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Updated: Nov 26, 2025

Generation and Expansion of Human Cardiomyocytes from Patient Peripheral Blood Mononuclear Cells
Published on: February 12, 2021
Lymphoangiocrine signals promote cardiac growth and repair
Xiaolei Liu1, Ester De la Cruz2, Xiaowu Gu3
1Center for Vascular and Developmental Biology, Feinberg Cardiovascular and Renal Research Institute, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Insights
Lymphatic endothelial cells (LECs) produce signals that promote heart growth and repair. The protein reelin (RELN) is identified as a key factor in this lymphoangiocrine signaling, crucial for cardiac development and recovery after injury.
Area of Science:
- Cardiovascular Biology
- Lymphatic System Research
- Regenerative Medicine
Background:
- Emerging evidence suggests lymphatic vessels play a role in cardiac repair.
- The specific mechanisms by which lymphatics influence heart function remain largely unexplored.
Purpose of the Study:
- To investigate the role of lymphatic endothelial cells (LECs) and their secreted factors in cardiac development, regeneration, and protection.
- To identify specific lymphoangiocrine signals involved in cardiomyocyte homeostasis and cardiac repair.
Main Methods:
- Analysis of lymphatic endothelial cell-deficient mouse models.
- In vitro studies using cardiomyocyte cultures with LEC-conditioned medium.
- Proteomic analysis of the LEC secretome.
- Genetic manipulation of reelin (RELN) in LECs.
- Assessment of cardiac function and regeneration after myocardial infarction in mice.
Main Results:
- Absence of LECs leads to smaller hearts due to reduced cardiomyocyte proliferation and increased apoptosis.
- LECs secrete factors, including reelin (RELN), that promote cardiomyocyte proliferation and survival.
- RELN is essential for heart development and repair after neonatal myocardial infarction.
- Cardiac delivery of RELN improves heart function and offers cardioprotection in adult mice post-myocardial infarction.
Conclusions:
- Lymphatic endothelial cells exert a crucial lymphoangiocrine influence on cardiac development and injury response.
- Reelin (RELN) is a key mediator of LEC-driven cardioprotection and cardiac repair.
- Targeting lymphoangiocrine signaling presents a potential therapeutic strategy for heart disease.
Abstract:
Recent studies have suggested that lymphatics help to restore heart function after cardiac injury1-6. Here we report that lymphatics promote cardiac growth, repair and cardioprotection in mice. We show that a lymphoangiocrine signal produced by lymphatic endothelial cells (LECs) controls the proliferation and survival of cardiomyocytes during heart development, improves neonatal cardiac regeneration and is cardioprotective after myocardial infarction. Embryos that lack LECs develop smaller hearts as a consequence of reduced cardiomyocyte proliferation and increased cardiomyocyte apoptosis. Culturing primary mouse cardiomyocytes in LEC-conditioned medium increases cardiomyocyte proliferation and survival, which indicates that LECs produce lymphoangiocrine signals that control cardiomyocyte homeostasis. Characterization of the LEC secretome identified the extracellular protein reelin (RELN) as a key component of this process. Moreover, we report that LEC-specific Reln-null mouse embryos develop smaller hearts, that RELN is required for efficient heart repair and function after neonatal myocardial infarction, and that cardiac delivery of RELN using collagen patches improves heart function in adult mice after myocardial infarction by a cardioprotective effect. These results highlight a lymphoangiocrine role of LECs during cardiac development and injury response, and identify RELN as an important mediator of this function.
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