Mechanisms of myocardial regeneration.
Mechanisms of myocardial regeneration.
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DOI:
10.1016/j.tcm.2012.02.006
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发表时间:
2011-02
影响因子:
9.3
通讯作者:
Anversa, Piero
中科院分区:
文献类型:
--
作者:
Leri, Annarosa;Kajstura, Jan;Anversa, Piero
Traditionally, the adult heart has been viewed as a terminally differentiated post-mitotic organ in which the number of cardiomyocytes is established at birth and these cells persist throughout the lifespan of the organ and organism. However, the discovery that cardiac stem cells (CSCs) live in the heart and differentiate into the various cardiac cell lineages has dramatically changed our understanding of myocardial biology. But deciphering the biological processes that lead to myocyte renewal is a challenging task. Cardiac regeneration may be accomplished by: 1. commitment of multipotent stem cells that generate all specialized lineages within the parenchyma; 2. activation of unipotent progenitors with restricted differentiation potential; 3. replication of pre-existing differentiated cells; 4. transdifferentiation of exogenous progenitors that undergo plastic conversion into cells different from the organ of origin; and 5. dedifferentiation of cardiomyocytes that reenter the cell cycle and divide. These multiple mechanisms of cell growth may act in concert to regenerate complex structures and restore the function of the target organ.
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