PMID- 38323308 OWN - NLM STAT- MEDLINE DCOM- 20240208 LR - 20240212 IS - 1838-7640 (Electronic) IS - 1838-7640 (Linking) VI - 14 IP - 3 DP - 2024 TI - Single-cell RNA sequencing reveals S100a9(hi) macrophages promote the transition from acute inflammation to fibrotic remodeling after myocardial ischemia‒reperfusion. PG - 1241-1259 LID - 10.7150/thno.91180 [doi] AB - Rationale: The transition from acute inflammation to fibrosis following myocardial ischemia‒reperfusion (MIR) significantly affects prognosis. Macrophages play a pivotal role in inflammatory damage and repair after MIR. However, the heterogeneity and transformation mechanisms of macrophages during this transition are not well understood. Methods: In this study, we used single-cell RNA sequencing (scRNA-seq) and mass cytometry to examine murine monocyte-derived macrophages after MIR to investigate macrophage subtypes and their roles in the MIR process. S100a9(-/-) mice were used to establish MIR model to clarify the mechanism of alleviating inflammation and fibrosis after MIR. Reinfusion of bone marrow-derived macrophages (BMDMs) after macrophage depletion (MD) in mice subjected to MIR were performed to further examine the role of S100a9(hi) macrophages in MIR. Results: We identified a unique subtype of S100a9(hi) macrophages that originate from monocytes and are involved in acute inflammation and fibrosis. These S100a9(hi) macrophages infiltrate the heart as early as 2 h post-reperfusion and activate the Myd88/NFkappaB/NLRP3 signaling pathway, amplifying inflammatory responses. As the tissue environment shifts from proinflammatory to reparative, S100a9 activates transforming growth factor-beta (Tgf-beta)/p-smad3 signaling. This activation not only induces the transformation of myocardial fibroblasts to myofibroblasts but also promotes fibrosis via the macrophage-to-myofibroblast transition (MMT). Targeting S100a9 with a specific inhibitor could effectively mitigate acute inflammatory damage and halt the progression of fibrosis, including MMT. Conclusion: S100a9(hi) macrophages are a promising therapeutic target for managing the transition from inflammation to fibrosis after MIR. CI - (c) The author(s). FAU - Shen, Shichun AU - Shen S AD - Department of Cardiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China. FAU - Zhang, Meng AU - Zhang M AD - Department of Cardiology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China. FAU - Wang, Xiaohe AU - Wang X AD - Department of Cardiology, The Second Affiliated Hospital of Anhui Medical University, Hefei, China. FAU - Liu, Qiaoling AU - Liu Q AD - School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, United Kingdom. FAU - Su, Huimin AU - Su H AD - Department of Cardiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China. FAU - Sun, Bingyi AU - Sun B AD - The First Clinical Medical school of Anhui Medical university, Hefei, China. FAU - Guo, Zhiqing AU - Guo Z AD - Department of Cardiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China. FAU - Tian, Beiduo AU - Tian B AD - Department of Cardiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China. FAU - Gan, Hong AU - Gan H AD - Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No 81 Meishan Road, Hefei 230032, Anhui, China. AD - MOE Key Laboratory of Population Health Across Life Cycle, Hefei, China. FAU - Gong, Chen AU - Gong C AD - Department of Pediatrics, The First Affiliated Hospital of Anhui Medical University, Hefei, China. FAU - Ma, Likun AU - Ma L AD - Department of Cardiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China. LA - eng PT - Journal Article DEP - 20240120 PL - Australia TA - Theranostics JT - Theranostics JID - 101552395 SB - IM MH - Mice MH - Animals MH - Macrophages/metabolism MH - *Myocardial Reperfusion Injury/pathology MH - Fibrosis MH - Inflammation/metabolism MH - *Coronary Artery Disease/pathology MH - Ischemia/pathology MH - Reperfusion MH - Sequence Analysis, RNA MH - Mice, Inbred C57BL PMC - PMC10845204 OTO - NOTNLM OT - S100a9hi macrophages OT - cardiac fibrosis OT - inflammation OT - macrophage-to-myofibroblast transition OT - myocardial ischemia-reperfusion injury COIS- Competing Interests: The authors have declared that no competing interest exists. EDAT- 2024/02/07 06:43 MHDA- 2024/02/08 06:43 PMCR- 2024/01/01 CRDT- 2024/02/07 04:19 PHST- 2023/10/16 00:00 [received] PHST- 2023/12/29 00:00 [accepted] PHST- 2024/02/08 06:43 [medline] PHST- 2024/02/07 06:43 [pubmed] PHST- 2024/02/07 04:19 [entrez] PHST- 2024/01/01 00:00 [pmc-release] AID - thnov14p1241 [pii] AID - 10.7150/thno.91180 [doi] PST - epublish SO - Theranostics. 2024 Jan 20;14(3):1241-1259. doi: 10.7150/thno.91180. eCollection 2024.