Key result
p21 inhibition and Yap-Tead activation potently induce proliferation in cultured mouse, rat, and human cardiomyocytes.
Why the study?
Therapeutic approaches to enhance cardiomyocyte proliferation in vivo are lacking despite identification of several proliferative molecular targets and small molecules.
p21 inhibition and Yap-Tead activation are potent stimuli for cardiomyocyte proliferation across multiple species, providing potential targets for cardiac regeneration.
Species- and maturation-dependent cardiomyocyte responses in vitro caution against premature translation; leaves open conserved targets for in vivo regeneration trials.
The heart is one of the least regenerative organs. This is in large part due to the inability of adult mammalian cardiomyocytes to proliferate and divide. In recent years, a number of small molecules and molecular targets have been identified to stimulate cardiomyocyte proliferation, including p38 inhibition, YAP-Tead activation, fibroblast growth factor 1 and Neuregulin 1. Despite these exciting initial findings, a therapeutic approach to enhance cardiomyocyte proliferation in vivo is still lacking. We hypothesized that a more comprehensive in vitro validation using live-cell imaging and assessment of the proliferative effects on various cardiomyocyte sources might identify the most potent proliferative stimuli. Here, we used previously published stimuli to determine their proliferative effect on cardiomyocytes from different species and isolated from different developmental timepoints. Although all stimuli enhanced DNA synthesis and Histone H3 phosphorylation in neonatal rat ventricular cardiomyocytes to similar degrees, these effects varied substantially in mouse cardiomyocytes and human iPSC-derived cardiomyocytes. Our results highlight p21 inhibition and Yap-Tead activation as potent proliferative strategies to induce cultured cardiomyocyte cell cycle activity across mouse, rat and human cardiomyocytes.
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Yücel et al. (2022) studied this question. Proliferative stimuli (including p21 inhibition and Yap-Tead activation) was evaluated on DNA synthesis and Histone H3 phosphorylation (cell cycle activity). p21 inhibition and Yap-Tead activation were identified as potent proliferative strategies to induce cultured cardiomyocyte cell cycle activity across mouse, rat, and human cardiomyocytes.
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