Frequency of mononuclear diploid cardiomyocytes underlies natural variation in heart regeneration

Michaela Patterson1, Lindsey Barske1, Ben Van Handel1

  • 1Department of Stem Cell Biology and Regenerative Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.

Nature Genetics
|August 8, 2017
PubMed

Insights

Adult mammalian hearts have limited regeneration. This study found that mononuclear diploid cardiomyocytes (MNDCMs) vary significantly between individuals, influencing heart repair after injury. Genetic factors like Tnni3k impact this regenerative capacity.

Area of Science:

  • Cardiovascular Biology
  • Regenerative Medicine
  • Genetics

Background:

  • Adult mammalian cardiomyocyte regeneration is considered minimal.
  • Mononuclear diploid cardiomyocytes (MNDCMs) are a small subpopulation potentially involved in heart regeneration.
  • The variability and role of MNDCMs in adult heart repair remain largely untested.

Purpose of the Study:

  • To investigate the variability of adult mononuclear diploid cardiomyocytes (MNDCMs) across different mouse strains.
  • To determine the correlation between pre-injury MNDCM content and cardiomyocyte proliferation and functional recovery after heart injury.
  • To identify genetic factors influencing MNDCM frequency and their impact on heart regeneration.

Main Methods:

  • Surveyed 120 inbred mouse strains to quantify adult mononuclear cardiomyocyte frequency.
  • Induced coronary artery ligation in mice to assess cardiomyocyte proliferation and heart functional recovery.
  • Utilized genome-wide association studies to identify genes affecting MNDCM composition.
  • Performed Tnni3k gene knockout in mice and overexpression in zebrafish to study its role in cardiomyocyte proliferation and regeneration.

Main Results:

  • Significant inter-strain variability (>7-fold) in adult mononuclear cardiomyocyte frequency was observed.
  • Pre-injury MNDCM content positively correlated with cardiomyocyte proliferation and heart functional recovery post-injury.
  • The gene Tnni3k was identified as influencing MNDCM composition; its knockout increased MNDCMs and cardiomyocyte proliferation.
  • Tnni3k overexpression in zebrafish led to increased cardiomyocyte polyploidization and impaired heart regeneration.

Conclusions:

  • Mononuclear diploid cardiomyocytes (MNDCMs) play a crucial role in adult mammalian heart regeneration.
  • Intrinsic heart regeneration is not uniform but a variable trait influenced by genetic factors.
  • The gene Tnni3k is a key regulator of cardiomyocyte cell cycle status and heart regenerative potential.

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