Ascending Aortic Constriction Promotes Cardiomyocyte Proliferation in Neonatal Rats

Zhenhua Wang1, Sebastian Schmull, Hui Zheng

  • 1Department of Cardiovascular Surgery, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University.

Insights

Neonatal hearts can regenerate after injury. Ascending aortic constriction in newborn rats stimulated cardiomyocyte proliferation, increasing cell numbers and improving heart function within the first week of life.

Area of Science:

  • Cardiovascular Biology
  • Neonatal Physiology
  • Cardiac Regeneration

Background:

  • Adult hearts undergo hypertrophy and failure under increased workload.
  • The response of neonatal hearts to increased afterload is not well understood.

Purpose of the Study:

  • To investigate the effect of increased afterload on neonatal rat heart function and cardiomyocyte proliferation.
  • To determine if neonatal cardiomyocytes can re-enter the cell cycle and proliferate in response to mechanical stress.

Main Methods:

  • Ascending aortic constriction (AAC) was performed on neonatal rats (P0).
  • Cardiac function was assessed using echocardiography.
  • Histological analysis (H&E, Masson) evaluated cardiomyocyte diameter and collagen deposition.
  • Cell proliferation markers (EdU, Ki67) and mitosis markers (pH3, aurora B) were quantified.
  • Cardiomyocyte counts were determined via cell isolation and perfusion.

Main Results:

  • AAC significantly increased cardiomyocyte cell cycle activation and proliferation.
  • Constricted hearts showed increased wall thickness and improved ejection fraction by P7.
  • The total number of cardiomyocytes increased by 16.7% in the constriction group compared to controls.
  • Neonatal cardiomyocytes demonstrated the capacity to re-enter the cell cycle within the first postnatal week.

Conclusions:

  • Neonatal rat cardiomyocytes can proliferate in response to increased afterload.
  • Ascending aortic constriction promotes cardiomyocyte proliferation and enhances cardiac function in the early postnatal period.
  • This study highlights the potential for cardiac regeneration in the neonatal heart.

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