Dynamics of Cell Generation and Turnover in the Human Heart

The contribution of cell generation to physiological heart growth and maintenance in humans has been difficult to establish and has remained controversial. We report that the full complement of cardiomyocytes is established perinataly and remains stable over the human lifespan, whereas the numbers o...

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Published inCell Vol. 161; no. 7; pp. 1566 - 1575
Main Authors Bergmann, Olaf, Zdunek, Sofia, Felker, Anastasia, Salehpour, Mehran, Alkass, Kanar, Bernard, Samuel, Sjostrom, Staffan L., Szewczykowska, Mirosława, Jackowska, Teresa, dos Remedios, Cris, Malm, Torsten, Andrä, Michaela, Jashari, Ramadan, Nyengaard, Jens R., Possnert, Göran, Jovinge, Stefan, Druid, Henrik, Frisén, Jonas
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 18.06.2015
Elsevier
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Abstract The contribution of cell generation to physiological heart growth and maintenance in humans has been difficult to establish and has remained controversial. We report that the full complement of cardiomyocytes is established perinataly and remains stable over the human lifespan, whereas the numbers of both endothelial and mesenchymal cells increase substantially from birth to early adulthood. Analysis of the integration of nuclear bomb test-derived 14C revealed a high turnover rate of endothelial cells throughout life (>15% per year) and more limited renewal of mesenchymal cells (<4% per year in adulthood). Cardiomyocyte exchange is highest in early childhood and decreases gradually throughout life to <1% per year in adulthood, with similar turnover rates in the major subdivisions of the myocardium. We provide an integrated model of cell generation and turnover in the human heart. [Display omitted] [Display omitted] •The number of cardiomyocytes remains constant during the human lifespan•Endothelial and mesenchymal cells increase into adulthood and show high turnover•Cardiomyocyte turnover decreases exponentially with age and is <1% per year in adults•The cardiomyocyte turnover rate is equal in the main subdivisions of the human heart A comprehensive analysis of cell generation and turnover in the human heart demonstrates that cardiomyocyte numbers are constant throughout the human lifespan, with a low turnover rate. Endothelial and mesenchymal cells are exchanged at a high rate, and their numbers increase into adulthood.
AbstractList The contribution of cell generation to physiological heart growth and maintenance in humans has been difficult to establish and has remained controversial. We report that the full complement of cardiomyocytes is established perinataly and remains stable over the human lifespan, whereas the numbers of both endothelial and mesenchymal cells increase substantially from birth to early adulthood. Analysis of the integration of nuclear bomb test-derived (14)C revealed a high turnover rate of endothelial cells throughout life (>15% per year) and more limited renewal of mesenchymal cells (<4% per year in adulthood). Cardiomyocyte exchange is highest in early childhood and decreases gradually throughout life to <1% per year in adulthood, with similar turnover rates in the major subdivisions of the myocardium. We provide an integrated model of cell generation and turnover in the human heart.
The contribution of cell generation to physiological heart growth and maintenance in humans has been difficult to establish and has remained controversial. We report that the full complement of cardiomyocytes is established perinataly and remains stable over the human lifespan, whereas the numbers of both endothelial and mesenchymal cells increase substantially from birth to early adulthood. Analysis of the integration of nuclear bomb test-derived (14)C revealed a high turnover rate of endothelial cells throughout life (&gt;15% per year) and more limited renewal of mesenchymal cells (&lt;4% per year in adulthood). Cardiomyocyte exchange is highest in early childhood and decreases gradually throughout life to &lt;1% per year in adulthood, with similar turnover rates in the major subdivisions of the myocardium. We provide an integrated model of cell generation and turnover in the human heart.
The contribution of cell generation to physiological heart growth and maintenance in humans has been difficult to establish and has remained controversial. We report that the full complement of cardiomyocytes is established perinataly and remains stable over the human lifespan, whereas the numbers of both endothelial and mesenchymal cells increase substantially from birth to early adulthood. Analysis of the integration of nuclear bomb test-derived 14C revealed a high turnover rate of endothelial cells throughout life (>15% per year) and more limited renewal of mesenchymal cells (<4% per year in adulthood). Cardiomyocyte exchange is highest in early childhood and decreases gradually throughout life to <1% per year in adulthood, with similar turnover rates in the major subdivisions of the myocardium. We provide an integrated model of cell generation and turnover in the human heart.
