Growth factors and their roles in cardiac development and regeneration: a narrative review

G Schuyler Brown1, Jihyun Jang1,2, Deqiang Li1,2

  • 1Center for Vascular and Inflammation Diseases, University of Maryland School of Medicine, Baltimore, MD, USA.

Pediatric Medicine (Hong Kong, China)
|June 29, 2026
PubMed
Abstract

Insights

Growth factors like EGFs, FGFs, and IGFs are crucial for cardiovascular development. Understanding these signaling pathways may lead to new treatments for heart disease and regeneration.

Area of Science:

  • Cardiovascular Biology
  • Developmental Biology
  • Regenerative Medicine

Background:

  • Cardiovascular system development relies on intricate signaling networks.
  • Growth factors, including epidermal growth factors (EGFs), fibroblast growth factors (FGFs), and insulin-like growth factors (IGFs), orchestrate embryonic heart formation.
  • Dysregulation of these factors can contribute to cardiovascular diseases.

Purpose of the Study:

  • To review the role of growth factor signaling in cardiovascular development.
  • To explore the therapeutic potential of growth factors in cardiovascular regeneration.
  • To highlight recent advances in understanding these pathways.

Main Methods:

  • Literature search of PubMed (1990-March 2022) in English.
  • Focused on cardiac development, growth factor signaling, and cardiovascular regeneration.
  • Review of relevant research and terminology.

Main Results:

  • Growth factor families (EGFs, FGFs, IGFs) are extensively studied for therapeutic applications in heart disease.
  • Specific ligands like neuregulin-1 (NRG1) and IGF-1 demonstrate roles in myocyte proliferation and metabolic regulation.
  • NRG1-EGFR signaling promotes myocyte proliferation, while IGF-1 influences metabolism, proliferation, apoptosis, and autophagy.

Conclusions:

  • Further research is needed to elucidate the precise functions of these signaling pathways during heart development.
  • Knowledge gained can be applied to develop novel treatments for cardiovascular diseases.
  • These pathways hold promise for promoting cardiac regeneration.

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