Mature Skeletal Muscle Cells Never Undergo Cell Division Again Fascia Adherens Cardiac Muscle
Regenerative Therapies for Hematopoietic and Cardiovascular Tissues
David L. Stocum , in Regenerative Biology and Medicine (2d Edition), 2012
4 Cardiomyocytes Derived from Pluripotent Stem Cells
Cardiomyocytes have been generated from mouse and homo ESCs and iPSCs ( Freund and Mummery, 2009; Laflamme and Murry, 2011, for reviews). Mouse ESC-derived cardiomyocytes in vitro were stably integrated into the ventricular myocardium of mdx dystrophic mice after transplantation, as shown by the presence of labeled donor cells positive for dystrophin (Klug et al., 1995, 1996). Johkura et al. (2003) reported that ESC-derived mouse cardiomyocytes transplanted into the retroperitoneum of adult nude mice became vascularized and differentiated into cardiac myocytes that expressed cardiac molecular markers and exhibited desmosomes, zona adherens, and gap junctions.
The ability of ESC-derived human cardiomyocytes to role every bit pacemaker cells was tested by Kehat et al. (2004). ESC-derived human cardiomyocytes were injected into the left ventricle of pigs in which a complete atrioventricular block had been induced by ablating the bundle of His. The transplanted cells restored normal electric rhythm. Immunostaining with anti-man mitochondrial antibodies confirmed the presence of human cardiomyocytes in the hearts that were integrated with host cells. These cells reacted with α-actinin antibodies. Information technology is worth pointing out that the cardiomyocytes differentiated in these studies were small and had an immature morphology. Human ESC-derived cardiomyocytes proliferated and formed early sarcomeres when transplanted into the hearts of nude rats, whereas undifferentiated ESCs formed teratomas (Fig. 14.15), suggesting that cardiac musculus does not accept the necessary factors to straight the differentiation of naïve hESCs (Laflamme and Murry, 2005). Still, the cardiomyocytes exhibited a poor engraftment rate. To better engraftment, Laflamme et al. (2007) developed a cocktail of prosurvival molecules to prevent anchorage-dependent cell decease and cake mitochondrial death pathways. In both this study and i past van Laake et al. (2007), there was good survival of cardiomyocytes transplanted to infarcted rat hearts and attenuation of the progressive decreases in cardiac function observed in controls receiving non-cardiomyocytes. An unresolved issue is how the transplanted cells exerted their effects (Rubart and Field, 2007). Many of the donor cardiomyocytes were observed within the scar and not in direct contact with host cardiomyocytes, raising the possibility that the donor cells exerted their effect by paracrine action that stimulated angiogenesis. Transplant experiments with iPSC-derived cardiomyocytes have non still been reported, and in that location accept been no clinical trials of cardiomyocytes derived from homo ESCs or iPSCs.
Figure 14.15. Results of implanting embryonic stem cells (ESCs) and their derivatives into the myocardium of immunodeficient mice and rats. (A) Undifferentiated mouse ESCs formed teratomas later beingness implanted into immunodeficient mice. LV = left ventricle. Boxed areas are magnified to show the squamous epithelium, ciliated epithelium and cartilage that differentiated inside the myocardium. (B) ESC-derived human cardiomyocytes transplanted into nude rats proliferated and differentiated into cardiac myofibers. Left panel shows implanted cells stained for β-myosin heavy concatenation and human Ki-67, which appears brown in proliferating cells (arrows). Right panel shows human cardiomyocytes at a stage of early on sarcomere formation (arrows). The section is stained with a human-specific genomic probe and antibody to sarcomeric myosin (dark-brown).
