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Control of cytokinesis by β-adrenergic receptors indicates an approach for regulating cardiomyocyte endowment.


ABSTRACT: One million patients with congenital heart disease (CHD) live in the United States. They have a lifelong risk of developing heart failure. Current concepts do not sufficiently address mechanisms of heart failure development specifically for these patients. Here, analysis of heart tissue from an infant with tetralogy of Fallot with pulmonary stenosis (ToF/PS) labeled with isotope-tagged thymidine demonstrated that cardiomyocyte cytokinesis failure is increased in this common form of CHD. We used single-cell transcriptional profiling to discover that the underlying mechanism of cytokinesis failure is repression of the cytokinesis gene ECT2, downstream of β-adrenergic receptors (β-ARs). Inactivation of the β-AR genes and administration of the β-blocker propranolol increased cardiomyocyte division in neonatal mice, which increased the number of cardiomyocytes (endowment) and conferred benefit after myocardial infarction in adults. Propranolol enabled the division of ToF/PS cardiomyocytes in vitro. These results suggest that β-blockers could be evaluated for increasing cardiomyocyte division in patients with ToF/PS and other types of CHD.

SUBMITTER: Liu H 

PROVIDER: S-EPMC8132604 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature

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Control of cytokinesis by β-adrenergic receptors indicates an approach for regulating cardiomyocyte endowment.

Liu Honghai H   Zhang Cheng-Hai CH   Ammanamanchi Niyatie N   Suresh Sangita S   Lewarchik Christopher C   Rao Krithika K   Uys Gerrida M GM   Han Lu L   Abrial Maryline M   Yimlamai Dean D   Ganapathy Balakrishnan B   Guillermier Christelle C   Chen Nathalie N   Khaladkar Mugdha M   Spaethling Jennifer J   Eberwine James H JH   Kim Junhyong J   Walsh Stuart S   Choudhury Sangita S   Little Kathryn K   Francis Kimberly K   Sharma Mahesh M   Viegas Melita M   Bais Abha A   Kostka Dennis D   Ding Jun J   Bar-Joseph Ziv Z   Wu Yijen Y   Yechoor Vijay V   Moulik Mousumi M   Johnson Jennifer J   Weinberg Jacqueline J   Reyes-Múgica Miguel M   Steinhauser Matthew L ML   Kühn Bernhard B  

Science translational medicine 20191001 513


One million patients with congenital heart disease (CHD) live in the United States. They have a lifelong risk of developing heart failure. Current concepts do not sufficiently address mechanisms of heart failure development specifically for these patients. Here, analysis of heart tissue from an infant with tetralogy of Fallot with pulmonary stenosis (ToF/PS) labeled with isotope-tagged thymidine demonstrated that cardiomyocyte cytokinesis failure is increased in this common form of CHD. We used  ...[more]

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