Key result
Slow trabecular growth, not compaction, shapes developing ventricular walls in mouse and human hearts.
Why the study?
The transformation of embryonic trabeculated ventricular walls into fetal architecture has been attributed to coalescence of trabeculations, but recent data suggest differential growth rates drive this change.
Observational
Challenges compaction model of ventricular development; hypothesis-generating for noncompaction cardiomyopathy mechanisms.
That the highly trabeculated ventricular walls of the developing embryos transform to the arrangement during the fetal stages, when the mural architecture is dominated by the thickness of the compact myocardium, has been explained by the coalescence of trabeculations, often erroneously described as 'compaction'. Recent data, however, support differential rates of growth of the trabecular and compact layers as the major driver of change. Here, these processes were assessed quantitatively and visualized in standardized views. We used a larger dataset than has previously been available of mouse hearts, covering the period from embryonic day 10.5 to postnatal day 3, supported by images from human hearts. The volume of the trabecular layer increased throughout development, in contrast to what would be expected had there been 'compaction'. During the transition from embryonic to fetal life, the rapid growth of the compact layer diminished the proportion of trabeculations. Similarly, great expansion of the central cavity reduced the proportion of the total cavity made up of intertrabecular recesses. Illustrations of the hearts with the median value of left ventricular trabeculation confirm a pronounced growth of the compact wall, with prominence of the central cavity. This corresponds, in morphological terms, to a reduction in the extent of the trabecular layer. Similar observations were made in the human hearts. We conclude that it is a period of comparatively slow growth of the trabecular layer, rather than so-called compaction, that is the major determinant of the changing morphology of the ventricular walls of both mouse and human hearts.
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Jensen et al. (2024) conducted an observational in Ventricular wall development. Comparatively slow growth of the trabecular layer, rather than compaction, is the major determinant of the changing morphology of the ventricular walls in developing mouse and human hearts.
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