Abstract P1068: Yap Induces A Neonatal Like Pro-renewal Niche In The Adult Heart

Abstract

The heart is a poorly renewable organ, meaning that tissue architecture and the cardiac microenvironment are irreversibly disrupted after injury. This presents a major challenge in treatment of ischemic heart disease, the leading cause of death worldwide. To date, most studies have focused on cardiomyocytes (CMs). However, very few studies have examined CM-extrinsic mechanisms, such as innate immunity, that complement CM-intrinsic mechanisms in heart renewal. Inactivation of the Hippo signaling pathway can rebuild the post ischemic microenvironment and improve cardiac function. We investigated spatially resolved cellular relationships of neonatal and adult renewal-competent hearts to gain insight into inefficient mammalian heart renewal. Spatial transcriptomics and single-cell sequencing of adult control hearts and hearts expressing YAP5SA, an active version of the Hippo signaling pathway effector YAP, which models heart renewal, revealed a conserved, renewal-competent CM population in control hearts and amplified in YAP5SA hearts. This CM population was also found in the wildtype, renewal competent neonatal heart after myocardial infarction, as well as the adult human heart. In YAP5SA hearts and neonatal hearts post myocardial infarction, resident macrophages and cardiac fibroblasts expressing complement pathway genes colocalized with these CMs, creating a pro-renewal microenvironment. Complement loss-of-function in fibroblasts or macrophages suppressed cardiomyocyte proliferation in both neonatal injured hearts and adult YAP5SA hearts, indicating that the complement system plays a direct role in heart renewal.