Inter- and Intracellular Signaling Pathways
Gergana Dobreva1,2, Joerg Heineke3,4
1ECAS (European Center for Angioscience), Department of Cardiovascular Genomics and Epigenomics, Mannheim Faculty of Medicine, Heidelberg University, Mannheim, Germany. gergana.dobreva@medma.uni-heidelberg.de.
Insights
Congenital heart disease (CHD) arises from disrupted intercellular communication during heart development. Understanding these molecular signaling pathways is crucial for addressing lifelong complications like heart failure in adult CHD patients.
Area of Science:
- Cardiovascular biology
- Developmental biology
- Molecular genetics
Background:
- Cardiovascular diseases are the leading global cause of death.
- Advances in surgery allow most congenital heart disease (CHD) patients to survive into adulthood.
- Adult CHD survivors often experience long-term complications, including early-onset heart failure, due to hemodynamic overload.
Purpose of the Study:
- To review the inter- and intracellular signaling mechanisms involved in heart development and function.
- To understand the molecular basis of heart defects and lifelong complications in CHD.
- To explore cellular communication pathways in both embryonic and adult hearts.
Main Methods:
- Review of scientific literature on cardiac signaling.
- Focus on findings from genetically modified mouse models.
- Analysis of intercellular communication networks (epicardium, endocardium, myocardium, cardiomyocytes, endothelial cells, fibroblasts).
Main Results:
- Congenital heart disease results from disrupted morphogenetic patterning during early pregnancy.
- Intercellular communication is critical for normal cardiac development.
- Similar cell crosstalk occurs in the postnatal heart under pathological hemodynamic overload.
- Intracellular signaling circuits coordinate cardiac development and function.
Conclusions:
- Understanding molecular signaling in the heart is vital for addressing CHD.
- Cellular communication pathways are key targets for future research in congenital and acquired heart conditions.
- Insights from mouse models provide a foundation for understanding human cardiac development and disease.
Abstract:
Cardiovascular diseases, both congenital and acquired, are the leading cause of death worldwide, associated with significant health consequences and economic burden. Due to major advances in surgical procedures, most patients with congenital heart disease (CHD) survive into adulthood but suffer from previously unrecognized long-term consequences, such as early-onset heart failure. Therefore, understanding the molecular mechanisms resulting in heart defects and the lifelong complications due to hemodynamic overload are of utmost importance. Congenital heart disease arises in the first trimester of pregnancy, due to defects in the complex morphogenetic patterning of the heart. This process is coordinated through a complicated web of intercellular communication between the epicardium, the endocardium, and the myocardium. In the postnatal heart, similar crosstalk between cardiomyocytes, endothelial cells, and fibroblasts exists during pathological hemodynamic overload that emerges as a consequence of a congenital heart defect. Ultimately, communication between cells triggers the activation of intracellular signaling circuits, which allow fine coordination of cardiac development and function. Here, we review the inter- and intracellular signaling mechanisms in the heart as they were discovered mainly in genetically modified mice.
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