Cardiomyocyte Ploidy, Metabolic Reprogramming and Heart Repair

The adult heart is made up of cardiomyocytes (CMs) that maintain pump function but are unable to divide and form new myocytes in response to myocardial injury. In contrast, the developmental cardiac tissue is made up of proliferative CMs that regenerate injured myocardium. <i>In mammals</i&...

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Main Authors: Andrea Elia, Sadia Mohsin, Mohsin Khan
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/12/12/1571
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author Andrea Elia
Sadia Mohsin
Mohsin Khan
author_facet Andrea Elia
Sadia Mohsin
Mohsin Khan
author_sort Andrea Elia
collection DOAJ
description The adult heart is made up of cardiomyocytes (CMs) that maintain pump function but are unable to divide and form new myocytes in response to myocardial injury. In contrast, the developmental cardiac tissue is made up of proliferative CMs that regenerate injured myocardium. <i>In mammals</i>, CMs during development are diploid and mononucleated. In response to cardiac maturation, CMs undergo polyploidization and binucleation associated with CM functional changes. The transition from mononucleation to binucleation coincides with unique metabolic changes and shift in energy generation. Recent studies provide evidence that metabolic reprogramming promotes CM cell cycle reentry and changes in ploidy and nucleation state in the heart that together enhances cardiac structure and function after injury. This review summarizes current literature regarding changes in CM ploidy and nucleation during development, maturation and in response to cardiac injury. Importantly, how metabolism affects CM fate transition between mononucleation and binucleation and its impact on cell cycle progression, proliferation and ability to regenerate the heart will be discussed.
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spelling doaj.art-9cff0d6d6ed440c4a28b9ce7274e94d02023-11-18T09:42:53ZengMDPI AGCells2073-44092023-06-011212157110.3390/cells12121571Cardiomyocyte Ploidy, Metabolic Reprogramming and Heart RepairAndrea Elia0Sadia Mohsin1Mohsin Khan2Center for Metabolic Disease Research, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USACardiovascular Research Center, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USACenter for Metabolic Disease Research, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USAThe adult heart is made up of cardiomyocytes (CMs) that maintain pump function but are unable to divide and form new myocytes in response to myocardial injury. In contrast, the developmental cardiac tissue is made up of proliferative CMs that regenerate injured myocardium. <i>In mammals</i>, CMs during development are diploid and mononucleated. In response to cardiac maturation, CMs undergo polyploidization and binucleation associated with CM functional changes. The transition from mononucleation to binucleation coincides with unique metabolic changes and shift in energy generation. Recent studies provide evidence that metabolic reprogramming promotes CM cell cycle reentry and changes in ploidy and nucleation state in the heart that together enhances cardiac structure and function after injury. This review summarizes current literature regarding changes in CM ploidy and nucleation during development, maturation and in response to cardiac injury. Importantly, how metabolism affects CM fate transition between mononucleation and binucleation and its impact on cell cycle progression, proliferation and ability to regenerate the heart will be discussed.https://www.mdpi.com/2073-4409/12/12/1571ploidycardiomyocytecell cyclemetabolismbinucleation
spellingShingle Andrea Elia
Sadia Mohsin
Mohsin Khan
Cardiomyocyte Ploidy, Metabolic Reprogramming and Heart Repair
Cells
ploidy
cardiomyocyte
cell cycle
metabolism
binucleation
title Cardiomyocyte Ploidy, Metabolic Reprogramming and Heart Repair
title_full Cardiomyocyte Ploidy, Metabolic Reprogramming and Heart Repair
title_fullStr Cardiomyocyte Ploidy, Metabolic Reprogramming and Heart Repair
title_full_unstemmed Cardiomyocyte Ploidy, Metabolic Reprogramming and Heart Repair
title_short Cardiomyocyte Ploidy, Metabolic Reprogramming and Heart Repair
title_sort cardiomyocyte ploidy metabolic reprogramming and heart repair
topic ploidy
cardiomyocyte
cell cycle
metabolism
binucleation
url https://www.mdpi.com/2073-4409/12/12/1571
work_keys_str_mv AT andreaelia cardiomyocyteploidymetabolicreprogrammingandheartrepair
AT sadiamohsin cardiomyocyteploidymetabolicreprogrammingandheartrepair
AT mohsinkhan cardiomyocyteploidymetabolicreprogrammingandheartrepair