Apelin/APJ 与胚胎心肌分化

胚胎发育中心脏祖细胞迁移至生心区并分化为心肌细胞是心脏形成的基础。研究心肌分化对了解心脏发育异常以及应用干细胞治疗缺血性心脏病具有重要意义。最近研究发现apelin/APJ信号通路与祖细胞的迁移及心肌分化有关。本文就apelin/APJ与胚胎心肌分化的关系做一综述。     

胚胎干细胞定向分化为心肌细胞研究进展

胚胎干细胞在体外可分化为 3个胚层的所有组织细胞。诱导人类胚胎干细胞定向分化为心肌细胞可为心肌梗死、心肌坏死等重大心脏疾病患者实施细胞治疗 ,也可作为种子细胞 ,用于构建供器官移植用的人造心脏 ;进一步可研究心肌细胞发育分化的分子机理及更直观的用于体外筛选人类心血管药物等。对人类胚胎干细胞及其定向分化为心肌细胞分子机理的研究进展及其所面临的问题作一综述。     

Hedgehog信号通路与脂肪细胞发育育

TGFβ、Wnt、FGF和Hedgehog（Hh)等信号通路是参与胚胎发育的关键信号通路.从果蝇到人类,Hh信号通路广泛存在并高度保守,在多种器官的发育过程中发挥重要作用. 脂肪细胞发育的过程包括多潜能干细胞向前脂肪细胞定向和脂肪细胞终末分化两个阶段.近年来,Hh信号通路在脂肪细胞发育过程中的作用逐渐成为研究热点.越来越多的研究表明,Hh信号通路抑制脂肪细胞发育.本文将对Hh信号通路抑制脂肪细胞发育的作用以及其发挥作用的阶段进行综述,并分析将该信号通路作为靶点治疗肥胖症及相关疾病的可行性.     

干细胞定向分化的基础和临床应用研究

胚胎干细胞具有多向性分化的潜能,可以分化成为内、中、外三个胚层的所有细胞,存在于组织器官中的成体干细胞（包括心脏等的前体细胞）也能分化成为某些细胞,用来修复、补充体内受损、死亡的细胞.目前干细胞研究的重点是：干细胞未分化和多向性机制的基础研究;干细胞向特定细胞群体分化的调控和分化细胞的应用研究,而后者是连接基础研究和临床研究的必经之路.干细胞的基础和临床应用研究不但可以了解正常的胚胎发育过程,而且利用掌握的知识通过体外诱导或体内激活的方法针对性地治疗某些疾病.目前我们的研究集中在神经细胞（包括视网膜细胞和内耳前体细胞）、脂肪细胞和心肌细胞定向分化的分子机理,并通过疾病动物模型验证这些定向分化的细胞的功能.希望通过建立人胚胎干细胞以及成体干细胞向外胚层的特种神经元（包括前脑神经上皮细胞、GABA和胆碱能神经元、视觉细胞、听觉细胞、多巴胺能神经元）和中胚层的脂肪细胞、骨细胞以及心肌细胞定向分化的模型,继而采用蛋白质组学和基因组学最新技术分析这些建立的模型,研究相关因子通过哪条信号传导通路导致这些细胞的定向分化或者通过改变哪个目的基因的表达,或改变目的蛋白的修饰导致干细胞定向成神经细胞、脂肪细胞和心肌细胞;研究成年脑内源性干细胞定向诱导成这些功能性神经元的机理,并进行比较研究.用Lentivirus转染干细胞高表达、或用RNA干扰抑制上述研究得到的目的基因,在细胞模型和动物体内验证这些信号通路和目的基因在干细胞定向分化中的作用.     

心肌程序分化过程中的信号通路密码

干细胞的体外心肌诱导分化是一个连续但分阶段的发育过程,涉及内在转录调控程序和外源调制信号的二者协同。外源信号对心肌分化的影响,取决于细胞所处分化状态,因而展现了明显的阶段特异性和剂量依赖性。在心肌多阶段程序分化的进程中,有多个信号转导通路的参与,包括TGF-β、Wnt、Notch、FGF和Hedgehog等。这些通路在细胞不同的分化阶段,活化方式不一,发挥各自独特的作用,共同决定细胞在分化节点的命运选择。通过调制这些信号通路,可引导细胞定向分化,制备性质均一、数量充沛的心肌细胞。     

