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Updated: Feb 4, 2026

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Published on: February 28, 2017
Notch and interacting signalling pathways in cardiac development, disease, and regeneration
Donal MacGrogan1,2, Juliane Münch1,3,4, José Luis de la Pompa5,6
1Intercellular Signalling in Cardiovascular Development and Disease Laboratory, Centro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC), Madrid, Spain.
Insights
Notch signalling is vital for heart development, coordinating cell decisions and tissue formation. Disruptions in this pathway are linked to congenital heart diseases and impact heart repair.
Area of Science:
- Developmental Biology
- Cardiovascular Science
- Cell Signalling
Background:
- Cardiogenesis involves intricate cell fate specification, proliferation, differentiation, and morphogenesis.
- Intercellular signalling and tissue interactions are crucial for coordinating these developmental processes.
- The Notch signalling pathway plays a key role in cell fate decisions during development.
Purpose of the Study:
- To review the role of Notch signalling in cardiogenesis.
- To examine Notch signalling crosstalk with other pathways during cardiac tissue differentiation and patterning.
- To explore the link between Notch signalling perturbation and congenital heart diseases, as well as its role in cardiac repair.
Main Methods:
- Literature review of studies on Notch signalling in heart development.
- Analysis of research on cardiac valve and ventricular chamber development.
- Examination of studies linking Notch signalling to congenital heart disease and cardiac regeneration.
Main Results:
- Notch signalling is essential for progressive cell lineage restriction during cardiogenesis.
- It coordinates differentiation and patterning of cardiac tissues, including valves and chambers.
- Perturbations in Notch signalling are associated with congenital heart defects and influence heart repair mechanisms.
Conclusions:
- Notch signalling is a critical regulator of cardiac development and patterning.
- Its dysregulation contributes to congenital heart diseases.
- Understanding Notch signalling offers potential for advancing heart regeneration and repair strategies.
Abstract:
Cardiogenesis is a complex developmental process involving multiple overlapping stages of cell fate specification, proliferation, differentiation, and morphogenesis. Precise spatiotemporal coordination between the different cardiogenic processes is ensured by intercellular signalling crosstalk and tissue-tissue interactions. Notch is an intercellular signalling pathway crucial for cell fate decisions during multicellular organismal development and is aptly positioned to coordinate the complex signalling crosstalk required for progressive cell lineage restriction during cardiogenesis. In this Review, we describe the role of Notch signalling and the crosstalk with other signalling pathways during the differentiation and patterning of the different cardiac tissues and in cardiac valve and ventricular chamber development. We examine how perturbation of Notch signalling activity is linked to congenital heart diseases affecting the neonate and adult, and discuss studies that shed light on the role of Notch signalling in heart regeneration and repair after injury.
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