Reproduced with permission from Laflamme and Murry, Regenerating the heart. Nature Biotech 23:845–856. Copyright 2005, Nature Publishing Group.Read total affiliate
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Nanofiber composites in cardiac tissue applied science
C. Gandhimathi , ... D.Thousand. Srinivasan , in Nanofiber Composites for Biomedical Applications, 2017
17.3.1 Cardiomyocytes remodeling in ischemic heart affliction
The cardiomyocytes are the major cells involved in the cardiac remodeling. Immediately following an ischemic insult, irreversible injury and subsequent cell death occurs to the cardiomyocytes. Although jail cell expiry occurs through both apoptotic and necrotic pathways, apoptosis is the primary grade of cell death in the first 24 h after infarction [46,48]. On the first day after coronary occlusion in rats, a higher incidence of apoptosis of cardiomyocytes is observed at the ischemic border zone, which subsequently reduces with the evolution of the healing process. However, the apoptosis of cardiomyocytes progressively increases at the remote myocardium from first day to 12 weeks after infarction in rats [49]. This loss may contribute to progressive weakening of the surviving myocardium.
According to Frank-Starling'due south police, to maintain the stroke volume of the centre, the finish diastolic ventricular volume will increment to recoup the lost myocardium. Afterwards, the increased wall stress results in the elongation or hypertrophy of the cardiomyocytes [21]. Cardiomyocyte hypertrophy is an adaptive mechanism to improve the pumping part of the heart, which involves an increment in the amount of contractile units in the viable cells, characterized by increased jail cell size, increased sarcomeres, and reorganization of intracellular components [46]. However, overstretching of the cardiomyocytes results in the loss of functional sarcomeres of the cells, further causing impaired contractility of the cells [50]. The functional remodeling following the loss of cardiomyocytes occurs asymmetrically: early on stretching and thinning of infarcted myocardium in contrast to hypertrophy of noninfarcted segments that suffer from increased workload. This asymmetric remodeling subsequently leads to dilation of the ventricle [46].
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Prison cell sheet engineering for myocardial tissue reconstruction
Tatsuya Shimizu , ... Teruo Okano , in The Biomaterials: Silver Jubilee Compendium, 2003
iv Myocardial tissue reconstruction by layering cardiomyocyte sheets [28,30,31]
Cardiomyocytes are tightly interconnected with gap junctions and pulsate simultaneously in native eye tissue. Information technology is too well-known that confluent cultured cardiomyocytes on civilisation surfaces connect via gap junctions and beat simultaneously [ 33]. Therefore, in myocardial tissue engineering by layering cell sheets, information technology is a crucial signal whether electric and morphological communications are established between bilayer cell sheets. Chick embryo or neonatal rat cardiomyocyte sheets released from PIPAAm-grafted surfaces presented synchronized pulsation. To examine the electrical communication, 2 cardiomyocyte sheets were overlaid partially as schematically illustrated in Fig. five. Ii electrodes were set over monolayer parts of both cell sheets. Detected electrical potentials of the two sheets completely synchronized (Fig. 6). Furthermore, electrical stimulation to the single-layer region of one sail was transmitted to the other cell canvass and the two cell sheets pulsated simultaneously. Histological analysis showed that bilayer cardiomyocyte sheets contacted intimately resulting in homogeneous tissue. Cell-to-jail cell connections including desmosomes and intercalated disks were confirmed by transmission electron microscopic images. These data signal that electric and morphological communications are established between layered cardiomyocyte sheets.
Fig. v. Schematic illustration of electrical analysis of layered cardiomyocyte sheets. To examine the electrical synchronization, two cardiomyocyte sheets (A, B) are overlaid partially. Two electrodes are fix over monolayer parts of both jail cell sheets to detect the electrical potentials separately.
Fig. 6. Synchronization of layered cardiomyocyte sheets. Representative tracings of electrical potentials of sheet A and canvas B bear witness complete synchronization.
Nether conventional civilization atmospheric condition, cardiac myocytes are fixed to rigid fabric surfaces and their motion is highly express. To minimize the interaction between jail cell sheets and culture materials, the sheets were overlaid on several types of materials including polyethylene meshes, elastic polyurethane meshes or frame-similar collagen membranes. In any cases, the constructs pulsated simultaneously with higher aamplitude than the cells stock-still on rigid culture surfaces. When cardiomyocyte sheets were layered on frame-like collagen membranes, the middle function of them is free from whatever civilization materials. In issue, 4-layer cardiac constructs on the frame-like collagen membranes pulsated spontaneously in macroscopic view.
