STIM1-dependent treg dysfunction promotes cardiometabolic heart failure with preserved ejection fraction (HFpEF): insights from patients and animal studies

Cardiovasc DiabetolPublished Mechanistic study

Authors' conclusion

STIM1-dependent stress signaling drives maladaptive Treg instability that amplifies cardiovascular inflammation and HFpEF progression.

Study context

Population
Patients with and without HFpEF (circulating Tregs); mice on high-fat diet plus nitric oxide synthase inhibition (L-NAME) as a cardiometabolic HFpEF model
Comparison
Patients with vs without HFpEF; TregStim1-/- mice vs littermate controls
Outcome
Tregs in HFpEF and effect of Treg STIM1 deletion
Methodological detailshuman and animal studies, Treg-specific STIM1 deletion, littermate controls, high-fat diet plus L-NAME HFpEF model
  • Human and animal studies
  • Treg-specific STIM1 deletion
  • Littermate controls
  • High-fat diet plus L-NAME HFpEF model

Main finding

As reported in the abstract

  • Patients with HFpEF: reduced circulating Treg numbers, increased STIM1 expression and activation of apoptotic, inflammatory and ER stress pathways
  • Control mice developed HFpEF features: diastolic dysfunction with preserved ejection fraction, hypertension, metabolic dysregulation, endothelial dysfunction, cardiac fibrosis, impaired exercise tolerance
  • TregStim1-/- mice were protected from these abnormalities
  • STIM1 signaling promoted loss of Treg suppressive stability and effector-like inflammatory signaling, incl. IL-17- and IFN-γ-dependent cardiomyocyte activation; STIM1-deficient Tregs kept a non-pathogenic phenotype

Original publication

STIM1-dependent treg dysfunction promotes cardiometabolic HFpEF: insights from patients and animal studies. Cardiovasc Diabetol. Published 8 July 2026. doi:10.1186/s12933-026-03253-6

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