Related Experiment Video
Updated: May 31, 2026

09:05
In Vitro Differentiation of Human Mesenchymal Stem Cells into Functional Cardiomyocyte-like Cells
Published on: August 9, 2017
Effects of age and heart failure on human cardiac stem cell function
Daniela Cesselli1, Antonio P Beltrami, Federica D'Aurizio
1Center for Regenerative Medicine, Udine Medical School, Udine, Italy. daniela.cesselli@uniud.it
The American Journal of Pathology
|June 28, 2011
Summary
Aging and chronic heart failure (CHF) reduce the number of functional human cardiac stem cells (hCSCs). Dysfunctional telomeres in hCSCs serve as biomarkers for both aging and heart failure, impacting cardiac repair potential.
Area of Science:
- Cardiovascular Biology
- Stem Cell Biology
- Gerontology
Background:
- The role of stem cell defects in myocardial aging and chronic heart failure (CHF) remains unclear.
- The persistence of functional human cardiac stem cells (hCSCs) in failing hearts is not well understood.
Purpose of the Study:
- To investigate if aging and CHF critically impact the heart's growth reserve by assessing hCSC properties.
- To determine if hCSCs exhibit signs of senescence and if telomere dysfunction is a key factor.
Main Methods:
- Evaluation of hCSC properties in explanted hearts from control (n=18) and CHF (n=23) patients.
- Assessment of biomarkers for hCSC senescence, including telomere length, telomerase activity, and expression of p21(Cip1) and p16(INK4a).
Main Results:
- Both chronological age and CHF were associated with a significant decrease in functionally competent hCSCs.
- Telomere shortening, reduced telomerase activity, and increased expression of senescence markers (p21, p16) were observed in hCSCs.
- Dysfunctional telomeres in hCSCs were identified as novel biomarkers for cardiac aging and heart failure.
Conclusions:
- Aging and CHF impair the pool of functional hCSCs, potentially contributing to the progression of heart failure.
- Cellular senescence markers in hCSCs can indicate the aging of these cells and their therapeutic potential.
- Identifying and isolating young, functional hCSCs may offer therapeutic strategies for heart failure and aging-related cardiac dysfunction.
Related Concept Videos
Pathophysiology of Heart Failure
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
Heart Failure I: Introduction
Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
Heart Failure II: Pathophysiology
Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
Stem Cell Culture
Stem cell research aims to find ways to use stem cells to regenerate and repair cellular damage. Over time, most adult cells undergo the wear and tear of aging and lose their ability to divide and repair themselves. Stem cells do not display a particular morphology or function. Adult stem cells, which exist as a small subset of cells in most tissues, keep dividing and can differentiate into a number of specialized cells generally formed by that tissue. These cells enable the body to renew and...

