Title : The promising future of the unique translational tool to manage cardiac self renewal and regeneration to secure the post infarction period
Abstract:
The approaches securing cardiac regeneration in post-infarction period are not available to be practiced. The key problem is the identity of cells be born to generate functionally active cardiac myocytes replenishing those being lost during ischemia. With identification of resident cardiac stem cells (CSCs), it has been supposed that the latter may be a crucial source to initiate and prompt myocardial self-renewal and regeneration. In the last years, the focus has been moved towards a concept of the new wave of cardiac myocyte (CM) formation via a scenario of dedifferentiation and proliferation of mature CMs. The observation that CSCs can be developed inside a pool of immature cardiac cells by formation of “cell-in-cell structures” (CICSs) has enabled us to conclude that CICSs being encapsulated are implicated into mammalian cardiac myogenesis over the entire lifespan. It had been demonstrated before that new CMs are generated through formation of CSC-derived transitory amplifying cells (TACs) either in the CM colonies or in a process of intracellular development of CICSs being encapsulated. The analysis of adult rat cardiac cell suspension 1-5, 10, and 14 days after permanent coronary occlusion and ischemia/reperfusion has gifted a researcher a unique phenomenon of TAC release from mature CMs with clear sarcomeric structure. In this case a development of the intracellular CSC occurs within the vacuole pre-formed by CSC-driven sarcolemma-induced invagination.