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Updated: Mar 1, 2026

An Approach to Study Shape-Dependent Transcriptomics at a Single Cell Level
Published on: November 2, 2020
[Aging of the myocardium and dilated cardiomyopathy: morphological and molecular aspects]
I B Antonov1, K L Kozlov1, N S Linkova1,2
1Saint-Petersburg Institute of Bioregulation and Gerontology, Saint-Petersburg, 197110, Russian Federation; linkova@gerontology.ru.
Insights
Myocardium aging involves fibrosis and cellular changes, with reduced Sirt1 expression potentially predicting dilated cardiomyopathy (DC). DC is marked by heart chamber stretching, inflammation, and altered matrix metalloproteinase levels.
Area of Science:
- Cardiovascular Biology
- Aging Research
- Cardiomyopathy Studies
Background:
- Myocardium aging involves significant structural and functional alterations.
- Dilated cardiomyopathy (DC) is characterized by ventricular dilation and impaired systolic function.
- Understanding aging's impact on the heart is crucial for managing cardiovascular diseases.
Purpose of the Study:
- To review the multifaceted aspects of myocardium aging in both normal aging and dilated cardiomyopathy (DC).
- To explore the molecular and cellular changes associated with cardiac aging.
- To identify potential biomarkers and mechanisms linking aging to DC development.
Main Methods:
- Review of existing literature on myocardial aging and dilated cardiomyopathy.
- Analysis of cellular and molecular changes, including fibrosis, protein expression, and inflammatory markers.
- Comparison of aging processes in normal hearts versus those with DC.
Main Results:
- Normal aging leads to myocardial fibrosis (collagen type 1, amyloid), cardiomyocyte loss (men), and reduced Sirt1 expression.
- Decreased Sirt1 expression correlates with accelerated aging and may predict DC.
- DC involves heart chamber stretching, inflammation (ICAM-1, MMPs, TIMP-1), and altered matrix metalloproteinase activity.
Conclusions:
- Myocardium aging is a complex process with distinct cellular and molecular hallmarks.
- Reduced Sirt1 expression is a significant indicator of accelerated cardiac aging and a potential predictor for DC.
- DC is characterized by inflammation and specific changes in extracellular matrix remodeling markers.
Abstract:
The review considers various aspects of myocardium aging in normal and dilated cardiomyopathy (DC). There is a partial fibrosis of the heart tissue due to accumulation of collagen type 1, and accumulation of amyloid during normal aging. Men myocardial aging is accompanied by loss of cardiomyocytes and increased volume of the remaining cells, whereas in women this effect is absent. There is an expression of nuclear proteins decrease (lamin A and C), the accumulation of lipofuscin, increased content of reactive oxygen species, reduction of protein synthesis Sirt1 in cardiomyocytes with aging. Sirt1 has a cardioprotective effect, supports the balance of lipid metabolism, inhibits the development of inflammation and the formation of atherosclerotic plaques. Reduction of its expression not only indicates the accelerated pace of myocardial aging, but can be a predictor of the development of DC. In DC occurs stretching of the heart cavities and systolic dysfunction, predominantly in the left ventricle. DC is characterized by the development of inflammation in the myocardium. Its markers is increased expression of ICAM-1 adhesion molecule, MMP-2, MMP-9 matrix metalloproteinases, TIMP-1 tissue inhibitor of matrix metalloproteinases and decreased expression of MMP-1 matrix metalloproteinase.
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