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Peer-reviewedCC BYNature communications

Absence of a prolonged macrophage and B cell response inhibits heart regeneration in the Mexican cavefish.

3 more authors
7 affiliations
  1. 1Institute of Developmental and Regenerative Medicine, Old Road Campus, University of Oxford, Oxford, UK.
  2. 2Department of Physiology, Anatomy & Genetics, University of Oxford, Oxford, UK.
  3. 3School of Biochemistry and Biomedical Sciences, University of Bristol, Bristol, UK.
  4. 4King Faisal Specialist Hospital & Research Centre, Riyadh, Saudi Arabia.
  5. 5Bioinfo, Plantagenet, ON, Canada.
  6. 6Institute of Developmental and Regenerative Medicine, Old Road Campus, University of Oxford, Oxford, UK. [email protected].
  7. 7Department of Physiology, Anatomy & Genetics, University of Oxford, Oxford, UK. [email protected].

Abstract

A balanced immune response after cardiac injury is crucial to successful heart regeneration, but knowledge of what distinguishes a regenerative from a scarring response is still limited. The Mexican cavefish Astyanax mexicanus provides a unique comparative model to study heart regeneration and scarring within a single species. Astyanax surface-dwelling fish are capable of heart regeneration, whereas, like the human heart, their cave-dwelling Pachón counterparts form a permanent scar. Using single-cell transcriptomics and immune perturbations, we identify two distinct and largely sequential immune mechanisms driving regeneration in surface fish. First, late-present macrophages are actively phagocytic, and pharmacological inhibition of phagocytosis disrupts scar clearance and regeneration. Second, B cells recruited from 7 days post-injury promote cardiomyocyte cell progression into mitosis, and their inhibition with Acalabrutinib significantly impairs cardiomyocyte proliferation and regeneration. This B cell-dependent mechanism is conserved in zebrafish. Our findings reveal two independent late immune mechanisms distinguishing regenerative from non-regenerative cardiac repair, offering insights for potential therapeutic strategies to enhance heart regeneration in mammals.

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BibTeX
@article{sengul2026absence,
  title = {{Absence of a prolonged macrophage and B cell response inhibits heart regeneration in the Mexican cavefish.}},
  author = {Esra Sengul and Helen G Potts and Ryan D Carter and William T Stockdale and Laura Bevan and Maria Nozdrina and Jun Ying and Konstantinos Lekkos and Rita Alonaizan and Zhilian Hu and Abigail Goodship and Lucy O'Byrne and Madeleine E Lemieux and Rebecca Richardson and Mathilda T M Mommersteeg},
  journal = {Nature communications},
  year = {2026},
  month = sep,
  doi = {10.1038/s41467-026-77725-4},
  url = {https://europepmc.org/article/MED/42897151},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Absence of a prolonged macrophage and B cell response inhibits heart regeneration in the Mexican cavefish.
AU  - Esra Sengul
AU  - Helen G Potts
AU  - Ryan D Carter
AU  - William T Stockdale
AU  - Laura Bevan
AU  - Maria Nozdrina
AU  - Jun Ying
AU  - Konstantinos Lekkos
AU  - Rita Alonaizan
AU  - Zhilian Hu
AU  - Abigail Goodship
AU  - Lucy O'Byrne
AU  - Madeleine E Lemieux
AU  - Rebecca Richardson
AU  - Mathilda T M Mommersteeg
PY  - 2026
DA  - 2026/09/17
JO  - Nature communications
DO  - 10.1038/s41467-026-77725-4
UR  - https://europepmc.org/article/MED/42897151
AB  - A balanced immune response after cardiac injury is crucial to successful heart regeneration, but knowledge of what distinguishes a regenerative from a scarring response is still limited. The Mexican cavefish Astyanax mexicanus provides a unique comparative model to study heart regeneration and scarring within a single species. Astyanax surface-dwelling fish are capable of heart regeneration, whereas, like the human heart, their cave-dwelling Pachón counterparts form a permanent scar. Using single-cell transcriptomics and immune perturbations, we identify two distinct and largely sequential immune mechanisms driving regeneration in surface fish. First, late-present macrophages are actively phagocytic, and pharmacological inhibition of phagocytosis disrupts scar clearance and regeneration. Second, B cells recruited from 7 days post-injury promote cardiomyocyte cell progression into mitosis, and their inhibition with Acalabrutinib significantly impairs cardiomyocyte proliferation and regeneration. This B cell-dependent mechanism is conserved in zebrafish. Our findings reveal two independent late immune mechanisms distinguishing regenerative from non-regenerative cardiac repair, offering insights for potential therapeutic strategies to enhance heart regeneration in mammals.
SN  - 2041-1723
ER  -