Cardiomyogenesis in the aging and failing human heart

Jan Kajstura1, Marcello Rota, Donato Cappetta

  • 1Department of Anesthesia, Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. jkajstura@partners.org

Circulation
|September 8, 2012
PubMed

Insights

The adult human heart continuously renews its cells, including cardiomyocytes, throughout life. This dynamic cell turnover, significant in normal aging and heart failure, highlights the heart

Area of Science:

  • Cardiovascular Biology
  • Cellular Biology
  • Regenerative Medicine

Background:

  • Conflicting views exist on cardiac growth: static (cells present at birth) vs. dynamic (myocyte regeneration).
  • Understanding cardiomyocyte turnover is crucial for cardiac health and disease research.

Purpose of the Study:

  • To quantify the turnover rates of cardiomyocytes, vascular endothelial cells (ECs), and fibroblasts in the human heart.
  • To investigate how cell turnover changes with age and in chronic heart failure.

Main Methods:

  • Retrospective 14C birth dating technique applied to cells from normal and failing human hearts.
  • Analysis of cell ages and turnover rates in individuals aged 2 to 78 years.

Main Results:

  • The human heart exhibits significant physiological and pathological turnover of ventricular myocytes, ECs, and fibroblasts.
  • Cell renewal is highest in infancy, decreases during maturation, and remains constant in adulthood, increasing with age.
  • Adult hearts replace myocyte, EC, and fibroblast compartments approximately 8, 6, and 8 times, respectively, between ages 20-78.
  • Chronic heart failure further enhances cell regeneration.

Conclusions:

  • The adult human heart is a dynamic organ with remarkable plasticity, even in heart failure.
  • Despite continuous cell regeneration, the heart's renewal capacity cannot fully prevent aging or counteract severe cardiomyopathies.
Abstract

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