Subepicardial adipose genes contribute to the deterioration of heart failure preserved ejection fraction

BackgroundThe mortality of patients with acute myocardial infarction (MI) raised rapidly in last decade and obesity are becoming the major cause to CAD progression, thus inducing heart failure preserved ejection fraction (HFpEF). However, why visceral adipocytes show different effects on healthy and...

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Main Authors: Ruiying Zhang, Man Wang, Yuheng Lang, Jiaqi Zhang, Yuchao Wang, Han Zheng, Yue Zheng, Bingyang Zhou
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Cardiovascular Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2025.1501397/full
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author Ruiying Zhang
Ruiying Zhang
Ruiying Zhang
Man Wang
Man Wang
Man Wang
Yuheng Lang
Yuheng Lang
Jiaqi Zhang
Jiaqi Zhang
Jiaqi Zhang
Yuchao Wang
Yuchao Wang
Yuchao Wang
Han Zheng
Han Zheng
Han Zheng
Yue Zheng
Yue Zheng
Yue Zheng
Yue Zheng
Bingyang Zhou
Bingyang Zhou
Bingyang Zhou
author_facet Ruiying Zhang
Ruiying Zhang
Ruiying Zhang
Man Wang
Man Wang
Man Wang
Yuheng Lang
Yuheng Lang
Jiaqi Zhang
Jiaqi Zhang
Jiaqi Zhang
Yuchao Wang
Yuchao Wang
Yuchao Wang
Han Zheng
Han Zheng
Han Zheng
Yue Zheng
Yue Zheng
Yue Zheng
Yue Zheng
Bingyang Zhou
Bingyang Zhou
Bingyang Zhou
author_sort Ruiying Zhang
collection DOAJ
description BackgroundThe mortality of patients with acute myocardial infarction (MI) raised rapidly in last decade and obesity are becoming the major cause to CAD progression, thus inducing heart failure preserved ejection fraction (HFpEF). However, why visceral adipocytes show different effects on healthy and ageing cardiomyocytes is less known.MethodsGSE251971 was downloaded and Venn diagram between visceral adipocyte genes genes and DEGs was performed to obtain visceral adipocyte-associated DEGs in heart failure. Protein-protein interaction (PPI) network was constructed to obtain the hub genes utilizing the Cytoscape plugin Cytohubba. The hub genes and their interactions were analyzed using NetworkAnalyst 3.0 and for validation, the hub genes expressions were analyzed using Single-cell sequencing data, cell lines and human sub-epicardial tissues and blood samples.ResultsUsing Venn diagram, 71 visceral adipocyte-associated DEGs were identified. Nine hub genes were obtained, including OGN, SELL, FOS, NKG7, LOX, HBB, CXCL9, CP and ALOX5. Single-cell sequencing demonstrated all hub genes were highly expressed in human hypertrophic cardiomyopathy and ischemic cardiomyopathy patients with end-stage heart failure. The related OGN, FOS, NKG7 and ALOX5 mRNA expressions were significantly highly expressed in sub-epicardial tissues in HFpEF patients. AUCs of OGN, FOS and ALOX5 were 0.902, 0.795 and 0.730, and the AUC of joint ROC of OGN, FOS and ALOX5 was 0.946. Additionally, FOS, ALOX5 and OGN expressions were increased at follow up 1 year recurrence, while decreased at follow up 2 year recurrence. Mechanically, FOS and ALOX5 were highly expressed in macrophages under hypoxia, while OGN was highly expressed in fibroblasts under hypoxia. SASPs, including IL1α, IL1β, IL6 and TNFα, decreased in hypoxic macrophages after FOS and ALOX5 knockdown or both. Also, SASPs decreased in hypoxic fibroblasts after OGN knockdown. These results suggested that FOS, ALOX5 and OGN may affect cell senescence after hypoxia, thus inducing myocardial infarction and HFpEF progression.ConclusionThe screened hub genes, including OGN, FOS and ALOX5, were validated using single-cell sequencing data, cell lines and human samples, which can be therapeutic targets for the treatment to cell senescence under hypoxia and prediction to heart failure progression to HFpEF.
