Nature ( IF 69.504 ) Pub Date : 2023-07-12 , DOI:
10.1038/s41586-023-06311-1KazumasaKanemaru,JamesCranley,DanieleMuraro,AntonioMAMiranda,SiewYenHo,AnnaWilbrey-Clark,JanPatrickPett,KrzysztofPolanski,LauraRichardson,MonikaLitvinukova,NatsuhikoKumasaka,YueQin,ZuzannaJablonska,ClaudiaISemprich,LukasMach,MonikaDabrowska,NathanRichoz,LiamBolt,LiraMamanova,RakeshlalKapuge,SamNBarnett,ShaniPerera,CarlosTalavera-López,IlariaMulas,KrishnaaTMahbubani,LizTuck,LuWang,MargaretMHuang,MartinPrete,SophiePritchard,JohnDark,KouroshSaeb-Parsy,MinalPatel,MennaRClatworthy,NorbertHübner,RashedaAChowdhury,MichelaNoseda,SarahATeichmann
The function of a cell is defined by its intrinsic characteristics and its niche: the tissue microenvironment in which it dwells. Here we combine single-cell and spatial transcriptomics data to discover cellular niches within eight regions of the human heart. We map cells to microanatomical locations and integrate knowledge-based and unsupervised structural annotations. We also profile the cells of the human cardiac conduction system1. The results revealed their distinctive repertoire of ion channels, G-protein-coupled receptors (GPCRs) and regulatory networks, and implicated FOXP2 in the pacemaker phenotype. We show that the sinoatrial node is compartmentalized, with a core of pacemaker cells, fibroblasts and glial cells supporting glutamatergic signalling. Using a custom CellPhoneDB.org module, we identify trans-synaptic pacemaker cell interactions with glia. We introduce a druggable target prediction tool, drug2cell, which leverages single-cell profiles and drug–target interactions to provide mechanistic insights into the chronotropic effects of drugs, including GLP-1 analogues. In the epicardium, we show enrichment of both IgG+ and IgA+ plasma cells forming immune niches that may contribute to infection defence. Overall, we provide new clarity to cardiac electro-anatomy and immunology, and our suite of computational approaches can be applied to other tissues and organs.