Early regenerative capacity in the Porcine heart
File(s)Regeneration 2018.docx (95.5 KB)
Accepted version
Author(s)
Type
Journal Article
Abstract
Background -The adult mammalian heart has limited ability to repair itself following injury. Zebrafish, newts and neonatal mice can regenerate cardiac tissue, largely by cardiac myocyte (CM) proliferation. It is unknown if hearts of young large mammals can regenerate. Methods -We examined the regenerative capacity of the pig heart in neonatal animals (ages: 2, 3 or 14 days postnatal) after myocardial infarction (MI) or sham procedure. Myocardial scar and left ventricular function were determined by cardiac magnetic resonance (CMR) imaging and echocardiography. Bromodeoxyuridine pulse-chase labeling, histology, immunohistochemistry and Western blotting were performed to study cell proliferation, sarcomere dynamics and cytokinesis and to quantify myocardial fibrosis. RNA-sequencing was also performed. Results -After MI, there was early and sustained recovery of cardiac function and wall thickness in the absence of fibrosis in 2-day old pigs. In contrast, older animals developed full-thickness myocardial scarring, thinned walls and did not recover function. Genome wide analyses of the infarct zone revealed a strong transcriptional signature of fibrosis in 14-day old animals that was absent in 2-day old pigs, which instead had enrichment for cytokinesis genes. In regenerating hearts of the younger animals, up to 10% of CMs in the border zone of the MI showed evidence of DNA replication that was associated with markers of myocyte division and sarcomere disassembly. Conclusions -Hearts of large mammals have regenerative capacity, likely driven by cardiac myocyte division, but this potential is lost immediately after birth.
Date Issued
2018-07-20
Date Acceptance
2018-06-04
Citation
Circulation, 2018, 138 (24), pp.2798-2808
ISSN
0009-7322
Publisher
American Heart Association
Start Page
2798
End Page
2808
Journal / Book Title
Circulation
Volume
138
Issue
24
Copyright Statement
© 2018 American Heart Association, Inc. All rights reserved.
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/30030417
PII: CIRCULATIONAHA.117.031542
Subjects
Cytokinesis
Mammalian heart
heart regeneration
Publication Status
Published
Coverage Spatial
United States
Date Publish Online
2018-07-20