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Updated: Jul 6, 2026

Generation and Expansion of Human Cardiomyocytes from Patient Peripheral Blood Mononuclear Cells
Published on: February 12, 2021
Activation of Notch-mediated protective signaling in the myocardium
Natalie A Gude1, Gregory Emmanuel, Weitao Wu
1San Diego State University Heart Institute, Department of Biology, San Diego State University, San Diego, CA 92182, USA.
Insights
Hepatocyte growth factor (HGF) activates Notch signaling in heart cells via the c-Met and Akt pathways. This Notch-Akt crosstalk promotes survival and improves heart function after cardiac injury.
Area of Science:
- Cardiovascular Biology
- Molecular and Cellular Biology
- Regenerative Medicine
Background:
- The Notch network is crucial for cellular processes like differentiation, proliferation, and regeneration.
- Notch signaling interacts with hepatocyte growth factor (HGF)/c-Met and phosphatidylinositol 3-kinase/Akt pathways.
- Understanding these interactions is key to developing therapies for cardiac injury.
Purpose of the Study:
- To investigate the impact of HGF on Notch signaling in cardiomyocytes following myocardial infarction.
- To elucidate the role of Notch signaling in cardiac repair and cardioprotection.
- To explore the crosstalk between Notch and Akt survival pathways in the adult myocardium.
Main Methods:
- Assessment of Notch1 and c-Met activation in cardiomyocytes post-myocardial infarction in mice.
- Intramyocardial injection of HGF and analysis of Notch1 and Akt activation.
- In vitro studies using cultured cardiomyocytes treated with HGF or insulin, and overexpression of Notch intracellular domain.
Main Results:
- Notch1 activation was observed in cardiomyocytes near the infarction border zone, coinciding with nuclear c-Met.
- HGF treatment enhanced Notch1 and Akt activation in adult mouse myocardium and increased Hes1 levels in cultured cardiomyocytes.
- Overexpression of Notch intracellular domain improved hemodynamic function in infarcted hearts, indicating a cardioprotective role.
Conclusions:
- Notch activation in cardiomyocytes is mediated by c-Met and Akt survival signaling.
- Notch1 signaling positively regulates Akt activity, forming a survival feedback loop.
- This Notch-Akt crosstalk represents a critical survival mechanism in the adult myocardium following injury.
Abstract:
The Notch network regulates multiple cellular processes, including cell fate determination, development, differentiation, proliferation, apoptosis, and regeneration. These processes are regulated via Notch-mediated activity that involves hepatocyte growth factor (HGF)/c-Met receptor and phosphatidylinositol 3-kinase/Akt signaling cascades. The impact of HGF on Notch signaling was assessed following myocardial infarction as well as in cultured cardiomyocytes. Notch1 is activated in border zone cardiomyocytes coincident with nuclear c-Met following infarction. Intramyocardial injection of HGF enhances Notch1 and Akt activation in adult mouse myocardium. Corroborating evidence in cultured cardiomyocytes shows treatment with HGF or insulin increases levels of Notch effector Hes1 in immunoblots, whereas overexpression of activated Notch intracellular domain prompts a 3-fold increase in phosphorylated Akt. Infarcted hearts injected with adenoviral vector expressing Notch intracellular domain treatment exhibit improved hemodynamic function in comparison with control mice after 4 weeks, implicating Notch signaling in a cardioprotective role following cardiac injury. These results indicate Notch activation in cardiomyocytes is mediated through c-Met and Akt survival signaling pathways, and Notch1 signaling in turn enhances Akt activity. This mutually supportive crosstalk suggests a positive survival feedback mechanism between Notch and Akt signaling in adult myocardium following injury.
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