Related Experiment Video
Updated: Jul 8, 2026

Isolation, Transfection, and Long-Term Culture of Adult Mouse and Rat Cardiomyocytes
Published on: October 10, 2020
The aging cardiomyocyte: a mini-review
1Cardiac Surgery Research Laboratory, Department of Cardiac Surgery, Innsbruck Medical University, Innsbruck, Austria. david.bernhard@i-med.ac.at
Insights
Cardiac aging involves changes in cardiomyocyte repair, signaling, structure, and function. Intrinsic factors drive physiological aging, while extrinsic factors like smoking accelerate pathological aging of the heart.
Area of Science:
- Cardiology
- Molecular Biology
- Gerontology
Background:
- Aging is an independent risk factor for reduced cardiac function and heart disease.
- Aging-associated biochemical and cell-biological changes contribute to heart dysfunction.
Purpose of the Study:
- To review age-related changes in cardiac myocytes from youth to old age.
- To discuss aging phenotypes and mechanisms affecting cardiomyocyte repair, signaling, structure, and function.
Main Methods:
- Comprehensive review of existing literature on cardiac aging.
Main Results:
- Key factors in cardiomyocyte aging include oxidative stress, inflammation, telomere integrity, metabolism, and gene expression.
- Non-cardiomyocyte factors (vascular, fibroblast, extracellular matrix) significantly impact cardiomyocyte aging and cardiac function.
Conclusions:
- Intrinsic aging factors are the primary drivers of physiological cardiac and cardiomyocyte aging.
- Extrinsic factors, such as smoking, contribute to accelerated pathological aging of the heart.
Background:
Aging per se is a risk factor for reduced cardiac function and heart diseases, even when adjusted for aging-associated cardiovascular risk factors. Accordingly, aging-related biochemical and cell-biological changes lead to pathophysiological conditions, especially reduced heart function and heart disease.
Objective:
In this review, we summarize the changes that occur as the heart ages from youth to old age on the basis of the cardiac myocyte. Aging phenotypes and underlying mechanisms shall be discussed that affect cardiomyocyte repair, signaling, structure, and function.
Methods:
Review of the literature.
Results:
The following factors play vital roles in the aging of cardiomyocytes: oxidative stress, inflammation, cellular protection and repair, telomere integrity, survival and death, metabolism, post-translational modifications, and altered gene expression. Importantly, non-cardiomyocyte-based aging processes (vascular, fibroblast, extracellular matrix, etc.) in the heart will interfere with cardiomyocyte aging and cardiac function.
Conclusion:
Based on our analyses, we postulate that the physiological aging process of the heart and of the cardiomyocyte is primarily driven by intrinsic aging factors. However, extrinsic aging factors, e.g. smoking, also make an important contribution to pathologically accelerated aging of the heart.
Related Concept Videos
Cardiomyopathy I: Introduction and Classification
Cardiomyopathy II: Dilated Cardiomyopathy
Cardiomyopathy III: Hypertrophic Cardiomyopathy
Structure of Cardiac Muscles
Compared to skeletal muscles, cardiac muscle cells are small and mostly have a single nucleus. Additionally, they are usually...
Myocarditis I: Introduction
Cardiomyopathy V: Interprofessional Care

