TY - JOUR A1 - Shumliakivska, Mariana A1 - Luxán, Guillermo A1 - Hemmerling, Inga A1 - Scheller, Marina A1 - Li, Xue A1 - Müller-Tidow, Carsten A1 - Schuhmacher, Bianca A1 - Sun, Zhengwu A1 - Dendorfer, Andreas A1 - Debes, Alisa A1 - Glaser, Simone F. A1 - Muhly-Reinholz, Marion A1 - Kirschbaum, Klara A1 - Hoffmann, Jedrzej A1 - Nagel, Eike A1 - Puntmann, Valentina O. A1 - Cremer, Sebastian A1 - Leuschner, Florian A1 - Abplanalp, Wesley Tyler A1 - John, David A1 - Zeiher, Andreas M. A1 - Dimmeler, Stefanie T1 - DNMT3A clonal hematopoiesis-driver mutations induce cardiac fibrosis by paracrine activation of fibroblasts T2 - Nature Communications N2 - Hematopoietic mutations in epigenetic regulators like DNA methyltransferase 3 alpha (DNMT3A), play a pivotal role in driving clonal hematopoiesis of indeterminate potential (CHIP), and are associated with unfavorable outcomes in patients suffering from heart failure (HF). However, the precise interactions between CHIP-mutated cells and other cardiac cell types remain unknown. Here, we identify fibroblasts as potential partners in interactions with CHIP-mutated monocytes. We used combined transcriptomic data derived from peripheral blood mononuclear cells of HF patients, both with and without CHIP, and cardiac tissue. We demonstrate that inactivation of DNMT3A in macrophages intensifies interactions with cardiac fibroblasts and increases cardiac fibrosis. DNMT3A inactivation amplifies the release of heparin-binding epidermal growth factor-like growth factor, thereby facilitating activation of cardiac fibroblasts. These findings identify a potential pathway of DNMT3A CHIP-driver mutations to the initiation and progression of HF and may also provide a compelling basis for the development of innovative anti-fibrotic strategies. Y1 - 2024 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/85553 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-855530 SN - 2041-1723 VL - 15 IS - Article number 606 PB - Nature Publishing Group UK CY - London ER -