Regulation of Cell Cycle to Stimulate Adult Cardiomyocyte Proliferation and Cardiac Regeneration

Tamer M A Mohamed1, Yen-Sin Ang2, Ethan Radzinsky2

  • 1Gladstone Institute of Cardiovascular Disease and Roddenberry Stem Cell Center, San Francisco, CA 94158, USA; Institute of Cardiovascular Sciences, University of Manchester, Manchester M13 9PT, UK; Faculty of Pharmacy, Zagazig University, Al Sharqia Governorate, Egypt; Tenaya Therapeutics, South San Francisco, CA 94080, USA.

Cell
|March 6, 2018
PubMed

Insights

Scientists identified four cell-cycle regulators that trigger cell division in adult cardiomyocytes, promoting heart repair after injury. This breakthrough unlocks regenerative potential in cells previously unable to divide.

Area of Science:

  • Cardiovascular Biology
  • Cellular Regeneration
  • Molecular Medicine

Background:

  • Human diseases often stem from the loss of somatic cells unable to regenerate.
  • Post-mitotic cells, like adult cardiomyocytes, typically cannot divide for repair.

Purpose of the Study:

  • To identify a combination of cell-cycle regulators capable of inducing stable cell division in adult post-mitotic cells.
  • To explore the potential for regenerative repair in the adult heart.

Main Methods:

  • Screened cell-cycle regulators from proliferating fetal cardiomyocytes.
  • Overexpressed specific regulators (CDK1, CDK4, cyclin B1, cyclin D1) in adult mouse, rat, and human cardiomyocytes.
  • Utilized in vivo lineage tracing and assessed cardiac function post-myocardial infarction.

Main Results:

  • Overexpression of CDK1, CDK4, cyclin B1, and cyclin D1 induced stable cell division in 15%-20% of adult cardiomyocytes.
  • The induced cell division led to significant functional improvement after myocardial infarction.
  • Proteasome-mediated degradation limited the overexpression of these regulators.
  • Inhibition of Tgf-β and Wee1 rendered CDK1 and cyclin B dispensable.

Conclusions:

  • A specific combination of cell-cycle regulators can unlock the proliferative capacity of terminally differentiated cells.
  • This approach offers a novel strategy for cardiac regeneration and treating heart diseases caused by cell loss.

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