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Updated: Jun 21, 2025

Generation and Expansion of Human Cardiomyocytes from Patient Peripheral Blood Mononuclear Cells
Published on: February 12, 2021
ErbB2-NOTCH1 axis controls autophagy in cardiac cells
Francesca Fortini1, Francesco Vieceli Dalla Sega1, Edoardo Lazzarini2,3
1GVM Care & Research, Maria Cecilia Hospital, Ravenna, Italy.
Epidermal growth factor receptor 2 (ErbB2) and Notch1 signaling pathways crosstalk in cardiac cells, impacting autophagy and proliferation. This interaction may explain cardiotoxicity from ErbB2-targeting cancer drugs.
Area of Science:
- Cardiovascular Biology
- Molecular Cell Biology
- Pharmacology
Background:
- Epidermal growth factor receptor 2 (ErbB2) and Notch1 signaling pathways are crucial for cardiac function.
- The interplay between ErbB2 and Notch1 in the heart is not well understood.
Purpose of the Study:
- To investigate the crosstalk between ErbB2 and Notch1 signaling in cardiac cells.
- To determine the effects of this crosstalk on autophagy and cell proliferation.
- To explore the implications for ErbB2-targeting drug cardiotoxicity.
Main Methods:
- Utilized H9c2 cardiomyoblasts and primary neonatal mouse cardiomyocytes.
- Employed ErbB2 overexpression and inhibition (lapatinib).
- Assessed Notch1 activation, autophagic flux, proliferation, and gene expression in transgenic mice.
Main Results:
- ErbB2 overexpression activated Notch1 in a p38-dependent manner.
- ErbB2 inhibition (lapatinib) reduced Notch1 activation, stalled autophagy, and decreased proliferation.
- Neuregulin-1 stimulation of ErbB2 in cardiomyocytes increased proliferation, an effect blocked by Notch1 inhibition.
- Transgenic mice overexpressing ErbB2 showed increased active Notch1 and Notch-related gene levels.
Conclusions:
- Demonstrated a functional crosstalk between ErbB2 and Notch1 signaling in cardiac cells.
- Highlighted the role of this interaction in regulating autophagy and proliferation.
- Provided mechanistic insights into the cardiotoxicity of ErbB2-targeting cancer therapies.
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