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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.
Abstract:
Although the epidermal growth factor receptor 2 (ErbB2) and Notch1 signaling pathways have both significant roles in regulating cardiac biology, their interplay in the heart remains poorly investigated. Here, we present evidence of a crosstalk between ErbB2 and Notch1 in cardiac cells, with effects on autophagy and proliferation. Overexpression of ErbB2 in H9c2 cardiomyoblasts induced Notch1 activation in a post-transcriptional, p38-dependent manner, while ErbB2 inhibition with the specific inhibitor, lapatinib, reduced Notch1 activation. Moreover, incubation of H9c2 cells with lapatinib resulted in stalled autophagic flux and decreased proliferation, consistent with the established cardiotoxicity of this and other ErbB2-targeting drugs. Confirming the findings in H9c2 cells, exposure of primary neonatal mouse cardiomyocytes to exogenous neuregulin-1, which engages ErbB2, stimulated proliferation, and this effect was abrogated by concomitant inhibition of the enzyme responsible for Notch1 activation. Furthermore, the hearts of transgenic mice specifically overexpressing ErbB2 in cardiomyocytes had increased levels of active Notch1 and of Notch-related genes. These data expand the knowledge of ErbB2 and Notch1 functions in the heart and may allow better understanding the mechanisms of the cardiotoxicity of ErbB2-targeting cancer treatments.
Insights
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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