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Fibroblast (Fb) differentiation and interstitial fibrosis contribute to cardiac remodeling and loss of function after myocardial infarction (MI). We investigated regional presence and regulation of fibrosis in a pig MI model.
In vivo
analysis of regional function and perfusion defined three regions: the scar, the myocardium adjacent to the scar (MI
adjacent
, reduced function, reduced perfusion reserve), and the remote myocardium (MI
remote
, minimal functional deficit, maintained perfusion). Interstitial and perivascular fibrosis, and increase of collagen type I, was only observed in the MI
adjacent
. Fb activated protein-alpha (FAP-α) was enriched in MI
adjacent
compared to MI
remote
. TGF-β1, which triggers Fb differentiation, was upregulated in both MI
adjacent
and MI
remote
, whereas lysyl oxidase, a regulator of collagen cross-linking, and the proteoglycans decorin and biglycan were only increased in the MI
adjacent
. Fb isolated and cultured for 4 days had myoFb characteristics with little difference between MI
remote
and MI
adjacent
, although RNA sequencing revealed differences in gene expression profiles. Fbs from all regions maintained proliferative capacity, and induced contraction of 3-D collagen matrices but scar myoFb was more effective. These data suggest that after MI, signaling through TGF-β1, possibly related to increased mechanical load, drives Fb activation throughout the left ventricle while regional signaling determines further maturation and extracellular matrix remodeling after MI.