Institute of Developmental & Regenerative Medicine, University of Oxford, Oxford, UK.
MRC Weatherall Institute of Molecular Medicine, Radcliffe Department of Medicine, University of Oxford, Oxford, UK.
Nat Rev Cardiol. 2024 Feb;21(2):89-105. doi: 10.1038/s41569-023-00914-x. Epub 2023 Aug 14.
Permanent fibrosis and chronic deterioration of heart function in patients after myocardial infarction present a major health-care burden worldwide. In contrast to the restricted potential for cellular and functional regeneration of the adult mammalian heart, a robust capacity for cardiac regeneration is seen during the neonatal period in mammals as well as in the adults of many fish and amphibian species. However, we lack a complete understanding as to why cardiac regeneration takes place more efficiently in some species than in others. The capacity of the heart to regenerate after injury is controlled by a complex network of cellular and molecular mechanisms that form a regulatory landscape, either permitting or restricting regeneration. In this Review, we provide an overview of the diverse array of vertebrates that have been studied for their cardiac regenerative potential and discuss differential heart regeneration outcomes in closely related species. Additionally, we summarize current knowledge about the core mechanisms that regulate cardiac regeneration across vertebrate species.
心肌梗死后患者的永久性纤维化和心脏功能慢性恶化在全球范围内带来了重大的医疗负担。与成年哺乳动物心脏的细胞和功能再生能力受限形成对比的是,在哺乳动物的新生儿期以及许多鱼类和两栖类动物的成年期,心脏都具有强大的再生能力。然而,我们并不完全了解为什么有些物种的心脏再生能力比其他物种更强。心脏在受伤后进行再生的能力受到一个复杂的细胞和分子机制网络的控制,该网络形成了一个调节景观,允许或限制再生。在这篇综述中,我们概述了已经被研究过其心脏再生潜力的各种脊椎动物,并讨论了密切相关物种之间不同的心脏再生结果。此外,我们还总结了目前关于调节脊椎动物心脏再生的核心机制的知识。