诱导胚胎干细胞心肌定向分化的方法及其机制

胚胎干细胞是具有分化为各种类型组织细胞潜能的全能干细胞,可在体外大量扩增,细胞因子、激素、诱导剂和细胞内转录因子等可诱导和调控胚胎干细胞进行心肌细胞定向分化．这将使干细胞移植治疗心肌损伤性疾病成为可能。该文介绍胚胎干细胞定向心肌分化的诱导因素及其机制的研究进展。     

非经典Wnt信号通路在心脏发育和干细胞向心肌分化中的作用机制

Wnt信号通路是一种哺乳动物进化保守的信号通路,在心脏发育和干细胞向心肌细胞分化中发挥重要的调控作用。经典Wnt信号通路主要调控早期心肌谱系提交,而非经典Wnt信号通路参与调控后续的心脏发育和分化。本文对非经典Wnt信号通路在心脏发育和干细胞向心肌细胞分化中的作用及其机制作一综述,以期为干细胞移植治疗缺血性心肌病提供参考策略。     

microRNA转基因小鼠在心脏发育研究中的应用

microRNA（miRNA）参与调控胚胎心脏的发育,在心脏形态发生、心肌细胞生长及分化过程中发挥着极其重要的作用。通过转基因技术可以实现特异miRNA在心肌组织的过表达与敲除,据此建立的心肌特异性miRNA转基因小鼠模型可以在整体水平揭示miRNA心脏方面的功能。近年,以miRNA为研究对象的心肌特异性转基因小鼠模型数量不断增加。     

间充质干细胞定向心肌细胞分化的研究进展

心肌梗死是由心脏缺血引发心肌细胞不可逆的坏死造成的疾病。目前,用干细胞来治疗心肌梗死越来越具有吸引力。间充质干细胞(mesenchymal stem cells,MSCs)是一种多能干细胞,普遍存在于动物体的一些间质组织(如骨髓、脂肪)中。由于其良好的体外扩增能力、多向分化的潜能且不受伦理学制约等优点,学者们对如何让MSCs高效、定向地分化为心肌细胞,从而补充心脏病人缺血心肌的坏死细胞做了大量的研究。目前已经发现,使MSCs向心肌方向分化的体外诱导方法主要包括化学药物诱导、生物因子诱导、物理诱导、共培养诱导以及分子改造诱导(转移miRNA和转录因子)。该文旨在通过对以上五类方法进行综述,以此了解体外诱导MSCs心肌向分化的研究现状。     

敲低低密度脂蛋白受体相关蛋白1抑制C3H10T1/2多潜能干细胞定向成脂

C3H10T1/2多潜能干细胞成脂过程分为定向和分化两个阶段,骨形成蛋白4(BMP4)可以诱导其定向成前脂肪细胞．已有的研究表明,脂肪组织特异性敲除低密度脂蛋白受体相关蛋白1(Lrp1)的小鼠体重减轻,脂肪组织含量减少,揭示此基因对成脂具有重要作用．然而,目前尚不清楚Lrp1是否在成脂定向过程中发挥作用．采用小干扰RNA技术(RNAi),在体外水平研究低密度脂蛋白Lrp1对C3H10T1/2多潜能干细胞成脂定向的作用．分别在C3H10T1/2成脂的定向期和脂滴成熟期敲低Lrp1,通过显微镜下观察、油红O染色、Western blotting等实验证实,定向期而非脂滴成熟期敲低Lrp1显著抑制C3H10T1/2多潜能干细胞成脂．BMP4通过激活下游Smad1/5/8信号通路发挥作用,而敲低Lrp1显著抑制BMP4诱导的Smad1/5/8磷酸化．这些结果说明：敲低Lrp1通过下调Smad信号通路,抑制BMP4诱导的C3H10T1/2多潜能干细胞成脂定向．     

Reiterative roles for FGF signaling in the establishment of size and proportion of the zebrafish heart

Development of a functional organ requires the establishment of its proper size as well as the establishment of the relative proportions of its individual components. In the zebrafish heart, organ size and proportion depend heavily on the number of cells in each of its two major chambers, the ventricle and the atrium. Heart size and chamber proportionality are both affected in zebrafish fgf8 mutants. To determine when and how FGF signaling influences these characteristics, we examined the effect of temporally controlled pathway inhibition. During cardiac specification, reduction of FGF signaling inhibits formation of both ventricular and atrial cardiomyocytes, with a stronger impact on ventricular cells. After cardiomyocyte differentiation begins, reduction of FGF signaling can still result in a deficiency of ventricular cardiomyocytes. Consistent with two temporally distinct roles for FGF, we find that increased FGF signaling induces a cardiomyocyte surplus only before cardiac differentiation begins. Thus, FGF signaling first regulates heart size and chamber proportionality during cardiac specification and later refines ventricular proportion by regulating cell number after the onset of differentiation. Together, our data demonstrate that a single signaling pathway can act reiteratively to coordinate organ size and proportion.     

