Kojima Hidenori, Ieda Masaki
Department of Cardiology, Keio University School of Medicine, Tokyo, Japan.
AMED-PRIME, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Cell Mol Life Sci. 2017 Jun;74(12):2203-2215. doi: 10.1007/s00018-017-2466-4. Epub 2017 Feb 14.
Cardiac disease remains a major cause of death worldwide. Direct cardiac reprogramming has emerged as a promising approach for cardiac regenerative therapy. After the discovery of MyoD, a master regulator for skeletal muscle, other single cardiac reprogramming factors (master regulators) have been sought. Discovery of cardiac reprogramming factors was inspired by the finding that multiple, but not single, transcription factors were needed to generate induced pluripotent stem cells (iPSCs) from fibroblasts. We first reported a combination of cardiac-specific transcription factors, Gata4, Mef2c, and Tbx5 (GMT), that could convert mouse fibroblasts into cardiomyocyte-like cells, which were designated as induced cardiomyocyte-like cells (iCMs). Following our first report of cardiac reprogramming, many researchers, including ourselves, demonstrated an improvement in cardiac reprogramming efficiency, in vivo direct cardiac reprogramming for heart regeneration, and cardiac reprogramming in human cells. However, cardiac reprogramming in human cells and adult fibroblasts remains inefficient, and further efforts are needed. We believe that future research elucidating epigenetic barriers and molecular mechanisms of direct cardiac reprogramming will improve the reprogramming efficiency, and that this new technology has great potential for clinical applications.
心脏病仍然是全球主要的死亡原因。直接心脏重编程已成为心脏再生治疗的一种有前景的方法。在发现骨骼肌的主要调节因子MyoD之后,人们一直在寻找其他单一的心脏重编程因子(主要调节因子)。心脏重编程因子的发现受到以下发现的启发:从成纤维细胞生成诱导多能干细胞(iPSC)需要多个而非单一的转录因子。我们首次报道了心脏特异性转录因子Gata4、Mef2c和Tbx5(GMT)的组合,该组合可将小鼠成纤维细胞转化为心肌样细胞,这些细胞被命名为诱导心肌样细胞(iCM)。在我们首次报道心脏重编程之后,包括我们自己在内的许多研究人员都证明了心脏重编程效率的提高、用于心脏再生的体内直接心脏重编程以及人类细胞中的心脏重编程。然而,人类细胞和成体成纤维细胞中的心脏重编程仍然效率低下,需要进一步努力。我们相信,未来阐明直接心脏重编程的表观遗传障碍和分子机制的研究将提高重编程效率,并且这项新技术在临床应用方面具有巨大潜力。