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Intrinsic Heart Regeneration in Adult Vertebrates May be Strictly Limited to Low-Metabolic Ectotherms
Authors:Anita Dittrich  Kasper Hansen  Mette Irene Theilgaard Simonsen  Morten Busk  Aage Kristian Olsen Alstrup  Henrik Lauridsen
Institution:1. Department of Clinical Medicine (Comparative Medicine Lab), Aarhus University, Aarhus N, 8200 Denmark;2. Department of Clinical Medicine (Comparative Medicine Lab), Aarhus University, Aarhus N, 8200 Denmark

Department of Forensic Medicine, Aarhus University, Aarhus N, 8200 Denmark

Department of Biology (Zoophysiology), Aarhus University, Aarhus C, 8000 Denmark

Leicester Royal Infirmary (East Midlands Forensic Pathology Unit), University of Leicester, Leicester, LE2 7LX UK;3. Department of Clinical Medicine (Nuclear Medicine and PET), Aarhus University, Aarhus N, 8200 Denmark;4. Department of Oncology (Experimental Clinical Oncology), Aarhus University Hospital, Aarhus N, 8200 Denmark

Danish Centre for Particle Therapy, Aarhus University Hospital, Aarhus N, 8200 Denmark

Abstract:The heart has a high-metabolic rate, and its “around-the-clock” vital role to sustain life sets it apart in a regenerative setting from other organs and appendages. The landscape of vertebrate species known to perform intrinsic heart regeneration is strongly biased toward ectotherms—for example, fish, salamanders, and embryonic/neonatal ectothermic mammals. It is hypothesized that intrinsic heart regeneration is exclusively limited to the low-metabolic hearts of ectotherms. The biomedical field of regenerative medicine seeks to devise biologically inspired regenerative therapies to diseased human hearts. Falsification of the ectothermy dependency for heart regeneration hypothesis may be a crucial prerequisite to meaningfully seek inspiration in established ectothermic regenerative animal models. Otherwise, engineering approaches to construct artificial heart components may constitute a more viable path toward regenerative therapies. A more strict definition of regenerative phenomena is generated and several testable sub-hypotheses and experimental avenues are put forward to elucidate the link between heart regeneration and metabolism. Also see the video abstract here https://youtu.be/fZcanaOT5z8 .
Keywords:axolotl  comparative physiology  ectotherm  endotherm  heart regeneration  metabolism  zebrafish
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