Stimulation of Cardiomyocyte Proliferation Is Dependent on Species and Level of Maturation

Dogacan Yücel1,2, Bayardo I Garay1,3,4, Rita C R Perlingeiro1,2,3,5

  • 1Department of Medicine, Lillehei Heart Institute, Cardiovascular Division, University of Minnesota, Minneapolis, MN, United States.

Insights

Identifying effective strategies for heart regeneration, this study found that p21 inhibition and Yap-Tead activation significantly promote cardiomyocyte cell cycle activity in rat, mouse, and human cultures.

Area of Science:

  • Cardiovascular Biology
  • Regenerative Medicine
  • Cellular Biology

Background:

  • The mammalian heart exhibits limited regenerative capacity, primarily due to the inability of adult cardiomyocytes to proliferate.
  • Previous research identified several molecular targets (e.g., p38 inhibition, YAP-Tead activation) that can stimulate cardiomyocyte proliferation.
  • A clinically viable therapeutic strategy for enhancing cardiomyocyte proliferation in vivo remains elusive.

Purpose of the Study:

  • To comprehensively validate previously identified cardiomyocyte proliferative stimuli in vitro.
  • To assess the proliferative effects of these stimuli on cardiomyocytes from various species and developmental stages.
  • To identify the most potent stimuli for inducing cardiomyocyte cell cycle activity.

Main Methods:

  • Utilized live-cell imaging techniques for in vitro validation of cardiomyocyte proliferation.
  • Assessed the proliferative effects of published stimuli (p38 inhibition, YAP-Tead activation, FGF1, Nrg1) on different cardiomyocyte sources.
  • Evaluated DNA synthesis and Histone H3 phosphorylation as markers of proliferation.

Main Results:

  • All tested stimuli enhanced DNA synthesis and Histone H3 phosphorylation in neonatal rat ventricular cardiomyocytes.
  • The proliferative effects of these stimuli varied significantly in mouse cardiomyocytes and human induced pluripotent stem cell-derived cardiomyocytes.
  • p21 inhibition and Yap-Tead activation demonstrated potent proliferative effects across rat, mouse, and human cardiomyocyte cultures.

Conclusions:

  • p21 inhibition and Yap-Tead activation represent promising strategies for inducing cardiomyocyte cell cycle activity.
  • These findings provide a foundation for developing therapeutic approaches to enhance heart regeneration.
  • Species and developmental stage-specific responses highlight the complexity of cardiomyocyte proliferation.

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