Cardiovascular disease is a leading cause of morbidity and mortality worldwide, and there is a constant and urgent need for novel, more effective therapies to treat it. At birth, mammalian heart muscle cells still have the ability to regenerate after injury. However, in the first few days after birth, this ability is firmly shut down. Recently, evidence has accumulated that the heart muscle cells in adult mammals, including humans, undergo significant renewal. These new insights challenge the long-held view that the heart muscle cells cannot be renewed during life. Still, adult renewal rates are insufficient to cope with the massive loss of heart muscle cells in cardiac injury, such as myocardial infarction.
The goal of this proposal is to better understand the mechanisms by which the heart switches from a proliferative, pro-regenerative state during development to a quiescent, non-regenerative state in adulthood, to ultimately apply this knowledge to reverse clinical phenotypes after myocardial infarction.