To examine in vivo survival and function of layered cardiomyocyte sheets, the constructs were transplanted into dorsal subcutaneous tissues of nude rats. Surface electrograms originating from transplanted constructs were detected independently from host electrocardiograms, in the earliest case, at 2 weeks subsequently the operation (Fig. 7). When transplantation sites were opened, macroscopic simultaneous graft beatings were observed at the earliest menstruation, 3 days after the transplantation. Furthermore, graft survival was confirmed at least up to one year. Morphological analysis demonstrated that neovascularizations occurred in a few days and that vascular network was organized within a week (Fig. 8A). Cross-exclusive views revealed stratified cell-dense myocardial tissues (Fig. 8B), well-differentiated sarcomeres and diffuse germination of gap junctions. In comparison between 2-layer and 4-layer cardiac tissue grafts, fractional shortening increased depending on the number of layered jail cell sheets.
Fig. 7. Skin surface electrogram of transplanted cardiomyocyte sheets. Representative tracings of the host electrocardiogram (upper) and the electrical potential detected via the electrode fix at the skin just above the transplanted centre graft (lower) are shown. Skin surface electrogram originating from the graft is detected independently from host electrocardiogram.
Fig. 8. (A) Macroscopic view of the transplanted cardiac graft. Multiple neovascularization is shown in the square-designed cardiac graft transplanted into dorsal subcutaneous tissue. (B) Azan staining shows a stratified cardiac tissue graft including elongated cardiomyocytes and microvasculars (arrows).
Thus, the bones technology has been established to fabricate electrically communicative, pulsatile myocardial tissues by using jail cell sheets both in vitro and in vivo.
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The Pharmacology of WNT Signaling
Evangelos P. Daskalopoulos , W. Matthijs Blankesteijn , in Reference Module in Biomedical Sciences, 2021
7.four.ii WNT signaling in cardiac hypertrophy
Cardiomyocytes are terminally differentiated cells with a very low turnover rate ( Bergmann et al., 2009). When the heart is exposed to an increased workload or neurohumoral stimulation, the cardiomyocytes respond with a hypertrophic response, leading to a thickening or an elongation of these cells. Although exercise can induce benign cardiomyocyte hypertrophy, the hypertrophy resulting from pathological conditions usually contributes to agin cardiac remodeling and the evolution of middle failure (Hunter and Chien, 1999).
The involvement of WNT signaling in the hypertrophic response has been the subject of multiple studies. Activation of both WNT/β-catenin signaling (Hagenmueller et al., 2013) and non-β-catenin mediated signaling (Hagenmueller et al., 2014) was reported in hypertrophic cardiomyocytes. Several studies demonstrated that sFRPs take an anti-hypertrophic upshot (Askevold et al., 2014; Sklepkiewicz et al., 2015), suggesting that inhibition of WNT signaling attenuates this adaptive response. Similar conclusions could exist drawn from experiments on Dvl1 in mice, where overexpression induced cardiac hypertrophy (Malekar et al., 2010) and inactivation of the Dvl1 gene had an anti-hypertrophic outcome (van de Schans et al., 2007). More recently, pharmacological inhibition of WNT signaling with the Porcn inhibitor Wnt-C59 was shown to attenuate force per unit area-overload induced cardiac hypertrophy development in mice (Zhao et al., 2020), supporting therapeutic potential for WNT inhibitors to counter this pathological cardiac adaptation.
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Nanoengineered biomaterials for cardiac regeneration
Lucas Karperien , ... Mehdi Nikkhah , in Nanoengineered Biomaterials for Regenerative Medicine, 2019
two.2.1 Cardiomyocytes
Cardiomyocytes (CMs) belong to the family of muscle cells; however, they are strikingly unlike from other muscle cells in the body. For case, they lack the myosatellite cells that are associated with regular musculus cells and are used for repair and healing [vi]. Additionally, cardiomyocytes typically co-operative out, whereas regular muscle cells do not and instead form singular fibers [7].
