Travisano Stanislao Igor, Lien Ching-Ling
The Saban Research Institute of Children's Hospital Los Angeles, Los Angeles, CA, 90027, USA.
Departments of Surgery, Stem Cell Biology and Regenerative Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA.
Curr Cardiol Rep. 2025 Jun 17;27(1):95. doi: 10.1007/s11886-025-02235-6.
AIM: In this review, we discuss the regenerative processes in the heart, focusing on non-cardiomyocyte cell populations (fibroblasts, immune cells, and endothelial cells) in zebrafish and mammals. We highlight the role of signaling pathways in heart repair and the potential for therapeutic strategies based on these mechanisms. PURPOSE OF REVIEW: The review examines key molecular and cellular mechanisms in cardiac regeneration, with a focus on fibroblasts, immune modulation, and endothelial function, to identify strategies for enhancing heart repair. RECENT FINDINGS: Recent advancements in characterization of different cell types at the single cell level, along with the discovery of regeneration enhancer elements, have opened new avenues for cardiac regeneration. Targeting the epicardium, along with fibroblast activation, immune modulation, and endothelial signaling, may offer therapeutic strategies to enhance heart regeneration by supporting cardiomyocytes in mice and humans. While non-cardiomyocytes in zebrafish contribute to heart regeneration, in mice and humans, these cells often drive fibrosis instead. Understanding these species-specific differences is crucial for optimizing therapeutic approaches to treat cardiac injury and prevent fibrosis.
目的:在本综述中,我们讨论心脏中的再生过程,重点关注斑马鱼和哺乳动物中的非心肌细胞群体(成纤维细胞、免疫细胞和内皮细胞)。我们强调信号通路在心脏修复中的作用以及基于这些机制的治疗策略的潜力。 综述目的:本综述研究心脏再生中的关键分子和细胞机制,重点关注成纤维细胞、免疫调节和内皮功能,以确定增强心脏修复的策略。 最新发现:单细胞水平上不同细胞类型表征的最新进展,以及再生增强子元件的发现,为心脏再生开辟了新途径。靶向心外膜,以及成纤维细胞激活、免疫调节和内皮信号传导,可能通过支持小鼠和人类的心肌细胞提供增强心脏再生的治疗策略。虽然斑马鱼中的非心肌细胞有助于心脏再生,但在小鼠和人类中,这些细胞通常会导致纤维化。了解这些物种特异性差异对于优化治疗心脏损伤和预防纤维化的方法至关重要。
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