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Updated: May 30, 2026

Generation and Expansion of Human Cardiomyocytes from Patient Peripheral Blood Mononuclear Cells
Published on: February 12, 2021
Notch signaling may negatively regulate neonatal rat cardiac fibroblast-myofibroblast transformation
1Department of Cardiology, Xijing Hospital, The Fourth Military Medical University, Xi'an, PR China.
Abstract:
Cardiac fibroblast-myofibroblast transformation (CMT) is a critical event in the initiation of myocardial fibrosis. Notch signaling has been shown to regulate myofibroblast transformation from other kinds of cells. However, whether Notch signaling is also involved in CMT remains unclear. In the present study, expressions of Notch receptors in cardiac fibroblasts (CFs) were examined, effects of Notch signaling inhibitor N-[N-(3,5-difluorophenacetyl)-l-alanyl]-S-phenylglycine t-butyl ester (DAPT) and transforming growth factor-beta1 (TGF-beta1) on CMT were determined by increasing alpha-smooth muscle actin (alpha-SMA) expression and collagen synthesis, and Notch signaling was examined by analyzing expressions of Notch receptors. The results showed that: (1) Notch receptor 1, 2, 3 and 4 were all expressed in CFs; (2) DAPT promoted CMT in a time-dependent manner; (3) During the period of CMT induced by TGF-beta1, expressions of Notch receptor 1, 3 and 4 in CFs were down-regulated, whereas there was no change for Notch receptor 2. Moreover, the downtrends of Notch 1, 3 and 4 were corresponding to the trend growth of alpha-SMA expression and collagen synthesis. These results suggested that inhibiting of Notch signaling might promote CMT. The down-regulations of Notch receptor 1, 3 and 4 induced by TGF-beta1 may facilitate CMT. In conclusion, inhibition of Notch signaling might be a novel mechanism of CMT in myocardial fibrosis.
Insights
Inhibition of Notch signaling may promote cardiac fibroblast-myofibroblast transformation (CMT), a key process in myocardial fibrosis. Down-regulation of Notch receptors 1, 3, and 4 by TGF-beta1 appears to facilitate this transformation.
Area of Science:
- Cardiovascular Biology
- Cell Signaling
- Fibrosis Research
Background:
- Cardiac fibroblast-myofibroblast transformation (CMT) is central to myocardial fibrosis.
- Notch signaling influences myofibroblast differentiation in various cell types.
- The role of Notch signaling in CMT remains largely unexplored.
Purpose of the Study:
- To investigate the expression of Notch receptors in cardiac fibroblasts (CFs).
- To determine the effect of Notch signaling inhibition and TGF-beta1 on CMT.
- To elucidate the involvement of Notch signaling in the CMT process.
Main Methods:
- Examined Notch receptor expression in CFs.
- Utilized a Notch signaling inhibitor (DAPT) and TGF-beta1.
- Assessed CMT by measuring alpha-smooth muscle actin (α-SMA) expression and collagen synthesis.
Main Results:
- Notch receptors 1, 2, 3, and 4 are expressed in CFs.
- DAPT treatment promoted CMT in a time-dependent manner.
- TGF-beta1-induced CMT involved down-regulation of Notch receptors 1, 3, and 4, correlating with increased α-SMA and collagen synthesis.
Conclusions:
- Inhibiting Notch signaling may promote CMT.
- Down-regulation of specific Notch receptors by TGF-beta1 could facilitate CMT.
- Notch signaling inhibition represents a potential novel mechanism in myocardial fibrosis development.
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