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Cardiac fibrosis

An epigenetic switch in macrophages promotes fibrosis in the failing heart

Older men with loss of the Y chromosome are more susceptible to heart failure but the responsible genes have not been identified. A study now shows that loss of a single Y chromosome gene in bone marrow cells induces heart failure by switching cardiac macrophages from an inflammatory to a fibrogenic pattern of gene activity.

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Fig. 1: Mice with gene trap knockout of the Y chromosome gene Uty show increased heart failure.
Fig. 2: Analysis of multiomics data suggests that macrophages have increased fibrogenic responses related to increased activity of TGFβ-related, and other pathways.

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Acknowledgements

A.R.T. was supported by National Institutes of Health (NIH) grants HL155431, HL170157 and HL107653.

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Correspondence to Alan R. Tall.

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Tall, A.R., Fidler, T.P. An epigenetic switch in macrophages promotes fibrosis in the failing heart. Nat Cardiovasc Res 3, 254–255 (2024). https://doi.org/10.1038/s44161-024-00439-7

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