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Signaling mechanisms and dynamics governing the myocardial-epicardial fate switch during human cardiogenesis

Min Zhou, Congge Li, Ruize Kong, Xiaobo Wang, Yu Yin, Da Wang, Zongyong Ai, Baohua Niu, Zhenlin Liu, Tianqing Li

Journal:Science Advances

IF:13.9

DOI:10.1126/sciadv.aee5316

PMID:42497271

Published:2026-07-24

research field:免疫学发育神经生物学分子神经科学神经免疫学精神病学

Abstract

The signaling mechanisms and developmental dynamics that govern the divergence of myocardial and epicardial lineages during human heart development remain poorly understood. Here, we developed a human pluripotent stem cell-based cardiac development model and employed time-course single-cell RNA sequencing to delineate cardiac lineage specification trajectories. We identified retinoic acid (RA) as a critical fate switch at the cardiac mesoderm stage. RA instructs epicardial lineage commitment of cardiac mesoderm through a primed-epicardium to proepicardium-like population and finally to epicardium, a process requiring precise BMP modulation. Conversely, RA absence directs cardiac mesoderm along a default myocardial pathway, yielding developing and mature cardiomyocytes. Both trajectories are governed by the hierarchical activation of key transcription factors. Our study integrates signaling and dynamics to elucidate the temporal regulatory network of the RA-BMP axis in human cardiac fate determination. These findings provide fundamental insights into human cardiogenesis and a crucial roadmap for modeling heart disease and advancing regenerative strategies.

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