The unique hypertrophic and fibrotic features of neonatal right ventricle in response to pressure overload

Abstract Pediatric heart failure (HF) research remains in its infancy partly due to the lack of neonatal rat/mouse models of HF. The aim of the study is to introduce a neonatal rat/mouse model of right ventricular (RV) pressure overload (RVPO), a significant cause of pediatric HF, and to uncover the...

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Main Authors: Yingying Xiao, Yiting Xue, Debao Li, Lincai Ye, Zheng Wang, Sixie Zheng, Peisen Ruan, Hao Chen, Haifa Hong
Format: Article
Language:English
Published: Nature Portfolio 2025-05-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-01427-y
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author Yingying Xiao
Yiting Xue
Debao Li
Lincai Ye
Zheng Wang
Sixie Zheng
Peisen Ruan
Hao Chen
Haifa Hong
author_facet Yingying Xiao
Yiting Xue
Debao Li
Lincai Ye
Zheng Wang
Sixie Zheng
Peisen Ruan
Hao Chen
Haifa Hong
author_sort Yingying Xiao
collection DOAJ
description Abstract Pediatric heart failure (HF) research remains in its infancy partly due to the lack of neonatal rat/mouse models of HF. The aim of the study is to introduce a neonatal rat/mouse model of right ventricular (RV) pressure overload (RVPO), a significant cause of pediatric HF, and to uncover the molecular features of RVPO-induced RV hypertrophy and fibrosis—the two most important transitional pathological states between normal and dysfunctional RV. Neonatal rat/mouse model of RVPO was established by pulmonary artery banding (PAB) surgery on postnatal day 1(P1) and confirmed by echocardiography and morphological examination on P7. Bulk RNA and single-cell RNA sequencing was performed on RV tissues, along with bulk RNA sequencing on RV cardiomyocytes, to screen a range of key genes and signaling pathways that are upregulated and that play critical roles in adult hypertrophy and fibrosis. The sequencing results were further verified by qRT-PCR and histological staining. Most of the pathways and associated genes, such as oxidative stress, inflammation, phosphodiesterase, proteasome, protein kinase, transforming growth factor, and angiotensin were not changed or downregulated in the neonatal RVPO model. This study reveals the unique features of hypertrophy and fibrosis in the neonatal RV in response to pressure overload, which partly explains why adult-effective anti-HF drugs fail to treat pediatric HF. More importantly, single-cell RNA sequencing data of the neonatal RV with pressure overload were documented, providing an important reference for future basic or clinical investigations on pediatric RV failure.
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spelling doaj-art-e77a68fcabd54816b157b1ce962b60972025-08-20T02:34:17ZengNature PortfolioScientific Reports2045-23222025-05-0115111410.1038/s41598-025-01427-yThe unique hypertrophic and fibrotic features of neonatal right ventricle in response to pressure overloadYingying Xiao0Yiting Xue1Debao Li2Lincai Ye3Zheng Wang4Sixie Zheng5Peisen Ruan6Hao Chen7Haifa Hong8Department of Thoracic and Cardiovascular Surgery, Shanghai Children’s Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Thoracic and Cardiovascular Surgery, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of MedicineDepartment of Pediatric Surgery, Children’s Hospital of Fudan University, National Children’s Medical CenterDepartment of Thoracic and Cardiovascular Surgery, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of MedicineDepartment of Thoracic and Cardiovascular Surgery, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of MedicineDepartment of Thoracic and Cardiovascular Surgery, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of MedicineDepartment of Critical Care Medicine, The Affiliated Women and Children’s Hospital of Ningbo UniversityDepartment of Thoracic and Cardiovascular Surgery, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of MedicineDepartment of Thoracic and Cardiovascular Surgery, Shanghai Children’s Hospital, Shanghai Jiao Tong University School of MedicineAbstract Pediatric heart failure (HF) research remains in its infancy partly due to the lack of neonatal rat/mouse models of HF. The aim of the study is to introduce a neonatal rat/mouse model of right ventricular (RV) pressure overload (RVPO), a significant cause of pediatric HF, and to uncover the molecular features of RVPO-induced RV hypertrophy and fibrosis—the two most important transitional pathological states between normal and dysfunctional RV. Neonatal rat/mouse model of RVPO was established by pulmonary artery banding (PAB) surgery on postnatal day 1(P1) and confirmed by echocardiography and morphological examination on P7. Bulk RNA and single-cell RNA sequencing was performed on RV tissues, along with bulk RNA sequencing on RV cardiomyocytes, to screen a range of key genes and signaling pathways that are upregulated and that play critical roles in adult hypertrophy and fibrosis. The sequencing results were further verified by qRT-PCR and histological staining. Most of the pathways and associated genes, such as oxidative stress, inflammation, phosphodiesterase, proteasome, protein kinase, transforming growth factor, and angiotensin were not changed or downregulated in the neonatal RVPO model. This study reveals the unique features of hypertrophy and fibrosis in the neonatal RV in response to pressure overload, which partly explains why adult-effective anti-HF drugs fail to treat pediatric HF. More importantly, single-cell RNA sequencing data of the neonatal RV with pressure overload were documented, providing an important reference for future basic or clinical investigations on pediatric RV failure.https://doi.org/10.1038/s41598-025-01427-yPressure overloadRight heart failurePediatricSingle-cell sequencingRight ventricle
spellingShingle Yingying Xiao
Yiting Xue
Debao Li
Lincai Ye
Zheng Wang
Sixie Zheng
Peisen Ruan
Hao Chen
Haifa Hong
The unique hypertrophic and fibrotic features of neonatal right ventricle in response to pressure overload
Scientific Reports
Pressure overload
Right heart failure
Pediatric
Single-cell sequencing
Right ventricle
title The unique hypertrophic and fibrotic features of neonatal right ventricle in response to pressure overload
title_full The unique hypertrophic and fibrotic features of neonatal right ventricle in response to pressure overload
title_fullStr The unique hypertrophic and fibrotic features of neonatal right ventricle in response to pressure overload
title_full_unstemmed The unique hypertrophic and fibrotic features of neonatal right ventricle in response to pressure overload
title_short The unique hypertrophic and fibrotic features of neonatal right ventricle in response to pressure overload
title_sort unique hypertrophic and fibrotic features of neonatal right ventricle in response to pressure overload
topic Pressure overload
Right heart failure
Pediatric
Single-cell sequencing
Right ventricle
url https://doi.org/10.1038/s41598-025-01427-y
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