The contribution of cell generation to physiological heart growth and maintenance in humans has been difficult to establish and has remained controversial. We report that the full complement of cardiomyocytes is established perinataly and remains stable over the human lifespan, whereas the numbers of both endothelial and mesenchymal cells increase substantially from birth to early adulthood. Analysis of the integration of nuclear bomb test-derived C-14 revealed a high turnover rate of endothelial cells throughout life (&gt;15% per year) and more limited renewal of mesenchymal cells (&lt;4% per year in adulthood). Cardiomyocyte exchange is highest in early childhood and decreases gradually throughout life to &lt;1% per year in adulthood, with similar turnover rates in the major subdivisions of the myocardium. We provide an integrated model of cell generation and turnover in the human heart.
The contribution of cell generation to physiological heart growth and maintenance in humans has been difficult to establish and has remained controversial. We report that the full complement of cardiomyocytes is established perinataly and remains stable over the human lifespan, whereas the numbers of both endothelial and mesenchymal cells increase substantially from birth to early adulthood. Analysis of the integration of nuclear bomb test-derived (14)C revealed a high turnover rate of endothelial cells throughout life (>15% per year) and more limited renewal of mesenchymal cells (<4% per year in adulthood). Cardiomyocyte exchange is highest in early childhood and decreases gradually throughout life to <1% per year in adulthood, with similar turnover rates in the major subdivisions of the myocardium. We provide an integrated model of cell generation and turnover in the human heart. VIDEO ABSTRACT.
The contribution of cell generation to physiological heart growth and maintenance in humans has been difficult to establish and has remained controversial. We report that the full complement of cardiomyocytes is established perinataly and remains stable over the human lifespan, whereas the numbers of both endothelial and mesenchymal cells increase substantially from birth to early adulthood. Analysis of the integration of nuclear bomb test-derived 14C revealed a high turnover rate of endothelial cells throughout life (>15% per year) and more limited renewal of mesenchymal cells (<4% per year in adulthood). Cardiomyocyte exchange is highest in early childhood and decreases gradually throughout life to <1% per year in adulthood, with similar turnover rates in the major subdivisions of the myocardium. We provide an integrated model of cell generation and turnover in the human heart. [Display omitted] [Display omitted] •The number of cardiomyocytes remains constant during the human lifespan•Endothelial and mesenchymal cells increase into adulthood and show high turnover•Cardiomyocyte turnover decreases exponentially with age and is <1% per year in adults•The cardiomyocyte turnover rate is equal in the main subdivisions of the human heart A comprehensive analysis of cell generation and turnover in the human heart demonstrates that cardiomyocyte numbers are constant throughout the human lifespan, with a low turnover rate. Endothelial and mesenchymal cells are exchanged at a high rate, and their numbers increase into adulthood.
Author Jashari, Ramadan
Szewczykowska, Mirosława
Possnert, Göran
Jackowska, Teresa
Malm, Torsten
Sjostrom, Staffan L.
Jovinge, Stefan
Salehpour, Mehran
Alkass, Kanar
Frisén, Jonas
dos Remedios, Cris
Felker, Anastasia
Bernard, Samuel
Bergmann, Olaf
Zdunek, Sofia
Nyengaard, Jens R.
Druid, Henrik
Andrä, Michaela
Author_xml – sequence: 1
  givenname: Olaf
  surname: Bergmann
  fullname: Bergmann, Olaf
  email: olaf.bergmann@ki.se
  organization: Department of Cell and Molecular Biology, Karolinska Institute, 171 77 Stockholm, Sweden
– sequence: 2
  givenname: Sofia
  surname: Zdunek
  fullname: Zdunek, Sofia
  organization: Department of Cell and Molecular Biology, Karolinska Institute, 171 77 Stockholm, Sweden
– sequence: 3
  givenname: Anastasia
  surname: Felker
  fullname: Felker, Anastasia
  organization: Department of Cell and Molecular Biology, Karolinska Institute, 171 77 Stockholm, Sweden
– sequence: 4
  givenname: Mehran
  surname: Salehpour
  fullname: Salehpour, Mehran
  organization: Division of Ion Physics, Department of Physics and Astronomy, Uppsala University, 751 20 Uppsala, Sweden
– sequence: 5
  givenname: Kanar
  surname: Alkass
  fullname: Alkass, Kanar
  organization: Department of Cell and Molecular Biology, Karolinska Institute, 171 77 Stockholm, Sweden
– sequence: 6
  givenname: Samuel
  surname: Bernard
  fullname: Bernard, Samuel
  organization: Department of Mathematics, Institut Camille Jordan, Université de Lyon, 69622 Villeurbanne Cedex, France
– sequence: 7
  givenname: Staffan L.
