Cardiac fibrosis contributes to the progression of heart failure, and the development of effective antifibrotic therapies is limited by the lack of longitudinal screening platforms2,13. Conventional methods for evaluating antifibrotic efficacy, including Western blotting, RT-qPCR, and immunofluorescence staining, rely on endpoint measurements that require cell lysis or fixation. These approaches prevent real-time monitoring of fibrotic progression in living cells and limit their applicability for longitudinal and high-throughput analyses. In addition, the generation of stable reporter cell lines through plasmid transfection or lentiviral integration is often constrained by low transfection efficiency in fibroblasts, variability associated with random genomic integration, and progressive silencing of reporter expression over continuous passages15.
While lentiviral vectors are frequently employed for gene delivery in NIH/3T3 fibroblasts, our study specifically utilized an adenoviral reporter system to preserve the physiological fidelity of the fibroblasts. Lentiviruses permanently integrate into the host genome, carrying an inherent risk of insertional mutagenesis that may inadvertently disrupt endogenous signaling networks—a critical concern when evaluating complex cascades like TGF-β-induced fibrogenesis. In contrast, adenoviral vectors remain episomal, ensuring genomic integrity. Moreover, bypassing the prolonged antibiotic selection required for stable lentiviral cell lines prevents therapy-induced phenotypic shifts, allowing for rapid, robust, and highly efficient transient expression suited for high-throughput screening.
To address these technical limitations, the mCol1a1 promoter-driven mCherry adenoviral reporter system provides a method for monitoring fibroblast activation in vitro. The system combines adenoviral delivery with the mouse Col1a1 promoter, a transcriptional marker associated with fibroblast activation and ECM deposition16. Coupling Col1a1 promoter activity to a fluorescent reporter enables visualization and quantification of fibrotic transcriptional responses in living cells. Reporter fluorescence increases following TGF-β stimulation at multiple time points, reflecting the longitudinal progression of fibroblast activation. Inhibition of reporter activity by the ALK5 inhibitor SB431542 indicates pathway-dependent regulation. The correspondence between reporter fluorescence and endogenous fibrosis-associated gene and protein expression, as measured by RT-qPCR and ELISA, supports the use of this method for monitoring fibrotic responses under these conditions.
Recent studies have utilized iPSC-derived cardiac cells combined with CRISPR-Cas9–based genetic perturbation for drug screening and target discovery11,13. For example, CRISPR-engineered fluorescent reporter iPSC-derived cardiac fibroblasts have been applied in large-scale compound screening approaches11,17. Although these methods provide high genetic precision, they are associated with long differentiation timelines, technical complexity, batch-to-batch variability, and increased experimental cost13,18. In comparison, the adenoviral reporter platform described here enables more rapid implementation without genome editing or extended cell differentiation. These approaches may be used in a complementary manner, with the mCol1a1p-mCherry reporter system serving as an initial screening tool and iPSC-based models applied for subsequent validation11.
The mCol1a1p-mCherry reporter system described here provides a method for screening candidate compounds, including metabolic modulators and natural products, in a fibroblast-based model. To ensure reproducibility of this protocol, several critical steps and troubleshooting considerations require attention. First, the purity of the adenoviral preparation is essential. The use of unpurified viral lysates may introduce host-cell debris and cytotoxic components, leading to non-specific effects in NIH/3T3 fibroblasts and confounding the reporter readout. Furthermore, to ensure rigorous reproducibility and batch-to-batch consistency for downstream screening applications, every viral preparation was subjected to standardized purification and strictly quantified via an endpoint dilution assay. By applying a precisely defined multiplicity of infection (MOI) based on functional viral titers (PFU/mL) rather than volumetric quantities, we successfully neutralized inter-batch variations, thereby standardizing the reporter response across all independent experimental runs. Second, during optimization of this MOI, it is important to ensure that the volume of the viral inoculum does not exceed 10% of the total culture volume. Excessive viral buffer can alter the pH and osmolarity of the culture medium, potentially inducing cellular stress responses independent of TGF-β stimulation.
Furthermore, handling 384-well plates for high-content imaging presents technical challenges. NIH/3T3 fibroblasts are susceptible to detachment during medium exchange and washing steps. Gentle liquid handling, such as the use of automated liquid handlers with low dispensing speeds or angling pipette tips against the side walls of the wells, can reduce cell loss. To minimize basal activation of the Col1a1 promoter and improve signal-to-noise ratio, serum starvation for 12–24 h prior to TGF-β stimulation may be used. During sequential live-cell imaging across multiple time points (e.g., 24, 48, and 72 h), cumulative phototoxicity and DNA-binding effects from repeated Hoechst staining should be minimized by optimizing exposure conditions or using parallel experimental plates for each time point19.
Several limitations of this method should be considered. First, the system is based on an immortalized fibroblast cell line and does not fully represent the cellular heterogeneity of cardiac fibroblasts in vivo. Second, the reporter reflects transcriptional activation of Col1a1 and does not capture post-transcriptional regulation or extracellular matrix maturation. Future adaptations may include the use of primary cardiac fibroblasts, co-culture systems, or three-dimensional models to improve physiological relevance. In summary, this protocol describes a Col1a1 promoter-driven adenoviral reporter system for monitoring fibroblast activation. The method integrates viral delivery, pharmacological modulation, and complementary molecular assays to enable longitudinal and non-destructive analysis in living cells. This approach may be applied to compound screening and the study of fibrotic signaling processes under controlled in vitro conditions.