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Updated: May 5, 2026

Isolation, Culture and Transduction of Adult Mouse Cardiomyocytes
Published on: August 28, 2016
Hippo signaling impedes adult heart regeneration
Todd Heallen1, Yuka Morikawa, John Leach
1Department of Molecular Physiology and Biophysics, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA.
Insights
Hippo signaling normally prevents adult heart muscle cells from dividing. Inhibiting this pathway promotes cardiomyocyte regeneration and functional recovery after heart injury, offering a potential treatment for heart disease.
Area of Science:
- Cardiovascular Biology
- Regenerative Medicine
- Cell Signaling
Background:
- Heart failure, a leading cause of death, results from poor heart muscle regeneration after injury.
- Endogenous mechanisms inhibiting mammalian cardiomyocyte regeneration remain largely unknown.
- Hippo signaling, a known organ size regulator, has not been studied in adult cardiomyocyte renewal.
Purpose of the Study:
- To investigate the role of Hippo signaling in adult cardiomyocyte renewal and regeneration.
- To determine if modulating Hippo signaling can enhance heart repair after injury.
Main Methods:
- Studied Hippo signaling in adult mouse cardiomyocytes.
- Examined cardiomyocyte proliferation and regeneration after genetic Hippo deficiency.
- Assessed functional recovery following myocardial infarction and cardiac apex resection in Hippo-deficient mice.
Main Results:
- Unstressed, Hippo-deficient adult mouse cardiomyocytes re-enter the cell cycle and divide.
- Hippo deficiency significantly enhances cardiomyocyte regeneration and functional recovery after myocardial infarction.
- Hippo deficiency promotes cardiomyocyte proliferation in damaged adult hearts.
Conclusions:
- Hippo signaling acts as an endogenous repressor of adult cardiomyocyte renewal and regeneration.
- Targeting the Hippo pathway presents a promising therapeutic strategy for treating heart disease.
- Modulating Hippo signaling could improve outcomes for patients with ischemic heart disease.
Abstract:
Heart failure due to cardiomyocyte loss after ischemic heart disease is the leading cause of death in the United States in large part because heart muscle regenerates poorly. The endogenous mechanisms preventing mammalian cardiomyocyte regeneration are poorly understood. Hippo signaling, an ancient organ size control pathway, is a kinase cascade that inhibits developing cardiomyocyte proliferation but it has not been studied postnatally or in fully mature adult cardiomyocytes. Here, we investigated Hippo signaling in adult cardiomyocyte renewal and regeneration. We found that unstressed Hippo-deficient adult mouse cardiomyocytes re-enter the cell cycle and undergo cytokinesis. Moreover, Hippo deficiency enhances cardiomyocyte regeneration with functional recovery after adult myocardial infarction as well as after postnatal day eight (P8) cardiac apex resection and P8 myocardial infarction. In damaged hearts, Hippo mutant cardiomyocytes also have elevated proliferation. Our findings reveal that Hippo signaling is an endogenous repressor of adult cardiomyocyte renewal and regeneration. Targeting the Hippo pathway in human disease might be beneficial for the treatment of heart disease.
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