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Lee, J. C. M.

Publications and source records attributed to Lee, J. C. M..

2 recordsLinked to original sources

High-resolution atlas of the developing human heart and the great vessels

The human heart and adjoining great vessels consist of multiple cell types essential for life, yet many remain uncharacterised molecularly during development. Here, we performed a high-resolution profiling of the developing heart and great vessels between 4 and 20 post-conception weeks using single-cell and spatial transcriptomics defining 63 cell types with distinct identity and location-specific signatures. We reveal previously unreported molecular identities in cell types, including the pericardium and the ductus arteriosus. In the cardiomyocytes, we identify signatures of the trabeculated-compact, and right-left axes of ventricular cardiomyocytes. In vessels, we distinguish the constituents belonging to either coronary or great vessels. We confirm our transcriptional findings spatially, revealing nuanced signatures with specific zonation patterns and validating this atlas as a curated transcriptional reference for future studies. We leverage the temporal scope of the presented atlas to build CMageR, a predictive pipeline for scRNA-seq combining cardiac cell annotation with a transcriptional cardiac clock of single-cell developmental age for each cell type. Our cardiomyocyte clock captures dynamic biology, revealing core functional changes and novel markers of maturity during the first and second trimester. Finally, we benchmark in vitro models, suggesting a transcriptional right-chamber bias in stem cell derived cardiomyocytes with the oldest model age-matched to 12 post-conception weeks. Collectively, our work provides a high-resolution atlas of human cardiac development to enhance our understanding of function in development, health, and disease, and a foundation for building a rich reference to benchmark and improve in vitro models.

developmental biology↗

On-person adaptive evolution of Staphylococcus aureus during atopic dermatitis increases disease severity

Genetic variation among bacterial strains can contribute to heterogeneity in the severity of chronic inflammatory diseases 1,2, but the degree of variation created by de novo mutation during colonization is not well understood. The inflamed skin of people with atopic dermatitis (AD) is frequently colonized with Staphylococcus aureus, an opportunistic pathogen associated with both asymptomatic colonization of nasal passages and invasive disease 3-6. While genetic risk and barrier disruption are critical to AD initiation 7,8, S. aureus colonization is thought to worsen disease severity by promoting skin damage9 1,4,5,10. Here we show, from tracking 23 children treated for AD over 9 months, that S. aureus adapts via de novo mutations during colonization. Patients S. aureus populations are typically dominated by a single lineage, with infrequent invasion by distant lineages. Variants emerge within each lineage with mutation accumulation rates similar to S. aureus in other contexts. Some of these variants replace their ancestors across the body within months, with signatures of adaptive, rather than neutral, forces. Most strikingly, the capsule synthesis gene capD obtained four parallel mutations within one patient and was involved in mutational sweeps in multiple patients. We confirm that selection for capD negativity is common in AD, but not in other contexts, via reanalysis of public S. aureus genomes from 276 people. Our finding of disease-specific selection raises the possibility that adaptation of pathobionts during colonization prolongs the positive feedback cycle of inflammation.

microbiology↗