Key result
Aerobic exercise promotes cardiomyocyte regeneration and physiological hypertrophy via IGF-1, neuregulin-1, and PI3K/Akt/mTOR pathways.
Why the study?
Current research on the effects of aerobic exercise in myocardial regeneration is not comprehensive.
Does aerobic exercise promote cardiomyocyte regeneration and improve cardiac function in healthy and injured adult mammalian hearts?
Does aerobic exercise promote cardiomyocyte regeneration and improve cardiac function in healthy and injured adult mammalian hearts?
This review synthesizes the molecular mechanisms—specifically the IGF-1/PI3K/Akt axis, neuregulin-1/ErbB signaling, C/EBPβ downregulation, and miR-222 upregulation—by which aerobic exercise stimulates adult cardiomyocyte proliferation, offering molecular targets for heart failure therapy and cardiac rehabilitation.
Supports aerobic exercise in cardiac rehabilitation; leaves open targeted modulation of IGF-1/neuregulin-1 and miR-222 pathways.
The leading cause of heart failure is cardiomyopathy and damage to the cardiomyocytes. Adult mammalian cardiomyocytes have the ability to regenerate, but this cannot wholly compensate for myocardial cell loss after myocardial injury. Studies have shown that exercise has a regulatory role in the activation and promotion of regeneration of healthy and injured adult cardiomyocytes. However, current research on the effects of aerobic exercise in myocardial regeneration is not comprehensive. This review discusses the relationships between aerobic exercise and the regeneration of cardiomyocytes with respect to complex molecular and cellular mechanisms, paracrine factors, transcriptional factors, signaling pathways, and microRNAs that induce cardiac regeneration. The topics discussed herein provide a knowledge base for physical activity-induced cardiomyocyte regeneration, in which exercise enhances overall heart function and improves the efficacy of cardiac rehabilitation.
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Bo et al. (2020) conducted a review in Cardiomyopathy, myocardial injury, and heart failure. Aerobic exercise (e.g., treadmill running, voluntary freewheel running, swimming) was evaluated on Cardiomyocyte regeneration and proliferation. Aerobic exercise promotes adult cardiomyocyte regeneration and physiological hypertrophy primarily through IGF-1 and neuregulin-1 paracrine factors, the PI3K/Akt/mTOR pathway, and miR-222 regulation.
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