  surname: Sjostrom
  fullname: Sjostrom, Staffan L.
  organization: Department of Cell and Molecular Biology, Karolinska Institute, 171 77 Stockholm, Sweden
– sequence: 8
  givenname: Mirosława
  surname: Szewczykowska
  fullname: Szewczykowska, Mirosława
  organization: Department of Pediatrics, Bielanski Hospital, 01-809 Warsaw, Poland
– sequence: 9
  givenname: Teresa
  surname: Jackowska
  fullname: Jackowska, Teresa
  organization: Department of Pediatrics, Bielanski Hospital, 01-809 Warsaw, Poland
– sequence: 10
  givenname: Cris
  surname: dos Remedios
  fullname: dos Remedios, Cris
  organization: Discipline of Anatomy, Bosch Institute, University of Sydney, Sydney, NSW 2006, Australia
– sequence: 11
  givenname: Torsten
  surname: Malm
  fullname: Malm, Torsten
  organization: Department of Paediatric Cardiac Surgery, Skåne University Hospital, 221 85 Lund, Sweden
– sequence: 12
  givenname: Michaela
  surname: Andrä
  fullname: Andrä, Michaela
  organization: Klinikum Klagenfurt & Section for Surgical Research, Department of Cardiothoracic and Vascular Surgery, Medical University Graz, 9020 Graz, Austria
– sequence: 13
  givenname: Ramadan
  surname: Jashari
  fullname: Jashari, Ramadan
  organization: European Homograft Bank, 1120 Brussels, Belgium
– sequence: 14
  givenname: Jens R.
  surname: Nyengaard
  fullname: Nyengaard, Jens R.
  organization: Stereology and Electron Microscopy Laboratory, Centre for Stochastic Geometry and Advance Bioimaging, Aarhus University, 8000 Aarhus, Denmark
– sequence: 15
  givenname: Göran
  surname: Possnert
  fullname: Possnert, Göran
  organization: Division of Ion Physics, Department of Physics and Astronomy, Uppsala University, 751 20 Uppsala, Sweden
– sequence: 16
  givenname: Stefan
  surname: Jovinge
  fullname: Jovinge, Stefan
  organization: Spectrum Health Frederik Meijer Heart & Vascular Institute, Grand Rapids, MI 49503, USA
– sequence: 17
  givenname: Henrik
  surname: Druid
  fullname: Druid, Henrik
  organization: Department of Forensic Medicine, Karolinska Institute, 171 77 Stockholm, Sweden
– sequence: 18
  givenname: Jonas
  surname: Frisén
  fullname: Frisén, Jonas
  email: jonas.frisen@ki.se
  organization: Department of Cell and Molecular Biology, Karolinska Institute, 171 77 Stockholm, Sweden
BackLink https://www.ncbi.nlm.nih.gov/pubmed/26073943$$D View this record in MEDLINE/PubMed
https://hal.science/hal-01225091$$DView record in HAL
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-258335$$DView record from Swedish Publication Index
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Snippet The contribution of cell generation to physiological heart growth and maintenance in humans has been difficult to establish and has remained controversial. We...
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SubjectTerms Basic Medicine
Cell and Molecular Biology
Cell- och molekylärbiologi
Dynamical Systems
Endothelial Cells - cytology
Heart - physiology
Humans
Leukocyte Common Antigens - metabolism
Mathematics
Medical and Health Sciences
Medicin och hälsovetenskap
Medicinska och farmaceutiska grundvetenskaper
Mesoderm - cytology
Myocardium - cytology
Myocytes, Cardiac - cytology
Polyploidy
Radiometric Dating
Title Dynamics of Cell Generation and Turnover in the Human Heart
URI https://dx.doi.org/10.1016/j.cell.2015.05.026
https://www.ncbi.nlm.nih.gov/pubmed/26073943
https://search.proquest.com/docview/1690214455
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Volume 161
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