Journal: Advanced Science
Article Title: Decoding the Cardiac Immune Microenvironment and Fibroblast Crosstalk in Radiotherapy Combined with Immunotherapy‐Induced Cardiac Fibrosis Based on Single‐Cell Transcriptomic Analysis
doi: 10.1002/advs.202519216
Figure Lengend Snippet: Tocilizumab attenuates radioimmunotherapy‐induced cardiac injury and fibrosis via the bulk and single‐cell transcriptomic profiling. (A) Schematic of the of IL‐6 receptor (IL‐6 RA) inhibitor tocilizumab intervention in radioimmunotherapy‐induced cardiac injury mouse model. (B) Survival curves of mice over day 28 in Con, iRT, and Toci groups. Data are presented as Kaplan‐Meier survival curves, statistical analysis was performed using the Log‐rank test ( n = 8 per group). No significant difference in survival rate was observed among the three groups ( p = 0.14). Two cases of acute death occurred in the iRT group, while no mortality was detected in the control and Toci groups. (C) Body weight changes of mice in Con, iRT, and Toci groups at day 28 ( n = 6 per group). (D) HE and Masson's trichrome staining for estimating cardiac injury and fibrosis in Con, iRT, and Toci mice cardiac tissue at day 28 post‐treatment, scale bar = 50 µm. (E) Immunofluorescence analysis of IL‐6 expression levels in mice myocardial tissues from Con, iRT, and Toci groups, scale bar = 50 µ m ; quantification histogram of IL‐6 immunofluorescence intensity. (F) Cardiac tissue IL‐6 expression levels detected by ELISA in mice from Con, iRT, and Toci groups at day 28 ( n = 3 per group). (G) qRT‐PCR analysis of IL‐6 transcript levels in cardiac tissues from Con, iRT, and Toci groups at day 28 post‐treatment ( n = 3 per group). (H) Immunofluorescence staining of α‐SMA, TGF‐β, Col1, and Col3 in cardiac tissues of Con, iRT, and Toci groups at day 28 post‐intervention, scale bar = 50 µ m ; quantitative histograms of corresponding markers. (I) Western blot analysis of Col1, Col3, α‐SMA, and TGF‐β protein levels in myocardial tissues from Con, iRT, and Toci groups at day 28 post‐intervention; quantitative analysis of protein expression levels ( n = 3 per group). (J) Heatmap of the DEGs in cardiac tissues from Toci vs iRT groups based on bulk transcriptome analysis ( n = 3 per group). Blue indicates lower expression, and red indicates higher expression. The expression scale is shown on the right. (K) Expression scores of profibrotic and ECM gene sets from bulk transcriptomic analysis in Con, iRT, and Toci groups at day 28. (L) The dot plot showing IL‐6 expression levels across nine cardiac cell types in Con, iRT, and Toci groups ( n = 3 per group) based on scRNA‐seq. (M) Proportion analysis of IL‐6 + and IL‐6 − fibroblasts in Con, iRT, and Toci groups from scRNA‐seq data. (N) The heatmap displaying expression levels of ECM molecules (left) and profibrotic/fibrinolysis‐related factors (right) in fibroblasts across the three groups based on scRNA‐seq. (O) The dot plot showing IL‐6RA expression across nine cardiac cell types in Con, iRT, and Toci groups based on scRNA‐seq. (P) Proportion analysis of CCR2 + and CCR2 − macrophages in cardiac tissues across the three groups based on scRNA‐seq. (Q) Heatmap of IL‐6 signaling pathway interactions among cardiac cell types in iRT (upper) and Toci (lower) groups based on scRNA‐seq. Data are presented as mean ± SD. Differences between groups were assessed using the one‐way ANOVA (E, F, G, H, I, K), and the nonparametric Wilcoxon rank‐sum test (M, P). ns: not significant, * p < 0.05, ** p < 0.01, *** p < 0.001, **** p < 0.0001.
Article Snippet: Primary cardiac fibroblasts (#CP‐M074, Procell Life Science & Technology) were isolated from the hearts of 1‐3‐day‐old C57BL/6 mice and authenticated via immunofluorescence staining, which confirmed positive expression of vimentin.
Techniques: Single Cell, Control, Staining, Immunofluorescence, Expressing, Enzyme-linked Immunosorbent Assay, Quantitative RT-PCR, Western Blot