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Pregenerative medicine: developmental paradigms in the biology of cardiovascular regeneration
B. Alexander Yi, … , Oliver Wernet, Kenneth R. Chien
B. Alexander Yi, … , Oliver Wernet, Kenneth R. Chien
Published January 4, 2010
Citation Information: J Clin Invest. 2010;120(1):20-28. https://doi.org/10.1172/JCI40820.
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Review Series

Pregenerative medicine: developmental paradigms in the biology of cardiovascular regeneration

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Abstract

The ability to create new functional cardiomyocytes is the holy grail of cardiac regenerative medicine. From studies using model organisms, new insights into the fundamental pathways that drive heart muscle regeneration have begun to arise as well as a growing knowledge of the distinct families of multipotent cardiovascular progenitors that generate diverse lineages during heart development. In this Review, we highlight this intersection of the “pregenerative” biology of heart progenitor cells and heart regeneration and discuss the longer term challenges and opportunities in moving toward a therapeutic goal of regenerative cardiovascular medicine.

Authors

B. Alexander Yi, Oliver Wernet, Kenneth R. Chien

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Figure 1

Potential routes to cardiac regenerative medicine.

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Potential routes to cardiac regenerative medicine.
Cardiovascular progen...
Cardiovascular progenitors, generated from human ES cells or iPS cells or isolated from the patient’s heart may be ideally suited for cardiac regenerative medicine since they are committed to the cardiac lineage and have the ability to self renew. They could be directly implanted into the heart or used to seed an extracellular matrix in order to engineer muscle tissue. Alternatively, the endogenous regenerative capacity of the heart may be stimulated by extracellular factors such as neuregulin-1β. RA, right atrium; AO, aorta; LA, left atrium; SDF-1, stromal cell–derived factor 1.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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