Department of Molecular Physiology and Biophysics, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA.
Development. 2013 Dec;140(23):4683-90. doi: 10.1242/dev.102798.
Heart failure due to cardiomyocyte loss after ischemic heart disease is the leading cause of death in the United States in large part because heart muscle regenerates poorly. The endogenous mechanisms preventing mammalian cardiomyocyte regeneration are poorly understood. Hippo signaling, an ancient organ size control pathway, is a kinase cascade that inhibits developing cardiomyocyte proliferation but it has not been studied postnatally or in fully mature adult cardiomyocytes. Here, we investigated Hippo signaling in adult cardiomyocyte renewal and regeneration. We found that unstressed Hippo-deficient adult mouse cardiomyocytes re-enter the cell cycle and undergo cytokinesis. Moreover, Hippo deficiency enhances cardiomyocyte regeneration with functional recovery after adult myocardial infarction as well as after postnatal day eight (P8) cardiac apex resection and P8 myocardial infarction. In damaged hearts, Hippo mutant cardiomyocytes also have elevated proliferation. Our findings reveal that Hippo signaling is an endogenous repressor of adult cardiomyocyte renewal and regeneration. Targeting the Hippo pathway in human disease might be beneficial for the treatment of heart disease.
由于缺血性心脏病导致的心肌细胞损失而引起的心力衰竭是美国的主要死亡原因,这在很大程度上是因为心肌的再生能力很差。内源性机制防止哺乳动物心肌细胞再生的机制还了解甚少。 Hippo 信号通路是一种古老的器官大小控制途径,是一种激酶级联反应,可抑制发育中的心肌细胞增殖,但尚未在出生后或完全成熟的成年心肌细胞中进行研究。在这里,我们研究了 Hippo 信号通路在成年心肌细胞更新和再生中的作用。我们发现,未受应激的 Hippo 缺陷型成年小鼠心肌细胞重新进入细胞周期并进行胞质分裂。此外,Hippo 缺陷增强了心肌细胞的再生能力,在成年心肌梗死以及出生后第 8 天(P8)心尖切除和 P8 心肌梗死后可实现功能恢复。在受损的心脏中,Hippo 突变型心肌细胞的增殖也增加了。我们的发现表明,Hippo 信号通路是成年心肌细胞更新和再生的内源性抑制因子。在人类疾病中靶向 Hippo 通路可能有益于心脏病的治疗。
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