Metabolic Regulation of Cardiac Regeneration

The mortality due to heart diseases remains highest in the world every year, with ischemic cardiomyopathy being the prime cause. The irreversible loss of cardiomyocytes following myocardial injury leads to compromised contractility of the remaining myocardium, adverse cardiac remodeling, and ultimat...

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Main Authors: Xuewen Duan, Xingguang Liu, Zhenzhen Zhan
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2022.933060/full
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author Xuewen Duan
Xingguang Liu
Zhenzhen Zhan
author_facet Xuewen Duan
Xingguang Liu
Zhenzhen Zhan
author_sort Xuewen Duan
collection DOAJ
description The mortality due to heart diseases remains highest in the world every year, with ischemic cardiomyopathy being the prime cause. The irreversible loss of cardiomyocytes following myocardial injury leads to compromised contractility of the remaining myocardium, adverse cardiac remodeling, and ultimately heart failure. The hearts of adult mammals can hardly regenerate after cardiac injury since adult cardiomyocytes exit the cell cycle. Nonetheless, the hearts of early neonatal mammals possess a stronger capacity for regeneration. To improve the prognosis of patients with heart failure and to find the effective therapeutic strategies for it, it is essential to promote endogenous regeneration of adult mammalian cardiomyocytes. Mitochondrial metabolism maintains normal physiological functions of the heart and compensates for heart failure. In recent decades, the focus is on the changes in myocardial energy metabolism, including glucose, fatty acid, and amino acid metabolism, in cardiac physiological and pathological states. In addition to being a source of energy, metabolites are becoming key regulators of gene expression and epigenetic patterns, which may affect heart regeneration. However, the myocardial energy metabolism during heart regeneration is majorly unknown. This review focuses on the role of energy metabolism in cardiac regeneration, intending to shed light on the strategies for manipulating heart regeneration and promoting heart repair after cardiac injury.
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spelling doaj.art-ceeba3db9aae4cbcb4d0c57f3fae3a9a2022-12-22T02:27:37ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-07-01910.3389/fcvm.2022.933060933060Metabolic Regulation of Cardiac RegenerationXuewen Duan0Xingguang Liu1Zhenzhen Zhan2Key Laboratory of Arrhythmias of the Ministry of Education of China, Institute of Heart Failure, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, ChinaDepartment of Pathogen Biology, Naval Medical University, Shanghai, ChinaKey Laboratory of Arrhythmias of the Ministry of Education of China, Institute of Heart Failure, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, ChinaThe mortality due to heart diseases remains highest in the world every year, with ischemic cardiomyopathy being the prime cause. The irreversible loss of cardiomyocytes following myocardial injury leads to compromised contractility of the remaining myocardium, adverse cardiac remodeling, and ultimately heart failure. The hearts of adult mammals can hardly regenerate after cardiac injury since adult cardiomyocytes exit the cell cycle. Nonetheless, the hearts of early neonatal mammals possess a stronger capacity for regeneration. To improve the prognosis of patients with heart failure and to find the effective therapeutic strategies for it, it is essential to promote endogenous regeneration of adult mammalian cardiomyocytes. Mitochondrial metabolism maintains normal physiological functions of the heart and compensates for heart failure. In recent decades, the focus is on the changes in myocardial energy metabolism, including glucose, fatty acid, and amino acid metabolism, in cardiac physiological and pathological states. In addition to being a source of energy, metabolites are becoming key regulators of gene expression and epigenetic patterns, which may affect heart regeneration. However, the myocardial energy metabolism during heart regeneration is majorly unknown. This review focuses on the role of energy metabolism in cardiac regeneration, intending to shed light on the strategies for manipulating heart regeneration and promoting heart repair after cardiac injury.https://www.frontiersin.org/articles/10.3389/fcvm.2022.933060/fullheart regenerationcardiomyocyte proliferationfatty acid metabolismglucose metabolismamino acid metabolismmetabolism regulation
spellingShingle Xuewen Duan
Xingguang Liu
Zhenzhen Zhan
Metabolic Regulation of Cardiac Regeneration
Frontiers in Cardiovascular Medicine
heart regeneration
cardiomyocyte proliferation
fatty acid metabolism
glucose metabolism
amino acid metabolism
metabolism regulation
title Metabolic Regulation of Cardiac Regeneration
title_full Metabolic Regulation of Cardiac Regeneration
title_fullStr Metabolic Regulation of Cardiac Regeneration
title_full_unstemmed Metabolic Regulation of Cardiac Regeneration
title_short Metabolic Regulation of Cardiac Regeneration
title_sort metabolic regulation of cardiac regeneration
topic heart regeneration
cardiomyocyte proliferation
fatty acid metabolism
glucose metabolism
amino acid metabolism
metabolism regulation
url https://www.frontiersin.org/articles/10.3389/fcvm.2022.933060/full
work_keys_str_mv AT xuewenduan metabolicregulationofcardiacregeneration
AT xingguangliu metabolicregulationofcardiacregeneration
AT zhenzhenzhan metabolicregulationofcardiacregeneration