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Updated: Jun 13, 2026

Generating Self-Assembling Human Heart Organoids Derived from Pluripotent Stem Cells
Published on: September 15, 2021
The human heart: a self-renewing organ
Jan Kajstura1, Toru Hosoda, Claudia Bearzi
1Departments of Anesthesia and Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. jkajstura@zeus.bwh.harvard.edu
Insights
The heart is not static; new cardiomyocytes regenerate to replace damaged cells. This discovery opens doors for novel cardiac therapies and understanding heart regeneration.
Area of Science:
- Cardiovascular Biology
- Regenerative Medicine
- Cardiac Physiology
Background:
- The long-held belief viewed the heart as a static organ with a fixed number of cardiomyocytes.
- Recent discoveries challenge this dogma, revealing progenitor cells that generate new myocytes.
- This necessitates a re-evaluation of cardiac biology and the heart's dynamic nature.
Purpose of the Study:
- To challenge the traditional view of the heart as a postmitotic organ.
- To highlight the myocardium as a dynamic tissue capable of regeneration.
- To underscore the role of cardiac stem cells in generating new cardiomyocytes.
Main Methods:
- Utilizing classic morphometric approaches to study cardiac regeneration.
- Employing advanced techniques to demonstrate DNA synthesis, mitosis, and cytokinesis in myocytes.
- Identifying replicating myocytes as progeny of cardiac stem cells.
Main Results:
- The heart is a dynamic organ, not static, with ongoing myocyte turnover.
- New cardiomyocytes are generated, replacing old or damaged ones.
- Replicating myocytes originate from cardiac stem cells, confirming regenerative capacity.
Conclusions:
- The heart possesses intrinsic regenerative capabilities, contrary to previous beliefs.
- Cardiac stem cells are crucial for generating new functional cardiomyocytes.
- These findings pave the way for innovative therapeutic strategies for heart disease.
Abstract:
The dogma that the heart is a static organ which contains an irreplaceable population of cardiomyocytes prevailed in the cardiovascular field for the last several decades. However, the recent identification of progenitor cells that give rise to differentiated myocytes has prompted a re-interpretation of cardiac biology. The heart cannot be viewed any longer as a postmitotic organ characterized by a predetermined number of myocytes that is defined at birth and is preserved throughout life. The myocardium constitutes a dynamic entity in which new young parenchymal cells are formed to substitute old damaged dying myocytes. The regenerative ability of the heart was initially documented with a classic morphometric approach and more recently with the demonstration that DNA synthesis, mitosis, and cytokinesis take place in the newly formed myocytes of the normal and pathologic heart. Importantly, replicating myocytes correspond to the differentiated progeny of cardiac stem cells. These findings point to the possibility of novel therapeutic strategies for the diseased heart.
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