Mechanism-Based Cardiac Regeneration Strategies in Mammals

Heart failure in adults is a leading cause of morbidity and mortality worldwide. It can arise from a variety of diseases, with most resulting in a loss of cardiomyocytes that cannot be replaced due to their inability to replicate, as well as to a lack of resident cardiomyocyte progenitor cells in th...

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Main Authors: Nawazish Naqvi, Siiri E. Iismaa, Robert M. Graham, Ahsan Husain
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-10-01
Series:Frontiers in Cell and Developmental Biology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcell.2021.747842/full
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author Nawazish Naqvi
Siiri E. Iismaa
Robert M. Graham
Ahsan Husain
author_facet Nawazish Naqvi
Siiri E. Iismaa
Robert M. Graham
Ahsan Husain
author_sort Nawazish Naqvi
collection DOAJ
description Heart failure in adults is a leading cause of morbidity and mortality worldwide. It can arise from a variety of diseases, with most resulting in a loss of cardiomyocytes that cannot be replaced due to their inability to replicate, as well as to a lack of resident cardiomyocyte progenitor cells in the adult heart. Identifying and exploiting mechanisms underlying loss of developmental cardiomyocyte replicative capacity has proved to be useful in developing therapeutics to effect adult cardiac regeneration. Of course, effective regeneration of myocardium after injury requires not just expansion of cardiomyocytes, but also neovascularization to allow appropriate perfusion and resolution of injury-induced inflammation and interstitial fibrosis, but also reversal of adverse left ventricular remodeling. In addition to overcoming these challenges, a regenerative therapy needs to be safe and easily translatable. Failure to address these critical issues will delay the translation of regenerative approaches. This review critically analyzes current regenerative approaches while also providing a framework for future experimental studies aimed at enhancing success in regenerating the injured heart.
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spelling doaj.art-14137cb70a1947c988456542cc3e97cc2022-12-21T20:00:13ZengFrontiers Media S.A.Frontiers in Cell and Developmental Biology2296-634X2021-10-01910.3389/fcell.2021.747842747842Mechanism-Based Cardiac Regeneration Strategies in MammalsNawazish Naqvi0Siiri E. Iismaa1Robert M. Graham2Ahsan Husain3Division of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, GA, United StatesVictor Chang Cardiac Research Institute, Darlinghurst, NSW, AustraliaVictor Chang Cardiac Research Institute, Darlinghurst, NSW, AustraliaDivision of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, GA, United StatesHeart failure in adults is a leading cause of morbidity and mortality worldwide. It can arise from a variety of diseases, with most resulting in a loss of cardiomyocytes that cannot be replaced due to their inability to replicate, as well as to a lack of resident cardiomyocyte progenitor cells in the adult heart. Identifying and exploiting mechanisms underlying loss of developmental cardiomyocyte replicative capacity has proved to be useful in developing therapeutics to effect adult cardiac regeneration. Of course, effective regeneration of myocardium after injury requires not just expansion of cardiomyocytes, but also neovascularization to allow appropriate perfusion and resolution of injury-induced inflammation and interstitial fibrosis, but also reversal of adverse left ventricular remodeling. In addition to overcoming these challenges, a regenerative therapy needs to be safe and easily translatable. Failure to address these critical issues will delay the translation of regenerative approaches. This review critically analyzes current regenerative approaches while also providing a framework for future experimental studies aimed at enhancing success in regenerating the injured heart.https://www.frontiersin.org/articles/10.3389/fcell.2021.747842/fullheart failureischemic injurycardiomyocyte proliferationcardioprotectioncardiac regeneration
spellingShingle Nawazish Naqvi
Siiri E. Iismaa
Robert M. Graham
Ahsan Husain
Mechanism-Based Cardiac Regeneration Strategies in Mammals
Frontiers in Cell and Developmental Biology
heart failure
ischemic injury
cardiomyocyte proliferation
cardioprotection
cardiac regeneration
title Mechanism-Based Cardiac Regeneration Strategies in Mammals
title_full Mechanism-Based Cardiac Regeneration Strategies in Mammals
title_fullStr Mechanism-Based Cardiac Regeneration Strategies in Mammals
title_full_unstemmed Mechanism-Based Cardiac Regeneration Strategies in Mammals
title_short Mechanism-Based Cardiac Regeneration Strategies in Mammals
title_sort mechanism based cardiac regeneration strategies in mammals
topic heart failure
ischemic injury
cardiomyocyte proliferation
cardioprotection
cardiac regeneration
url https://www.frontiersin.org/articles/10.3389/fcell.2021.747842/full
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