TY - JOUR A1 - Gladka, Monika M. A1 - Kohela, Arwa A1 - Molenaar, Bas A1 - Versteeg, Danielle A1 - Kooijman, Lieneke A1 - Monshouwer-Kloots, Jantine A1 - Kremer, Veerle A1 - Vos, Harmjan R. A1 - Huibers, Manon M. H. A1 - Haigh, Jody J. A1 - Huylebroeck, Danny A1 - Boon, Reinier A1 - Giacca, Mauro A1 - Rooij, Eva van T1 - Cardiomyocytes stimulate angiogenesis after ischemic injury in a ZEB2-dependent manner T2 - Nature Communications N2 - The disruption in blood supply due to myocardial infarction is a critical determinant for infarct size and subsequent deterioration in function. The identification of factors that enhance cardiac repair by the restoration of the vascular network is, therefore, of great significance. Here, we show that the transcription factor Zinc finger E-box-binding homeobox 2 (ZEB2) is increased in stressed cardiomyocytes and induces a cardioprotective cross-talk between cardiomyocytes and endothelial cells to enhance angiogenesis after ischemia. Single-cell sequencing indicates ZEB2 to be enriched in injured cardiomyocytes. Cardiomyocyte-specific deletion of ZEB2 results in impaired cardiac contractility and infarct healing post-myocardial infarction (post-MI), while cardiomyocyte-specific ZEB2 overexpression improves cardiomyocyte survival and cardiac function. We identified Thymosin β4 (TMSB4) and Prothymosin α (PTMA) as main paracrine factors released from cardiomyocytes to stimulate angiogenesis by enhancing endothelial cell migration, and whose regulation is validated in our in vivo models. Therapeutic delivery of ZEB2 to cardiomyocytes in the infarcted heart induces the expression of TMSB4 and PTMA, which enhances angiogenesis and prevents cardiac dysfunction. These findings reveal ZEB2 as a beneficial factor during ischemic injury, which may hold promise for the identification of new therapies. KW - Angiogenesis KW - Myocardial infarction Y1 - 2021 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/69284 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-692842 SN - 2041-1723 N1 - This work was supported by the Leducq Foundation (14CVD04; to E.v.R.), the European Research Council under the European Union’s Seventh Framework Programme (ERC Grant Agreement CoG 615708 MICARUS; to E.v.R.) and Belspo IAPVII-07 Devrepair (to D.H. and J.J.H.). N1 - Data availability The authors declare that the main data supporting the findings of this study are available within the article and its Supplementary Information file. All sequencing data that support the findings of this study have been deposited in the National Center for Biotechnology Information Gene Expression Omnibus (GEO) and are accessible through the GEO Series accession number GSE146285 (for SCS data) and GSE151638 (for Zeb2 cKO RNA-seq data). The mass spectrometry proteomics data have been deposited to the ProteomeXchange Consortium via the PRIDE [1] partner repository with the dataset identifier PXD022212. Source data are provided with this paper. Extra data are available from the corresponding author upon request. Source data are provided with this paper. VL - 12.2021 IS - art. 84 SP - 1 EP - 16 PB - Nature Publishing Group UK CY - [London] ER -