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Updated: Mar 2, 2026

Delayed Intramyocardial Delivery of Stem Cells after Ischemia Reperfusion Injury in a Murine Model
Published on: September 3, 2020
Hh signaling in regeneration of the ischemic heart
Marina Dunaeva1, Johannes Waltenberger2,3
1Department of Biomolecular Chemistry, Institute for Molecules and Materials and Radboud Institute for Molecular Life Sciences, Radboud University Nijmegen, Nijmegen, The Netherlands.
Insights
Myocardial infarction (MI) triggers cardiomyocyte death. Hedgehog (Hh) signaling, active in embryonic development, is reactivated after ischemic injury, showing potential for heart regeneration and therapy.
Area of Science:
- Cardiovascular Biology
- Regenerative Medicine
- Molecular Signaling
Background:
- Myocardial infarction (MI) results from coronary artery occlusion, leading to cardiomyocyte death.
- Adult cardiomyocytes have limited regenerative capacity following injury.
- Embryonic developmental pathways, like hedgehog (Hh) signaling, can be reactivated in response to tissue damage.
Purpose of the Study:
- To review the role of hedgehog (Hh) signaling in ischemic tissue regeneration.
- To emphasize the specific involvement of Hh signaling in cardiac regeneration.
- To discuss the therapeutic potential of Hh signaling in treating heart damage.
Main Methods:
- Literature review of studies on Hh signaling in cardiac development and injury.
- Analysis of research investigating Hh pathway activation in response to ischemia.
- Synthesis of findings on the regenerative potential of Hh signaling in the heart.
Main Results:
- Hedgehog (Hh) signaling is crucial for embryonic heart and coronary vascular development.
- Ischemic conditions, including MI, activate Hh signaling in adult cardiac tissue.
- Evidence suggests Hh signaling promotes regeneration in injured heart tissue.
Conclusions:
- Hedgehog (Hh) signaling plays a significant role in the regeneration of ischemic heart tissue.
- Targeting Hh signaling pathways presents a promising therapeutic strategy for heart regeneration after myocardial infarction.
Abstract:
Myocardial infarction (MI) is caused by the occlusion of a coronary artery due to underlying atherosclerosis complicated by localized thrombosis. The blockage of blood flow leads to cardiomyocyte (CM) death in the infarcted area. Adult mammalian cardiomyocytes have little capacity to proliferate in response to injury; however, some pathways active during embryogenesis and silent during adult life are recruited in response to tissue injury. One such example is hedgehog (Hh) signaling. Hh is involved in the embryonic development of the heart and coronary vascular system. Pathological conditions including ischemia activate Hh signaling in adult tissues. This review highlights the involvement of Hh signaling in ischemic tissue regeneration with a particular emphasis on heart regeneration and discusses its potential role as a therapeutic agent.
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