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American Heart Association

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Final ID: Wed023

Fibroblast-Specific PD-L1 (FB-PD-L1) Modulates Immune Crosstalk and Cardiac Remodeling in Ischemic Heart Injury

Abstract Body: Immune checkpoint blockade targeting the PD-1/PD-L1 axis is an effective cancer immunotherapy. However, its use is associated with immune-related adverse events (irAEs), including rare but potentially fatal cardiotoxicities. Despite their significant clinical impact, the molecular mechanisms underlying immune checkpoint inhibitor (ICI)-mediated cardiotoxicity remain poorly understood. Although PD-L1 is expressed in all major cardiac cell types, its cell-specific roles in the heart and in the cardiac pathology remain unclear. Post-myocardial infarction (MI) cardiac remodeling is characterized by sustained inflammation, immune cell infiltration, and progressive fibrosis. Given the role of fibroblast (FB)-immune crosstalk in ischemic heart repair and remodeling, we examined FB-specific PD-L1 in regulating these processes. Indeed, PD-L1 was significantly up-regulated in FBs of the ischemic hearts as early as 3 days post-MI. To evaluate the role of FB-PD-L1 in post-MI fibrotic remodeling, we generated tamoxifen-inducible FB-specific PD-L1 knockout (KO) mice (PD-L1^fl/fl; Tcf21MCM). At 12 weeks of age, FB-PD-L1-KO and littermate controls were placed on a continuous tamoxifen chow diet (40 mg/kg). At 3 weeks post-tamoxifen treatment, mice underwent sham or MI surgeries, and cardiac function was assessed by echocardiography. Pre-MI, controls, and FB-PD-L1-KO hearts had comparable chamber dimensions and ventricular function. Interestingly, LV function in FB-PD-L1-KO mice became significantly detrimental at 4 weeks post-MI. Echocardiographic data are validated by qRT-PCR analysis of heart failure markers. Additionally, Deletion of fibroblast PD-L1 leads to maladaptive cardiac remodeling, evidenced by increased myocardial fibrosis on Masson’s trichrome staining. Comprehensive immune profiling of fibroblast-specific PD-L1 knockout and control hearts revealed a robust cardiac immune response in FB-PD-L1-deficient mice, suggesting that PD-L1-mediated fibroblast-immune cell crosstalk restrains myocardial inflammation and its loss promotes cardiac dysfunction and adverse remodeling. These findings identify fibroblast PD-L1 as a critical regulator of post-MI cardiac remodeling and immune fibroblast crosstalk.
  • Huque, Amdadul  ( Louisiana State University Health Sciences Center, Shreveport , Shreveport , Louisiana , United States )
  • Ansari, Md Imran  ( Louisiana State University Health Sciences Center, Shreveport , Shreveport , Louisiana , United States )
  • Bhati, Arvind Singh  ( Louisiana State University Health Sciences Center, Shreveport , Shreveport , Louisiana , United States )
  • Jaiswal, Ashish  ( Louisiana State University Health Sciences Center, Shreveport , Shreveport , Louisiana , United States )
  • Toro Cora, Angelica  ( Louisiana State University Health Sciences Center, Shreveport , Shreveport , Louisiana , United States )
  • Zhang, Qinkun  ( Louisiana State University Health Sciences Center, Shreveport , Shreveport , Louisiana , United States )
  • Lal, Hind  ( Louisiana State University Health Sciences Center, Shreveport , Shreveport , Louisiana , United States )
  • Sultan, Tousif  ( Louisiana State University Health Sciences Center, Shreveport , Shreveport , Louisiana , United States )
  • Author Disclosures:
Meeting Info:

Basic Cardiovascular Sciences 2026

2026

Boston, Massachusetts

Session Info:

Poster Session 3

Wednesday, 07/15/2026 , 04:30PM - 07:00PM

Poster Session and Reception

More abstracts from these authors:
Fibroblast-specific NFκB-dependent signaling exacerbates inflammation and cardiac dysfunction in the heart following a myocardial infarction.

Singh Baldeep, Bhati Arvind Singh, Toro Cora Angelica, Jaiswal Ashish, Zhang Qinkun, Sultan Tousif, Lal Hind

Myeloid PD-L1 (m-PD-L1) and CTLA-4 Inhibition Triggers MHC-I–Mediated Cardiac Inflammation and Dysfunction Despite Enhanced Tumor Control

Ansari Md Imran, Huque Amdadul, Bhati Arvind, Jaiswal Ashish, Toro Cora Angelica, Zhang Qinkun, Lal Hind, Sultan Tousif

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