Mechanical and neurohumoral regulation of adult cardiocyte growth.
Mechanical and neurohumoral regulation of adult cardiocyte growth.
复制标题
成人心肌细胞生长的机械和神经体液调节。
DOI:
10.1111/j.1749-6632.1995.tb17420.x
复制
发表时间:
1995
影响因子:
5.2
通讯作者:
Clark,WA
中科院分区:
文献类型:
--
作者:
Decker,RS;Decker,ML;Behnke-Barclay,MM;Janes,DM;Clark,WA
Culture of adult cardiac myocytes provides an opportunity to directly explore potential regulatory pathways that modulate the growth of the mature heart cell. 1 Identifying subcellular events and signal transduction pathways that mediate the growth of the adult cardiac myocyte in response to stresses that provoke cardiac hypertrophy is limited when whole animals are employed, because unraveling" cause from effect" in vivo is often complicated by the cellular heterogeneity of the heart and the likely neurohumoral interactions that exist within the intact myocardium. 2-4 Changes in neurotransmitter release, fluctuating plasma hormone levels and attendant alterations in hemodynamic load make it difficult, at best, to precisely determine how postulated chemical and physical signals regulate cellular growth in vivo. Cultured cardiac myocytes provide an experimental paradigm to more definitively identify and characterize putative pathways that control cardiocyte growth in a defined and relatively uncomplicated environment. There are several caveats, however, that should be considered before contemplating the use of such a model system. The production of two-dimensional adult cardiocyte cultures minimizes, in most instances, myocyte-nonmyocyte interactions, alters the geometry of this reestablished" in vitro myocardium" and modifies the extracellular environment (ie, the culture medium and extracellular matrix) that supports cardiocyte growth. The source of the heart cells employed for study (ie, are they derived from developing or adult heart) also deserves special consideration. Cardiac myocytes isolated from embryonic, neonatal or adult hearts possess unique properties that make each of them useful for the study of specific aspects of cardiac growth and development. Embryonic heart cells are, perhaps, ideal for exploring cardiogenic determination, while neonatal myocytes are well suited for investigating postnatal myocardial growth. In contrast, adult cardiocytes can be usefully employed to explore the regulation of physiologic and, perhaps, pathophysiologic hypertrophy. The principal focus of this report will be to compare and contrast how mechanical loading and neurohumoral activation modulate the growth of adult cardiac myocytes and, where possible, to determine whether the