Cardiomyocytes are relatively pocket-sized, 10–xx μm wide and 50–100 μm long [half-dozen], and in their mature country, they typically express a single central nucleus forth with organized myofibrils and aligned sarcomeres that produce striations. However, cardiomyocytes are dissimilar from skeletal muscle cells in that they are near completely aerobic, considering they incorporate elevated numbers of mitochondria and huge myoglobin reserves that serve as an oxygen storage unit of measurement [10]. The T-tubules, extensions of the sarcoplasm that infiltrate the cytoplasm, are also shorter in cardiomyocytes than in skeletal muscle and practice non bond to the sarcoplasmic reticulum. The circulatory arrangement of the myocardium is more extensive than information technology is for regular musculus cells, in order to supply the myocardium's greater need for oxygen. Cardiomyocytes also contract autonomously and rhythmically, without instructions from the nervous system [six].
Cardiomyocytes are connected by intercalated discs, a complex cell junction unique to cardiac cells. The intercalated disc is similar in advent and function to finger-joints used in wood structure, and they fit together to form a strong physical, chemical, and electrical connection between adjacent cells [xi]. They are similar to the Z-disks that connect the actin filaments within a myocyte as they bind to the myofibrils of the cells at a specialized location called the fascia adherens and thus transfer contractile forces across the disc. This force allows the cells to pull together and effectively unites them into a single continuous contractile chemical element. The jagged appearance of the intercalated disc is caused past strong attractive forces between the sarcolemmae of the joining myocytes, which are jump together by desmosomes [6]. Each intercalated disc has several desmosomes, also called macula adherens, along its surface. Desmosomes are local adhesion sites that adhere to the cytoskeleton of the myocytes and resist the shear forces betwixt the intercalated discs incurred by the contraction of the cardiomyocytes, thus maintaining the 3D structure of the tissue [11]. The surfaces of the adjacent cells at the intercalated disc are mostly separated by approximately 25 nm, merely the gap narrows to nearly 3 nm at zones called gap junctions. These gap junctions are bridged by ion channels to let electrical and chemical transfers between the myocytes (Fig. ane).
Fig. 1. (A) Heart wall structure. "Blausen 0470 HeartWall" by BruceBlaus is licensed under CC By iii.0 [12]. (B) Cardiomyocyte structure, showing intercalated discs. "Cardiac Musculus" by OpenStax was adapted for this document and is licensed under CC Past four.0 [13].
As a consequence of the directional construction of cardiomyocytes—both in terms of their cellular structure and their organization—the cardiac muscle is highly anisotropic. For instance, electric and force propagations are transmitted bidirectionally forth the many fiber-like constructions in the myocardium. Therefore the anisotropic properties of the cardiac muscle are of import for proper function of the heart, as the propagation of action potential and subsequent cardiac contraction depend on the orientation and connectivity of the cells. Several cardiac diseases such as ischemic middle illness and ventricular hypertrophy are known to be associated with a disruption of this organization of the cardiac tissue architecture (Fig. ii) [fourteen].
Fig. 2. Scanning electron microscopy images of cardiac tissue, stripped of connective tissue (A, B, C) or nonfibrous tissue (D, Eastward, F). (A, D) Good for you tissue. (B, C, E, F) Unhealthy tissue displaying hypertrophic cardiomyopathy. Calibration bars indicate 20 μm [19].
