Cited4a limits cardiomyocyte dedifferentiation and proliferation during zebrafish heart regeneration

Rachel Forman-Rubinsky1,2, Angela Paul1,2, Wei Feng1,2

  • 1Department of Cell Biology, University of Pittsburgh, School of Medicine, Pittsburgh, PA 15213, USA.

Development (Cambridge, England)
|July 23, 2025
PubMed

Insights

Suppressing cited4a in zebrafish hearts promotes cardiac regeneration by increasing cardiomyocyte proliferation. This finding offers a potential therapeutic strategy for heart repair after injury.

Area of Science:

  • Cardiovascular Biology
  • Regenerative Medicine
  • Molecular Cardiology

Background:

  • Cardiac regeneration is crucial for heart repair but the underlying mechanisms are not fully understood.
  • Cardiomyocytes dedifferentiate and proliferate to replace cells lost after cardiac injury.
  • Distinct cardiomyocyte populations with varied functions exist in the heart.

Purpose of the Study:

  • To investigate the role of cited4a in cardiomyocyte function and cardiac regeneration.
  • To identify molecular regulators of cardiomyocyte proliferation during heart repair.
  • To explore potential therapeutic targets for promoting heart regeneration.

Main Methods:

  • Single nucleus RNA-sequencing of injured zebrafish hearts.
  • Generation and analysis of cited4a loss-of-function zebrafish mutants.
  • Assessment of cardiomyocyte dedifferentiation and proliferation after ventricular resection.

Main Results:

  • Identified distinct cardiomyocyte populations with diverse functions including stress response, myofibril assembly, proliferation, and contraction.
  • Found increased expression of cited4a in mature contracting cardiomyocytes, but not in proliferating ones.
  • Observed increased cardiomyocyte dedifferentiation and proliferation in cited4a mutants after injury.

Conclusions:

  • Cited4a may maintain contractile function by restricting mature cardiomyocytes from re-entering the cell cycle.
  • Suppressing cited4a activity in the injured heart can expand the cardiomyocyte pool for myocardial repair.
  • Targeting cited4a presents a potential strategy to enhance cardiac regeneration.

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