In a research article published today in the journal Science, UCLA researchers have found that fibroblasts – scar-forming cells that reside in the scar tissue of an injured heart -- directly play a role in promoting a disturbance of the heart rhythm, otherwise known as an arrhythmia. This finding holds promise for novel approaches to life threatening rhythm problems of the heart.
Every year in the U.S., sudden cardiac death kills upwards of 350,000 people who have had no previous symptoms of heart disease, and in the majority of cases, the underlying cause is an arrhythmia. While there is a strong association between the amount of scar tissue in the heart and the likelihood of an arrhythmia to occur, whether fibroblasts in scar tissue directly communicated with cardiac muscle cells to promote arrhythmias was not known.
In cardiac scar tissue, cardiac muscle cells are surrounded by cardiac fibroblasts and often come in close contact with cardiac fibroblasts. "For decades, scientists have wondered whether the cardiac fibroblasts are electrically passive and just form scar tissue or whether by coming in close contact with myocytes, they directly increased the excitability of cardiac muscle cells and promoted life threatening arrhythmias in vivo," said Dr. Arjun Deb, senior author, professor of medicine and director of the UCLA Cardiovascular Theme, at the David Geffen School of Medicine.