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series Frontiers in Cardiovascular Medicine
spelling doaj-art-e0767a3a3d1a4178817cab5e2d54e8c22025-08-20T02:14:38ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2025-02-011210.3389/fcvm.2025.15013971501397Subepicardial adipose genes contribute to the deterioration of heart failure preserved ejection fractionRuiying Zhang0Ruiying Zhang1Ruiying Zhang2Man Wang3Man Wang4Man Wang5Yuheng Lang6Yuheng Lang7Jiaqi Zhang8Jiaqi Zhang9Jiaqi Zhang10Yuchao Wang11Yuchao Wang12Yuchao Wang13Han Zheng14Han Zheng15Han Zheng16Yue Zheng17Yue Zheng18Yue Zheng19Yue Zheng20Bingyang Zhou21Bingyang Zhou22Bingyang Zhou23Department of Emergency and Critical Care, Tianjin University Chest Hospital, Tianjin, ChinaDepartment of Emergency and Critical Care, Tianjin Chest Hospital, Tianjin, ChinaTianjin Key Laboratory of Cardiovascular Emergency and Critical Care, Tianjin Municipal Science and Technology Bureau, Tianjin, ChinaTianjin Key Laboratory of Cardiovascular Emergency and Critical Care, Tianjin Municipal Science and Technology Bureau, Tianjin, ChinaDepartment of Cardiology, Tianjin University Chest Hospital, Tianjin, ChinaDepartment of Cardiology, Tianjin Chest Hospital, Tianjin, ChinaDepartment of Heart Center, The Third Central Hospital of Tianjin, Tianjin, ChinaDepartment of Heart Center, Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Tianjin, ChinaDepartment of Emergency and Critical Care, Tianjin University Chest Hospital, Tianjin, ChinaDepartment of Emergency and Critical Care, Tianjin Chest Hospital, Tianjin, ChinaTianjin Key Laboratory of Cardiovascular Emergency and Critical Care, Tianjin Municipal Science and Technology Bureau, Tianjin, ChinaDepartment of Heart Center, The Third Central Hospital of Tianjin, Tianjin, ChinaDepartment of Heart Center, Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Tianjin, ChinaSchool of Medicine, Nankai University, Tianjin, ChinaDepartment of Emergency and Critical Care, Tianjin University Chest Hospital, Tianjin, ChinaDepartment of Emergency and Critical Care, Tianjin Chest Hospital, Tianjin, ChinaTianjin Key Laboratory of Cardiovascular Emergency and Critical Care, Tianjin Municipal Science and Technology Bureau, Tianjin, ChinaDepartment of Heart Center, The Third Central Hospital of Tianjin, Tianjin, ChinaDepartment of Heart Center, Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases, Tianjin, ChinaSchool of Medicine, Nankai University, Tianjin, ChinaState Key Laboratory of Membrane Biology and Tsinghua-Peking Center for Life Sciences, Beijing Advanced Innovation Center for Structural Biology, School of Life Sciences, Tsinghua University, Beijing, ChinaTianjin Key Laboratory of Cardiovascular Emergency and Critical Care, Tianjin Municipal Science and Technology Bureau, Tianjin, ChinaDepartment of Cardiology, Tianjin University Chest Hospital, Tianjin, ChinaDepartment of Cardiology, Tianjin Chest Hospital, Tianjin, ChinaBackgroundThe mortality of patients with acute myocardial infarction (MI) raised rapidly in last decade and obesity are becoming the major cause to CAD progression, thus inducing heart failure preserved ejection fraction (HFpEF). However, why visceral adipocytes show different effects on healthy and ageing cardiomyocytes is less known.MethodsGSE251971 was downloaded and Venn diagram between visceral adipocyte genes genes and DEGs was performed to obtain visceral adipocyte-associated DEGs in heart