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Updated: Mar 12, 2026

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Published on: July 27, 2022
Roles of FGF Signals in Heart Development, Health, and Disease
Nobuyuki Itoh1, Hiroya Ohta2, Yoshiaki Nakayama2
1Medical Innovation Center, Kyoto University Graduate School of Medicine Kyoto, Japan.
Insights
Fibroblast Growth Factors (FGFs) are crucial for heart development and function. This study explores FGF signaling
Area of Science:
- Cardiovascular Biology
- Developmental Biology
- Molecular Signaling
Background:
- The heart, vital for nutrient and oxygen transport, is the first organ to develop.
- Fibroblast Growth Factors (FGFs) are signaling proteins with diverse roles in development, health, and disease.
- The FGF family has 22 members, with several implicated in cardiac development and pathophysiology.
Approach:
- Review of findings from mouse models and human FGF signaling disorders.
- Analysis of paracrine and endocrine FGF roles in embryonic and postnatal heart development.
- Examination of FGF involvement in cardiac pathophysiology and stem cell differentiation.
Key Points:
- Paracrine FGFs (FGF8, FGF9, FGF10, FGF16) are critical during embryonic heart development.
- Postnatal heart pathophysiology involves paracrine FGFs (FGF2, FGF9, FGF10, FGF16).
- Endocrine FGFs (FGF15/19, FGF21, FGF23) also exhibit paracrine roles in cardiac contexts, with altered serum levels in heart disease.
- FGF2 and FGF10 promote cardiac differentiation and reprogramming of fibroblasts.
Conclusions:
- FGF signaling plays multifaceted roles in heart development, health, and disease.
- Understanding FGF roles offers potential therapeutic strategies for cardiac disorders.
Abstract:
The heart provides the body with oxygen and nutrients and assists in the removal of metabolic waste through the blood vessels of the circulatory system. It is the first organ to form during embryonic morphogenesis. FGFs with diverse functions in development, health, and disease are signaling proteins, mostly as paracrine growth factors or endocrine hormones. The human/mouse FGF family comprises 22 members. Findings obtained from mouse models and human diseases with FGF signaling disorders have indicated that several FGFs are involved in heart development, health, and disease. Paracrine FGFs including FGF8, FGF9, FGF10, and FGF16 act as paracrine signals in embryonic heart development. In addition, paracrine FGFs including FGF2, FGF9, FGF10, and FGF16 play roles as paracrine signals in postnatal heart pathophysiology. Although FGF15/19, FGF21, and FGF23 are typical endocrine FGFs, they mainly function as paracrine signals in heart development or pathophysiology. In heart diseases, serum FGF15/19 levels or FGF21 and FGF23 levels decrease or increase, respectively, indicating their possible roles in heart pathophysiology. FGF2 and FGF10 also stimulate the cardiac differentiation of cultured stem cells and cardiac reprogramming of cultured fibroblasts. These findings provide new insights into the roles of FGF signaling in the heart and potential therapeutic strategies for cardiac disorders.
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