Existing cardiomyocytes generate cardiomyocytes at a low rate after birth in mice

Shah R Ali1, Simon Hippenmeyer2, Lily V Saadat3

  • 1Departments of Pathology and Developmental Biology, Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA 94305; shah.ali@gmail.com irv@stanford.edu rardehali@mednet.ucla.edu.

Insights

The adult mammalian heart generates new cardiomyocytes through rare, symmetric cell divisions originating from differentiated cells. This process significantly decreases after the first month of life and is not increased by myocardial infarction.

Area of Science:

  • Cardiology
  • Developmental Biology
  • Cell Biology

Background:

  • The mammalian heart was historically considered a postmitotic organ with a fixed number of cardiomyocytes set at birth.
  • Cardiomyocyte binucleation complicates traditional cell turnover assays, limiting understanding of postnatal cardiomyocyte generation.
  • Previous studies using advanced techniques indicated a low rate of cardiomyocyte generation, but cellular origins remained unclear.

Purpose of the Study:

  • To investigate the cell of origin for postnatal cardiomyogenesis in mammals.
  • To characterize the division patterns and frequency of cardiomyocytes after birth.
  • To determine if myocardial infarction influences cardiomyocyte division rates.

Main Methods:

  • Utilized the "mosaic analysis with double markers" mouse model for clonal analysis of cardiomyocytes.
  • Tracked cardiomyocyte division events from in utero development through postnatal life.
  • Induced myocardial infarction via left anterior descending coronary artery ligation to assess cardiomyocyte response.

Main Results:

  • Differentiated α-myosin heavy chain-expressing cardiomyocytes were identified as the source of postnatal cardiomyogenesis.
  • Symmetric cardiomyocyte division is a rare, life-long event that diminishes significantly after the first month of life.
  • Cardiomyocyte division rates did not increase following myocardial infarction up to 4 weeks post-injury.

Conclusions:

  • Provides direct clonal evidence for postnatal mammalian cardiomyogenesis.
  • Demonstrates that cardiomyocyte proliferation is a rare event with limited contribution to the cardiomyocyte pool after early life.
  • Suggests that the adult heart has a very limited capacity for cardiomyocyte regeneration, even after injury.

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