Abstract
Coronary artery disease (CAD) is characterized by atherosclerotic plaque formation in the arterial wall. CAD progression involves complex interactions and phenotypic plasticity among vascular and immune cell lineages. Single-cell RNA-seq (scRNA-seq) studies have highlighted lineage-specific transcriptomic signatures, but human cell phenotypes remain controversial. Here, we perform an integrated meta-analysis of 22 scRNA-seq libraries to generate a comprehensive map of human atherosclerosis with 118,578 cells. Besides characterizing granular cell-type diversity and communication, we leverage this atlas to provide insights into smooth muscle cell (SMC) modulation. We integrate genome-wide association study data and uncover a critical role for modulated SMC phenotypes in CAD, myocardial infarction, and coronary calcification. Finally, we identify fibromyocyte/fibrochondrogenic SMC markers (LTBP1 and CRTAC1) as proxies of atherosclerosis progression and validate these through omics and spatial imaging analyses. Altogether, we create a unified atlas of human atherosclerosis informing cell state-specific mechanistic and translational studies of cardiovascular diseases.
| Original language | English |
|---|---|
| Article number | 113380 |
| Number of pages | 32 |
| Journal | Cell Reports |
| Volume | 42 |
| Issue number | 11 |
| DOIs | |
| Publication status | Published - 28 Nov 2023 |
Keywords
- Atherosclerosis/genetics
- Calcium-Binding Proteins/genetics
- Coronary Artery Disease/genetics
- Genome-Wide Association Study
- Humans
- Myocardial Infarction
- Myocytes, Smooth Muscle
- Plaque, Atherosclerotic
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