Adapted with permission, Y. Kanzaki, Y. Yamauchi, M. Okabe, F. Terasaki, N. Ishizaka, Three-dimensional architecture of cardiomyocytes and connective tissues in hypertrophic cardiomyopathy, Apportionment 125 (5), 738–739, http://circ.ahajournals.org/content/125/five/738.Read full chapter
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Cardiac Jail cell Transplantation
Bryce H. Davis , ... Doris A. Taylor , in Cellular Transplantation, 2007
CARDIOMYOCYTES
Replacing cardiomyocytes is a major goal of cardiac jail cell therapy. Thus, mature cardiomyocytes themselves would seem the ideal choice to apply for cardiac repair. They are contractile and have ideal mechanical and electrical properties to integrate with the surrounding myocardium. The issues associated with using adult cardiomyocytes, notwithstanding, are profound. Principal among these is finding a renewable source of these cells, equally developed cardiomyocytes do not readily carve up in vitro and thus cannot be expanded to the numbers required for repair. Deriving cells from donor hearts adds the problem of potential immune rejection, requiring immunosuppressive therapies. Fifty-fifty if a source of adult cardiomyocytes could exist institute, another major problem exists: adult cardiomyocytes accept a very limited power to survive in an ischemic surround (hence the original infarct). Taken together, these limitations suggest cardiomyocytes may take a very limited role in jail cell repair unless these cells undergo some manipulation to return them capable of division and survival in vivo. To overcome this, some groups accept begun to use fetal or neonatal cardiomyocytes for preclinical cardiac repair. These studies prove that in infarcted hearts, fetal cardiomyocyte transplantation tin improve function, including LV dimensions and developed LV pressures [55, 58, 71, 77, 79, 83]. In addition, transplanted cells could be found in injected hearts upward to half dozen months after commitment—a marked improvement over developed cardiocytes. Cardiomyocytes injected into uninjured hearts demonstrated show of cell-cell coupling with host cardiomyocytes. Unfortunately, the hostile environs of scar present in infarct has so far prevented any evidence of coupling between transplanted and native cardiomyocytes [71] in injured myocardium. Nonetheless, fetal or neonatal cardiocytes are an alternative to adult cells. However, finding a pool of fetal or neonatal cardiomyocytes itself raises a number of ethical questions that currently limit their potential likewise.
A new blazon of contractile prison cell that must now be considered is the cardiac stem jail cell (CSC). Although the evidence for cardiac repair with these cells is limited, their potential to mature into cardiomyocytes makes them an bonny candidate. Again, these cells have primarily been isolated from neonatal heart [47], and to a express extent from adult myocardium [4, 12, 62]. Their use preclinically is intriguing and suggests that the future of cardiac repair may involve endogenous stalk cells. CSCs from postnatal rat hearts can be isolated using LIM-homeodomain transcription factor islet-i (isl1). It is possible to expand these cells in vitro when coupled with a cardiac mesenchymal feeder layer. Further, when these cells are co-cultured with neonatal cardiomyocytes, they are able to electrically integrate with myocardial cells in vitro past formation of gap junctions [47]. CSCs isolated from developed hearts—including those from acutely infarcted, failing, and uninjured transplant hearts—accept been identified past their expression of c-kit, MRD1, and Sca-1 and their lack of expression of hematopoietic lineage markers [101]. These cells show the ability to differentiate down myocyte, smooth muscle cell, and endothelial cell pathways, but their ability to course mature cells of these types (or cardiomyocytes) is every bit yet unknown. Oh et al. suggest that endogenous Sca-i positive CSCs may be able to differentiate into functional cardiomyocytes, only their differentiation potential within infarct scar is as yet unknown [61]. To date, methods for the harvest, expansion, and in vitro growth of these precursors are limited. This, combined with their unknown differentiation potential, makes their clinical use at this fourth dimension highly unlikely. Nonetheless, their biological science is interesting and bears watching for future developments.
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Drug delivery for cardiac regeneration
Hoda M. Eltaher , ... Labiba K. El-Khordagui , in Applications of Nanocomposite Materials in Drug Delivery, 2018
13.eight Conclusions and future perspectives
CM replacement therapy offers new perspectives in cardiac regeneration post-MI, the most pregnant manifestation of IHD. Novel cell and drug commitment strategies are generating growing attention by promoting endogenous regenerative and protective processes involving PCs and reprogramed conversion of cardiofibroblasts to CMs. The utilise of biomaterials as DDSs for cardio-regenerative therapeutics concomitantly functioning as matrices capable of modulating the phenotype and regenerative potential of pre-seeded or in situ recruited PCs, proved to significantly enhance cardiac regeneration. Although cardiac delivery is still in its infancy, transposing technologies for biomaterial engineering science immune the generation of a plethora of DDSs with dissimilar levels of complexity that are capable of spatiotemporally controlling the delivery of their payload.