failure. Protein-protein interaction (PPI) network was constructed to obtain the hub genes utilizing the Cytoscape plugin Cytohubba. The hub genes and their interactions were analyzed using NetworkAnalyst 3.0 and for validation, the hub genes expressions were analyzed using Single-cell sequencing data, cell lines and human sub-epicardial tissues and blood samples.ResultsUsing Venn diagram, 71 visceral adipocyte-associated DEGs were identified. Nine hub genes were obtained, including OGN, SELL, FOS, NKG7, LOX, HBB, CXCL9, CP and ALOX5. Single-cell sequencing demonstrated all hub genes were highly expressed in human hypertrophic cardiomyopathy and ischemic cardiomyopathy patients with end-stage heart failure. The related OGN, FOS, NKG7 and ALOX5 mRNA expressions were significantly highly expressed in sub-epicardial tissues in HFpEF patients. AUCs of OGN, FOS and ALOX5 were 0.902, 0.795 and 0.730, and the AUC of joint ROC of OGN, FOS and ALOX5 was 0.946. Additionally, FOS, ALOX5 and OGN expressions were increased at follow up 1 year recurrence, while decreased at follow up 2 year recurrence. Mechanically, FOS and ALOX5 were highly expressed in macrophages under hypoxia, while OGN was highly expressed in fibroblasts under hypoxia. SASPs, including IL1α, IL1β, IL6 and TNFα, decreased in hypoxic macrophages after FOS and ALOX5 knockdown or both. Also, SASPs decreased in hypoxic fibroblasts after OGN knockdown. These results suggested that FOS, ALOX5 and OGN may affect cell senescence after hypoxia, thus inducing myocardial infarction and HFpEF progression.ConclusionThe screened hub genes, including OGN, FOS and ALOX5, were validated using single-cell sequencing data, cell lines and human samples, which can be therapeutic targets for the treatment to cell senescence under hypoxia and prediction to heart failure progression to HFpEF.https://www.frontiersin.org/articles/10.3389/fcvm.2025.1501397/fullheart failurevisceral adipocyte genesHFpEFSASPsmacrophagehuman sub-epicardial tissues
spellingShingle Ruiying Zhang
Ruiying Zhang
Ruiying Zhang
Man Wang
Man Wang
Man Wang
Yuheng Lang
Yuheng Lang
Jiaqi Zhang
Jiaqi Zhang
Jiaqi Zhang
Yuchao Wang
Yuchao Wang
Yuchao Wang
Han Zheng
Han Zheng
Han Zheng
Yue Zheng
Yue Zheng
Yue Zheng
Yue Zheng
Bingyang Zhou
Bingyang Zhou
Bingyang Zhou
Subepicardial adipose genes contribute to the deterioration of heart failure preserved ejection fraction
Frontiers in Cardiovascular Medicine
heart failure
visceral adipocyte genes
HFpEF
SASPs
macrophage
human sub-epicardial tissues
title Subepicardial adipose genes contribute to the deterioration of heart failure preserved ejection fraction
title_full Subepicardial adipose genes contribute to the deterioration of heart failure preserved ejection fraction
title_fullStr Subepicardial adipose genes contribute to the deterioration of heart failure preserved ejection fraction
title_full_unstemmed Subepicardial adipose genes contribute to the deterioration of heart failure preserved ejection fraction
title_short Subepicardial adipose genes contribute to the deterioration of heart failure preserved ejection fraction
title_sort subepicardial adipose genes contribute to the deterioration of heart failure preserved ejection fraction
topic heart failure
visceral adipocyte genes
HFpEF
SASPs
macrophage
human sub-epicardial tissues
url https://www.frontiersin.org/articles/10.3389/fcvm.2025.1501397/full
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