribution in cardiac repair is increasingly recognized. The repair process in the heart is a particularly critical constellation of complex molecular and cellular events and interactions that characteristically fail to ensure adequate recovery following injury, insult, or exposure to stress conditions in this regeneration-hostile organ. The tremendous consequence of this pronounced inability to maintain homeostatic states is being translated in numerous ways promoting progress into heart failure, a deadly, irreversible condition requiring organ transplantation. Fibrosis is in fact a repair response eventually promoting cardiac dysfunction and cardiac fibroblasts are the major cellular players in this process, overproducing collagens and other extracellular matrix components when activated. On the other hand, macrophages may differentially affect fibroblasts and cardiac repair depending on their status and subsets. The opposite interaction is also probable. We discuss here the multifaceted aspects and crosstalk of this cell dipole and the opportunities it may offer for beneficial manipulation approaches that will hopefully lead to progress in heart disease interventions.https://www.mdpi.com/2218-273X/14/11/1403cardiac fibrosistissue repairmacrophagefibroblastcellular interactions
spellingShingle Stelios Psarras
The Macrophage–Fibroblast Dipole in the Context of Cardiac Repair and Fibrosis
Biomolecules
cardiac fibrosis
tissue repair
macrophage
fibroblast
cellular interactions
title The Macrophage–Fibroblast Dipole in the Context of Cardiac Repair and Fibrosis
title_full The Macrophage–Fibroblast Dipole in the Context of Cardiac Repair and Fibrosis
title_fullStr The Macrophage–Fibroblast Dipole in the Context of Cardiac Repair and Fibrosis
title_full_unstemmed The Macrophage–Fibroblast Dipole in the Context of Cardiac Repair and Fibrosis
title_short The Macrophage–Fibroblast Dipole in the Context of Cardiac Repair and Fibrosis
title_sort macrophage fibroblast dipole in the context of cardiac repair and fibrosis
topic cardiac fibrosis
tissue repair
macrophage
fibroblast
cellular interactions
url https://www.mdpi.com/2218-273X/14/11/1403
work_keys_str_mv AT steliospsarras themacrophagefibroblastdipoleinthecontextofcardiacrepairandfibrosis
AT steliospsarras macrophagefibroblastdipoleinthecontextofcardiacrepairandfibrosis