Despite the positive outcomes of preclinical research in this respect, the efficacy and safety of regenerative therapies for the handling of ischemic cardiomyopathy must be profoundly enhanced for translation to bedside. This could be achieved using multiple-approach strategies based on a deeper mechanistic insight in the myocardium complex physiological and pathological processes in MI. Further understanding of the reprograming process to identify therapeutic targets and target epitopes that discriminate betwixt fibroblasts and other target cells in the affected and the good for you tissue is required. Moreover, consideration should be given to other related strategies including constructive chemical screening of modest molecules, judicious design of bioinspired biomaterials with optimized physicochemical and electromechanical properties, evolution of biomaterial-based advanced delivery systems for targeting specific cells and processes and maximizing cardiac uptake and retention of therapeutics; and finally, noninvasive effective delivery of selected biomaterial-enhanced therapeutics either systemically or locally. Merging such strategies would incrementally allow overcoming challenges ahead in advancing effective and rubber cardiac regenerative therapy.
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Progenitor Cells and Cardiac Homeostasis and Regeneration
Annarosa Leri , ... Piero Anversa , in Principles of Tissue Engineering (Fourth Edition), 2014
C-KIT-Positive Cardiac Stalk Cells
Cardiomyocytes, every bit the majority of cells in adult organs, are long-lived cells. If cells persist for most of the lifespan of an animal or private, their functional capacity is expected to turn down with time, compromising organ functioning. According to the dogma, ventricular myocytes are terminally differentiated cells and their lifespan corresponds to that of the private. The number of myocytes attains an adult value a few months later on birth, and the same myocytes are believed to contract 70 times per minute throughout life. However, several reports have provided show supporting the view that myocytes die and new cells are constantly formed in the normal eye at all ages. Both processes are markedly enhanced in pathologic states and the imbalance between cell growth and jail cell expiry may be an important determinant of the onset of ventricular dysfunction and its evolution to terminal failure.
The c-kit receptor tyrosine kinase was detected originally in a course of murine HSCs with long-term reconstituting power in irradiated recipients. More recently, c-kit has been establish in several populations of stem cells in the adult lung, liver, brain, and pancreas [xiii]. Several lines of evidence accept been accumulated in favor of the view that cardiac cells expressing the c-kit receptor are bona fide stem cells; they include the capacity to self-renew, form multicellular clones, and requite rise to a committed progeny in vitro and in vivo [24,28–30] (Fig. 37.1). However, differentiation assays of stalk cell clones in vitro take inherent limitations including the possibility that civilisation conditions consequence in the preferential acquisition of a selective lineage phenotype, masking the in vivo potential of the founder cell. Similarly, the identification of multiple phenotypes in the progeny of transplanted non-clonal stem cell populations does non provide a straight evidence of the multipotentiality of each administered prison cell. This problem has been overcome past the delivery of single-cell-derived clonal CSCs to the injured myocardium; by necessity, all regenerated structures derive from the individual founder cell that underwent distension ex vivo [24].
FIGURE 37.one. Myocardial regeneration subsequently infarction.
(a) Non-treated infarcted canine middle: the healing process is characterized by the germination of a scar (collagen I-III, bluish). (b) Newly-formed myocytes are clustered (α-sarcomeric actin, reddish, arrowheads) inside the area of damage. (c) Bright blue fluorescence in nuclei corresponds to BrdU labeling of accumulated newly formed myocytes.