Human adult skeletal muscle stem cells differentiate into cardiomyocyte phenotype in vitro

Cell transplantation to repair or regenerate injured myocardium is a new frontier in the treatment of cardiovascular disease. Most studies on stem cell transplantation therapy in both experimental heart infarct and in phase-I human clinical trials have focused on the use of undifferentiated stem cells. Based on our previous observations demonstrating the presence of multipotent progenitor cells in human adult skeletal muscle, in this study we investigated the capacity of these progenitors to differentiate into cardiomyocytes. Here we show an efficient protocol for the cardiomyogenic differentiation of human adult skeletal muscle stem cells in vitro. We found that treatment with Retinoic Acid directed cardiomyogenic differentiation of skeletal muscle stem cells in vitro. After Retinoic Acid treatment, cells expressed cardiomyocyte markers and acquired spontaneous contraction. Functional assays exhibited cardiac-like response to increased extracellular calcium. When cocultured with mouse cardiomyocytes, Retinoic Acid-treated skeletal muscle stem cells expressed connexin43 and when transplanted into ischemic heart were detectable even 5 weeks after injection. Based on these results, we can conclude that human adult skeletal muscle stem cells, if opportunely treated, can transdifferentiate into cells of cardiac lineage and once injected into infarcted heart can integrate, survive in cardiac tissue and improve the cardiac function.     

Ascorbic acid enhances the cardiac differentiation of induced pluripotent stem cells through promoting the proliferation of cardiac progenitor cells

Generation of induced pluripotent stem cells (iPSCs) has opened new avenues for the investigation of heart diseases, drug screening and potential autologous cardiac regeneration. However, their application is hampered by inefficient cardiac differentiation, high interline variability, and poor maturation of iPSC-derived cardiomyocytes (iPS-CMs). To identify efficient inducers for cardiac differentiation and maturation of iPSCs and elucidate the mechanisms, we systematically screened sixteen cardiomyocyte inducers on various murine (m) iPSCs and found that only ascorbic acid (AA) consistently and robustly enhanced the cardiac differentiation of eleven lines including eight without spontaneous cardiogenic potential. We then optimized the treatment conditions and demonstrated that differentiation day 2-6, a period for the specification of cardiac progenitor cells (CPCs), was a critical time for AA to take effect. This was further confirmed by the fact that AA increased the expression of cardiovascular but not mesodermal markers. Noteworthily, AA treatment led to approximately 7.3-fold (miPSCs) and 30.2-fold (human iPSCs) augment in the yield of iPS-CMs. Such effect was attributed to a specific increase in the proliferation of CPCs via the MEK-ERK1/2 pathway by through promoting collagen synthesis. In addition, AA-induced cardiomyocytes showed better sarcomeric organization and enhanced responses of action potentials and calcium transients to β-adrenergic and muscarinic stimulations. These findings demonstrate that AA is a suitable cardiomyocyte inducer for iPSCs to improve cardiac differentiation and maturation simply, universally, and efficiently. These findings also highlight the importance of stimulating CPC proliferation by manipulating extracellular microenvironment in guiding cardiac differentiation of the pluripotent stem cells.     

hhlim促进DMSO诱导的P19细胞向心肌分化

为了确定hhlim是否参与胚胎期的心肌分化和发育过程,用可表达hhlim蛋白和hhlim反义RNA的真核表达质粒转染P19胚胎干细胞,经G418筛选得到稳定表达hhlim和hhlim反义RNA的P19细胞克隆后,观察hhlim对P19细胞向心肌分化和发育的影响.结果显示,Nkx2.5和GATA-4在未被外源性hhlim基因转染的P19细胞中不表达.DMSO刺激细胞2天后,GATA-4开始表达,3天后Nkx2.5的表达活性显著升高.hhlim的过表达不但有利于P19细胞的存活和生长,而且还可以使Nkx2.5和GATA-4的表达比对照细胞提前1天.反义hhlim细胞株被DMSO诱导5天后,细胞仍呈集落化生长.同时,Nkx2.5和GATA-4开始表达的时间明显延滞.结果表明,hhlim能促进P19细胞向心肌细胞分化,其作用是通过促进转录因子GATA-4和Nkx2.5的表达而实现的.     

