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Updated: Jun 30, 2026

Pluripotent Stem Cell Derived Cardiac Cells for Myocardial Repair
Published on: February 3, 2017
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.
Background And Objective:
A network of signaling events is required for the formation of a mature cardiovascular system. During embryogenesis, secretion, or suppression of several growth factors at critical time points and proximities drive this development, including epidermal growth factors (EGFs), fibroblast growth factors (FGFs) and insulin-like growth factors (IGFs) which will be discussed in this review.
Methods:
PubMed was searched looking for literatures published between 1990 and March 2022 in English. A review of the literature was completed to find relevant research and terminology around the topics of cardiac development, growth factor signaling and recent advances in cardiovascular regeneration.
Key Content And Findings:
Each family of growth factors has been extensively examined by investigators in pre- and postnatal contexts to uncover therapeutic potential against heart disease-a leading cause of death globally. Select ligands with predicted clinical value have been further assessed, such as neuregulin-1 (NRG1)-which binds to the family of EGF receptors (EGFRs) to dimerize and ultimately activate myocyte proliferation through a signal cascade, and IGF-1-which binds to IGF receptors (IGFRs) to regulate metabolism, proliferation, apoptosis, and autophagy.
Conclusions:
Collectively, this review supports the need for further investigation on how these critical signaling pathways function during heart development and how the new knowledge might be leveraged to treat cardiovascular disease and promote heart regeneration.
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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