Abcg2-expressing side population cells contribute to cardiomyocyte renewal through fusion

Amritha Yellamilli1,2,3, Yi Ren1, Ron T McElmurry3,4

  • 1Lillehei Heart Institute, University of Minnesota Medical School, Minneapolis, MN, USA.

Insights

Adult hearts have limited regeneration. Cardiac side population (SP) cells fuse with cardiomyocytes, stimulating cell cycle reentry and promoting heart repair after injury. This discovery offers new therapeutic targets for cardiac regeneration.

Area of Science:

  • Cardiovascular Biology
  • Stem Cell Biology
  • Regenerative Medicine

Background:

  • The adult mammalian heart exhibits limited regenerative capacity, necessitating the identification of endogenous repair mechanisms.
  • Side population (SP) cells are a potential source of stem cells, but their in vivo cardiac function remains poorly understood.
  • Previous studies on cardiac SP cells were limited to in vitro or transplantation models.

Purpose of the Study:

  • To investigate the in vivo function of cardiac side population (SP) cells in adult mammalian heart regeneration.
  • To elucidate the mechanisms by which SP cells contribute to cardiac repair following injury.
  • To develop a novel lineage-tracing model for studying SP cell behavior in the heart.

Main Methods:

  • Generation of a novel Abcg2-driven lineage-tracing mouse model for efficient SP cell labeling.
  • Analysis of SP cell differentiation and contribution to cardiac tissue under homeostatic and injury conditions.
  • Investigation of the interaction between SP cells and cardiomyocytes using lineage tracing.

Main Results:

  • Labeled SP cells differentiated into various cell types in bone marrow and intestines.
  • In the heart, SP cells contributed to cardiomyocyte populations under homeostatic conditions, with increased contribution post-injury.
  • Cardiac SP cells were observed to fuse with existing cardiomyocytes, promoting cardiomyocyte cell cycle reentry rather than direct differentiation.

Conclusions:

  • Cardiac SP cells contribute to endogenous cardiac regeneration through fusion with cardiomyocytes.
  • This fusion mechanism stimulates cardiomyocyte cell cycle reentry, a novel pathway for heart repair.
  • The findings reveal a new role for non-cardiomyocyte fusion in adult mammalian heart regeneration, offering therapeutic potential.