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Publication : Fibroblasts in heart scar tissue directly regulate cardiac excitability and arrhythmogenesis.

First Author  Wang Y Year  2023
Journal  Science Volume  381
Issue  6665 Pages  1480-1487
PubMed ID  37769108 Mgi Jnum  J:340950
Mgi Id  MGI:7531588 Doi  10.1126/science.adh9925
Citation  Wang Y, et al. (2023) Fibroblasts in heart scar tissue directly regulate cardiac excitability and arrhythmogenesis. Science 381(6665):1480-1487
abstractText  After heart injury, dead heart muscle is replaced by scar tissue. Fibroblasts can electrically couple with myocytes, and changes in fibroblast membrane potential can lead to myocyte excitability, which suggests that fibroblast-myocyte coupling in scar tissue may be responsible for arrhythmogenesis. However, the physiologic relevance of electrical coupling of myocytes and fibroblasts and its impact on cardiac excitability in vivo have never been demonstrated. We genetically engineered a mouse that expresses the optogenetic cationic channel ChR2 (H134R) exclusively in cardiac fibroblasts. After myocardial infarction, optical stimulation of scar tissue elicited organ-wide cardiac excitation and induced arrhythmias in these animals. Complementing computational modeling with experimental approaches, we showed that gap junctional and ephaptic coupling, in a synergistic yet functionally redundant manner, excited myocytes coupled to fibroblasts.
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