Cardiovascular Research Institute, Yong Loo Lin School of Medicine, National University of Singapore (Y.Z., M.A.-J., M.K.S., L.S.P., C.L.D., W.L.W.T., M.C.J.L., J.J., L.D.A.T., S.L.N., P.Y.Q.L. G.J.X.O., T.Y.N., Z.T., A.M.R., R.S.Y.F.).
Cardiovascular Metabolic Disease Translational Research Programme (Y.Z., M.A.-J., M.K.S., L.S.P., C.L.D., W.L.W.T., M.C.J.L., J.J., L.D.A.T., S.L.N., P.Y.Q.L. G.J.X.O., T.Y.N., Z.T., A.M.R., R.S.Y.F.), National University Health Systems, Singapore.
Circulation. 2024 Jun 4;149(23):1833-1851. doi: 10.1161/CIRCULATIONAHA.123.063965. Epub 2024 Apr 8.
Adult mammalian cardiomyocytes have limited proliferative capacity, but in specifically induced contexts they traverse through cell-cycle reentry, offering the potential for heart regeneration. Endogenous cardiomyocyte proliferation is preceded by cardiomyocyte dedifferentiation (CMDD), wherein adult cardiomyocytes revert to a less matured state that is distinct from the classical myocardial fetal stress gene response associated with heart failure. However, very little is known about CMDD as a defined cardiomyocyte cell state in transition.
Here, we leveraged 2 models of in vitro cultured adult mouse cardiomyocytes and in vivo adeno-associated virus serotype 9 cardiomyocyte-targeted delivery of reprogramming factors (, , , and ) in adult mice to study CMDD. We profiled their transcriptomes using RNA sequencing, in combination with multiple published data sets, with the aim of identifying a common denominator for tracking CMDD.
RNA sequencing and integrated analysis identified () as a unique molecular marker gene well correlated with CMDD, required for increased asparagine and also for distinct fluxes in other amino acids. Although overexpression in , , , and cardiomyocytes augmented hallmarks of CMDD, deficiency led to defective regeneration in the neonatal mouse myocardial infarction model, increased cell death of cultured adult cardiomyocytes, and reduced cell cycle in , , , and cardiomyocytes, at least in part through disrupting the mammalian target of rapamycin complex 1 pathway.
We discovered a novel gene as both a molecular marker and an essential mediator, marking a distinct threshold that appears in common for at least 4 models of CMDD, and revealing an /mammalian target of rapamycin complex 1 axis dependency for dedifferentiating cardiomyocytes. Further study will be needed to extrapolate and assess its relevance to other cell state transitions as well as in heart regeneration.
成年哺乳动物心肌细胞的增殖能力有限,但在特定诱导的情况下,它们会经历细胞周期再进入,为心脏再生提供了潜力。内源性心肌细胞增殖之前是心肌细胞去分化(CMDD),其中成年心肌细胞恢复到一种较不成熟的状态,与心力衰竭相关的经典心肌胎儿应激基因反应不同。然而,对于 CMDD 作为一种明确的过渡心肌细胞状态,我们知之甚少。
在这里,我们利用了两种体外培养成年小鼠心肌细胞模型和体内腺相关病毒血清型 9 心肌细胞靶向递送重编程因子(、、、和)的模型,来研究 CMDD。我们使用 RNA 测序对它们的转录组进行了分析,结合多个已发表的数据集,旨在确定跟踪 CMDD 的共同点。
RNA 测序和综合分析确定()作为一个独特的分子标记基因,与 CMDD 密切相关,是增加天冬酰胺所必需的,也是其他氨基酸中独特通量所必需的。虽然在、、、和心肌细胞中过表达会增强 CMDD 的特征,但在新生儿小鼠心肌梗死模型中,缺失会导致再生缺陷,培养的成年心肌细胞中的细胞死亡增加,以及在、、、和心肌细胞中的细胞周期减少,至少部分是通过破坏哺乳动物雷帕霉素靶蛋白复合物 1 途径。
我们发现了一个新基因作为分子标记和必需的介质,标记了一个独特的阈值,至少在 4 种 CMDD 模型中是共同的,并揭示了 /哺乳动物雷帕霉素靶蛋白复合物 1 轴对去分化心肌细胞的依赖性。需要进一步的研究来推断和评估其与其他细胞状态转变以及心脏再生的相关性。