Criticisms, nevertheless, have been raised concerning the possibility that serial passaging may change the original properties of CSCs and that tissue injury may bear on in an unpredictable style the fate of CSCs in vivo. Novel protocols have been introduced to document unequivocally that cardiomyocytes and coronary vessels originate from CSCs in the not-damaged heart and during physiological aging. Specifically, viral tagging and clonal marker have been implemented to decide whether a resident stem cell puddle is present in the myocardium and participate in organ homeosatsis physiologically [30]. Genetic tagging with retroviruses was introduced more than than xx years ago for the characterization of private HSCs and their progeny [31]. The analysis of the clonality of CSCs and myocyte turnover cannot be performed in humans since it requires genetic tagging of the undifferentiated cells and then that the clonal marker of individual female parent cells is traced in the specialized progeny in vivo. C-kit-positive CSCs located in the niches of the atrio-ventricular groove and apex of the mouse heart were infected with a lentivirus conveying EGFP and the destiny of the labeled cells was determined 1–half dozen months later [30], providing the opportunity to assess the behavior of tissue-resident primitive cells in the non-injured eye. Although the rate of myocyte turnover in the intact center is slower than the rapid pace at which cells renew themselves in the presence of damage, the intrinsic properties of CSCs are better characterized when tissue lesions are absent-minded. A common integration site was identified in isolated c-kit-positive CSCs, cardiomyocytes, ECs and fibroblasts, documenting the multipotentiality of CSCs and the clonal origin of the differentiated cells [xxx]. During a six month period, each EGFP-positive CSC divided around eight times giving rise to 230 cardiomyocytes. These findings, together with information obtained with BrdU pulse-chase assays [26,thirty,32], betoken that activation and differentiation of CSCs is an ongoing procedure which results in a pregnant renewal of cardiomyocytes in the developed mouse heart.
Although viral clonal marker represents the only protocol that tin can establish the multipotentiality of CSCs in situ, limitations involve the depression efficiency of CSC infection and the impossibility to collect series samples of the transduced progeny in modest animals. Moreover, whether the insertion site confers a selective reward or disadvantage to the growth of single cells may be easily assessed in claret cells simply cannot be established with certainty in the heart. An additional variable that may influence the assessment of myocyte formation from tagged CSCs involves the insertion of the proviral integrant in repressive regions of the mouse genome [33]. Withal, silencing of the reporter cistron interferes with the recognition of labeled cells by immunohistochemistry just does not touch on the analysis of integration sites by PCR.
EGFP is a widely used fluorescent tag for the assay of the fate of progenitor cells in vivo following adoptive transfer, and in lineage tracing and viral clonal marking assays. The immunogenic potential of this foreign protein has raised questions on the appropriateness of its utilization in long-term studies. Processed peptides derived from EGFP may be presented by the major histocompatibility complex on the cell surface, potentially inducing a T cell immune response against the labeled cells. Cells transduced with genes perceived as foreign proteins by the recipient may actively engraft just may be subsequently cleared by the immune system [34]. The magnitude of immunological rejection of cells carrying EGFP remains controversial and most likely context-dependent. Dissimilar degrees of bone marrow ablation from sub-lethal irradiation to minimal workout have been employed to prevent rejection of EGFP-infected hematopoietic cells [35]. This phenomenon may result in an underestimation of the number of EGFP-positive CSCs and their tagged progeny.
An important aspect of the clonal analysis past viral mark of CSCs in vivo consists of the possibility to study the behavior of these primitive cells inside their natural habitat, the CSC niches.
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Silk for cardiac tissue engineering
C. Patra , F.B. Engel , in Silk Biomaterials for Tissue Engineering and Regenerative Medicine, 2014
16.5.four Vascularization
Cardiomyocytes have a very high metabolic activeness and thus cardiac patches require extensive vascularization ( Korecky et al., 1982; Rakusan et al., 1992). The need for proper spatial vascularization for nutrient and oxygen supply is the master electric current disadvantage limiting the thickness of engineered cardiac patches. One requirement for a successful CTE approach is a biomaterial that can raise vascularization. One advantage of silk fibroin is the possibility of functionalization (Section 16.5.iii). Even so, silk fibroin has also been shown to exhibit other favourable characteristics. Bondar et al. (2008) have demonstrated that endothelial cells formed tight junctions on silk fibroin matrices. In addition, Zhang et al. (2008) demonstrated that human aortic endothelial cells (HAECs) and human coronary artery smooth muscle cells (HCASMCs) also adhere to electrospun silk matrices. HCASMCs transformed from a stellate morphology and random orientation to a spindle shape with parallel alignment. HAECs formed complex interconnecting networks of capillary tubes with lumens. Moreover, information technology has been shown that endothelial cells and polish muscle cells can be co-cultured on silk fibroin promoting nether dynamic menstruation weather endothelium formation (Zhang et al., 2009). Finally information technology has been shown that sulfation of silk enhances the anti-coagulant action of silk fibroin (Liu et al., 2011).
