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ResearchIn-Press PreviewCardiologyInflammation Open Access | 10.1172/jci.insight.202383

Human pericardial macrophages suppress cardiac fibrosis through cystatin C signaling after myocardial infarction

Ali Fatehi Hassanabad,1 Sarthak Sinha,2 Arzina Jaffer,2 Darrell Belke,3 Nicole L. Rosin,2 Elodie Labit,2 Daniel Young,4 Friederike I. Schoettler,3 Keerthana Chockalingam,2 Benjamin Haeyul Lee,3 Jameson A. Dundas,3 Emilie de Chantal,3 Carmina A. Isidoro,3 Alexander Tam,3 Hanjoo B. Shim,4 Anna N. Zarzycki,3 Afshin Derakhshani,5 Elisabeth Gorgiogianni,3 Jeannine D. Turnbull,3 Antoine Dufour,5 Shalina S. Ousman,6 Jeff A. Biernaskie,2 Paul W.M. Fedak,1 and Justin F. Deniset3

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Fatehi Hassanabad, A. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Sinha, S. in: PubMed | Google Scholar |

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Jaffer, A. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Belke, D. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Rosin, N. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Labit, E. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Young, D. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Schoettler, F. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Chockalingam, K. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Lee, B. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Dundas, J. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by de Chantal, E. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Isidoro, C. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Tam, A. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Shim, H. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Zarzycki, A. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Derakhshani, A. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Gorgiogianni, E. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Turnbull, J. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Dufour, A. in: PubMed | Google Scholar |

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Ousman, S. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Biernaskie, J. in: PubMed | Google Scholar

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Fedak, P. in: PubMed | Google Scholar |

1Section of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovas, Cumming School of Medicine, University of Calgary, Calgary, Canada

2Department of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Canada

3Libin Cardiovascular Institute, University of Calgary, Calgary, Canada

4Department of Physiology and Pharmacology, Cumming School of Medicine, University of Calgary, Calgary, Canada

5Department of Physiology and Pharmacology, University of Calgary, Calgary, Canada

6Departments of Clinical Neuroscience and Cell Biology & Anatomy, Cumming School of Medicine, University of Calgary, Calgary, Canada

7Department of Comparative Biology and Experimental Medicine, University of Calgary, calgary, Canada

Find articles by Deniset, J. in: PubMed | Google Scholar

Published July 16, 2026 - More info

JCI Insight. https://doi.org/10.1172/jci.insight.202383.
Copyright © 2026, Fatehi Hassanabad et al. This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Published July 16, 2026 - Version history
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Abstract

The pericardium plays an important homeostatic function for the neighbouring heart providing both lubricating and structural support. In vivo models have further identified a protective role for the pericardium in modulating cardiac remodelling following myocardial infarction possibly through the actions of tissue-resident pericardial macrophages. Using patient derived pericardial samples, we establish that human pericardial immune cells directly inhibit cardiac fibroblast fibrotic activity and this action is dampened following myocardial infarction. Performing single-cell RNA sequencing of patient pericardial fluid cells, we identify two pericardial macrophage subsets that are uniquely altered in response to myocardial infarction, which contributes to a shift in their effector molecule expression profiles. We confirm that fibronectin-expressing human pericardial macrophages are the primary driver of the pericardial anti-fibrotic actions through the release of cystatin C. Finally, we establish cystatin C as a macrophage-derived cardioprotective effector molecule in an in vivo model of myocardial infarction. Collectively, we uncover a new molecular mechanism of the local immune environment that regulates cardiac remodelling post myocardial infarction.

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