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Updated: Jul 8, 2026

Generation and Expansion of Human Cardiomyocytes from Patient Peripheral Blood Mononuclear Cells
Published on: February 12, 2021
The role of growth in heart development
Kent L Thornburg1, Samantha Louey, George D Giraud
1Heart Research Center, Department of Medicine (Cardiovascular Medicine), Oregon Health and Science University, Portland, OR 97239-3098, USA. thornbur@ohsu.edu
Insights
Perinatal environment quality critically impacts fetal development. Compromised placental nutrient supply alters heart growth, potentially causing lifelong cardiovascular issues.
Area of Science:
- Developmental biology
- Cardiovascular physiology
- Perinatal medicine
Background:
- The perinatal environment is crucial for fetal development, but mechanisms are unclear.
- Fetal growth depends on maternal nutrient and oxygen supply via the placenta.
- Hormonal, circulatory, and hemodynamic factors influence fetal organ development.
Purpose of the Study:
- To investigate how perinatal insults affect fetal heart development.
- To explore the mechanisms linking placental function to cardiac outcomes.
- To understand the long-term consequences of altered heart development.
Main Methods:
- Studies in sheep models were used to examine heart development.
- Specific insults, such as placental embolization, were introduced.
- Changes in cardiomyocyte proliferation, maturation, and circulating factors were assessed.
Main Results:
- Placental insults alter fetal heart growth patterns.
- Placental embolization inhibited cardiomyocyte proliferation and maturation, possibly via insulin-like growth factor-1.
- Insults affected maturational timeline, myocyte number, vascularity, and endothelial responsiveness.
Conclusions:
- Perinatal insults significantly modify fetal heart development.
- These modifications can lead to persistent cardiovascular changes and adult cardiovascular disease.
- Understanding these mechanisms is key to preventing long-term cardiac dysfunction.
Abstract:
While it is established that the quality of the perinatal environment is critical in sculpting the developing individual, the mechanisms by which this occurs remain poorly defined. The growing fetus is dependent on the nutrients (including oxygen) it receives from the mother via the placenta. When this supply line is compromised, heart growth patterns are altered. In addition, hormones, other circulating factors, and the hemodynamic environment in which the fetus develops are important in determining outcomes for organ structure and function. Numerous studies in sheep have demonstrated that heart development can be modified in a number of ways, and the nature of the change differs between types and gestational timings of insults. Embolization of the placenta leads to the cessation of proliferation and maturation of cardiomyocytes; this may be due in part to changes in circulating insulin-like growth factor-1 levels. Such insults may be the underlying cause of cardiovascular disease in adults. Insults that modify the maturational timeline, final myocyte number, vascularity and endothelial responsiveness in the heart can have effects that persist long after the insult has been ameliorated.
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