Department of Anesthesia and Division of Cardiovascular Medicine, 75 Francis Street, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA.
J Clin Invest. 2013 Jan;123(1):62-70. doi: 10.1172/JCI63068. Epub 2013 Jan 2.
This article discusses current understanding of myocardial biology, emphasizing the regeneration potential of the adult human heart and the mechanisms involved. In the last decade, a novel conceptual view has emerged. The heart is no longer considered a postmitotic organ, but is viewed as a self-renewing organ characterized by a resident stem cell compartment responsible for tissue homeostasis and cardiac repair following injury. Additionally, HSCs possess the ability to transdifferentiate and acquire the cardiomyocyte, vascular endothelial, and smooth muscle cell lineages. Both cardiac and hematopoietic stem cells may be used therapeutically in an attempt to reverse the devastating consequences of chronic heart failure of ischemic and nonischemic origin.
本文讨论了当前对心肌生物学的理解,强调了成年人心脏的再生潜力及其涉及的机制。在过去的十年中,出现了一种新的概念性观点。心脏不再被认为是有丝分裂后的器官,而是被视为一种自我更新的器官,其特征是存在一个常驻的干细胞区室,负责组织内稳态和损伤后的心脏修复。此外,造血干细胞具有转分化并获得心肌细胞、血管内皮细胞和平滑肌细胞谱系的能力。心脏和造血干细胞都可以被用于治疗,以试图逆转缺血性和非缺血性慢性心力衰竭的破坏性后果。