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Isolation and Functional Characterization of Human Ventricular Cardiomyocytes from Fresh Surgical Samples
Published on: April 21, 2014
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
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.
Background:
Two opposite views of cardiac growth are currently held; one views the heart as a static organ characterized by a large number of cardiomyocytes that are present at birth and live as long as the organism, and the other views the heart a highly plastic organ in which the myocyte compartment is restored several times during the course of life.
Methods And Results:
The average age of cardiomyocytes, vascular endothelial cells (ECs), and fibroblasts and their turnover rates were measured by retrospective (14)C birth dating of cells in 19 normal hearts 2 to 78 years of age and in 17 explanted failing hearts 22 to 70 years of age. We report that the human heart is characterized by a significant turnover of ventricular myocytes, ECs, and fibroblasts, physiologically and pathologically. Myocyte, EC, and fibroblast renewal is very high shortly after birth, decreases during postnatal maturation, remains relatively constant in the adult organ, and increases dramatically with age. From 20 to 78 years of age, the adult human heart entirely replaces its myocyte, EC, and fibroblast compartment ≈8, ≈6, and ≈8 times, respectively. Myocyte, EC, and fibroblast regeneration is further enhanced with chronic heart failure.
Conclusions:
The human heart is a highly dynamic organ that retains a remarkable degree of plasticity throughout life and in the presence of chronic heart failure. However, the ability to regenerate cardiomyocytes, vascular ECs, and fibroblasts cannot prevent the manifestations of myocardial aging or oppose the negative effects of ischemic and idiopathic dilated cardiomyopathy.
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