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Basic facts about human cardiovascular organisation
Yuri Vassilevski , ... Alexander Danilov , in Personalized Computational Hemodynamics, 2020
2.2.2 Electric activity
Cardiomyocytes are the muscle fibers that course the chambers walls of the centre. They are spatially organized for optimal adenosine triphosphate (ATP) and calcium delivery to sarcomeric myosin and ionic pumps during every excitation-contraction cycle. The 3D construction of the human left ventricular myocyte has been recently studied in Ref. [ix]. Interactions of actin and myosin filaments are responsible for the cell wrinkle, which is regulated past the electrical activity of the jail cell through the cellular membrane permeability. In that location is interconnection of the membrane potential and membrane permeability to some small inorganic ions: permeability varies during the heart cycle due to the change of the potential difference across the membrane, whereas the potential difference depends on the relative permeability to the ions. This complex coaction of coupled physiological processes is often addressed past numerical simulations [10–xv] [10] [xi] [12] [13] [14] [xv] .
The fluid within the eye cells contains mainly potassium ( ) ions together with some amount of sodium ( ), chlorine ( ), and calcium ( ) ions. The extracellular fluid contains mostly and ions with some amount of ions. The depolarization and repolarization of the cell membrane during an activeness potential is driven by the flow of current carried by , , and ions. The steep upstroke in the beginning of the action potential results from the rapid opening of channels post-obit a stimulus and the consequent inward period of ions, which depolarizes the membrane. It is followed by a smaller inward current of ions. It balances an outward current of ions and maintains the plateau of the activity potential. Finally, the outward current carried by ions becomes significant, which causes repolarization of the membrane and returns it to the initial resting state.
The master scheme of the conducting organization of the middle is shown in Fig. 2.iii. The sinoatrial node (SA node) spontaneously generates electrical impulse (action potential), which initiates myocardium excitation and, thus, cardiac cycle. The rate of the impulses is controlled by the nerves. The SA node is located in the myocardial wall about the junction of sinus venarum and right atrium. Electric signals arising in the SA node causes auricles contraction. Then, they travel to the atrioventricular node (AV node), which is located between the auricles and the ventricles. The action potential is conducted through the left and right His bundles to the appropriate Purkinje fibers on each side of the ventricles, which causes ventricular contractions [sixteen].
Figure two.3. Conducting system of the center.
Source: OpenStax, Anatomy and Physiology. OpenStax CNX. Available at http://cnx.org/content/col11496/.An activeness potential is conducted forth the muscle fibers at a speed that depends on the diameter of the fiber, its branching, and electric current available to depolarize the adjacent department of the fiber represented by a cardiomyocite. The fiber and fiber sheet orientation besides cause substantial effect to the propagation of the activity potential. It propagates 2 to three times faster along the fibers, than across it within the canvas. The speed of action potential propagation orthogonal to sheets is two to three times slower than orthogonal to fibers within the sheets.
Electrical impulses from the SA node propagate through all tissues in the torso and attenuate with the altitude from the SA node. The electric activity of the heart can be recorded by the electrodes placed on the surface of the thorax. This process is chosen electrocardiography (ECG). Computational simulations of ECG help to reveal the features of impulse propagation from the SA node and provide new insights to the diagnostic of arrhythmia and other heart diseases [17,18] [17] [18] .
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