Hsp25 and the p38 MAPK pathway are involved in differentiation of cardiomyocytes

The small heat-shock protein HSP25 is expressed in the heart early during development, and although multiple roles for HSP25 have been proposed, its specific role during development and differentiation is not known. P19 is an embryonal carcinoma cell line which can be induced to differentiate in vitro into either cardiomyocytes or neurons. We have used P19 to examine the role of HSP25 in differentiation. We found that HSP25 expression is strongly increased in P19 cardiomyocytes. Antisense HSP25 expression reduced the extent of cardiomyocyte differentiation and resulted in reduced expression of cardiac actin and the intermediate filament desmin and reduced level of cardiac mRNAs. Thus, HSP25 is necessary for differentiation of P19 into cardiomyocytes. In contrast, P19 neurons did not express HSP25 and antisense HSP25 expression had no effect on neuronal differentiation. The phosphorylation of HSP25 by the p38/SAPK2 pathway is known to be important for certain of its functions. Inhibition of this pathway by the specific inhibitor SB203580 prevented cardiomyocyte differentiation of P19 cells. In contrast, PD90589, which inhibits the ERK1/2 pathway, had no effect. Surprisingly, cardiogenesis was only sensitive to SB203580 during the first 2 days of differentiation, before HSP25 expression increases. In contrast to the effect of antisense HSP25, SB203580 reduced the level of expression of the mesodermal marker Brachyury-T during differentiation. Therefore, we propose that the p38 pathway acts on an essential target during early cardiogenesis. Once this initial step is complete, HSP25 is necessary for the functional differentiation of P19 cardiomyocytes, but its phosphorylation by p38/SAPK2 is not required.     

Switch from caspase-dependent to caspase-independent death during heart development: essential role of endonuclease G in ischemia-induced DNA processing of differentiated cardiomyocytes

Differentiated cardiomyocytes are resistant to caspase-dependent cell death; however, the mechanisms involved are still uncertain. We previously reported that low Apaf1 expression partially accounts for cardiomyocyte resistance to apoptosis. Here, we extend the knowledge on the molecular basis of cardiac resistance to caspase activation by showing that the whole caspase-dependent pathway is silenced during heart development. Experimental ischemia triggers caspase activation in embryonic cardiomyocytes and proliferating fibroblasts, but not in neonatal and adult cardiomyocytes. Ischemia induces the release of the proapoptotic factors cytochrome c, truncated-AIF, and EndoG from mitochondria in postnatal cardiomyocytes in the absence of caspase activation. On the one hand, lentiviral-driven knockdown of EndoG shows that this gene is essential for ischemia-induced DNA degradation in neonatal cardiomyocytes, but not in proliferating fibroblasts; on the other hand, the AIF gene is essential for high molecular DNA cleavage in fibroblasts, but not in postmitotic cardiomyocytes, where it plays a prosurvival role during reoxygenation. These results show the switch from caspase-dependent to caspase-independent death pathways after cardiac cell differentiation, and disclose the relevance of EndoG in the caspase-independent DNA processing of differentiated cardiomyocytes.     

Hippo信号通路与心血管发育及疾病调控

心血管疾病已成为中国乃至全球首位死亡原因,探索心血管系统发育及调控异常的原因及相关机制可以为心血管疾病的预防和治疗提供重要的科学依据。Hippo信号通路是新近发现的在调节器官大小、细胞增殖及凋亡、干细胞命运等方面具有重要功能的一条信号通路。Hippo信号通路的不同成分参与心脏血管的发育和心血管细胞增殖、分化等功能调控,影响损伤后修复及再生等过程,该通路调节异常可引起心血管疾病,如心梗、心肌肥大、血管内膜增生、动脉硬化等。本文综述了Hippo信号通路对心血管系统发育和疾病调控的相关研究及最新进展,以期为Hippo通路在心血管疾病的发病机制及临床转化研究提供潜在的理论基础。