New study on zebrafish may have possible relevance for heart regeneration in humans

In mammals, including humans, the heart muscle has a very limited capacity to recover after injury. After an acute myocardial infarction, millions of cardiac muscle cells, named cardiomyocytes, die, and are replaced by a scar. Unlike mammals, other vertebrates can recover much better from a cardiac damage. This is the case of some fish, including the zebrafish, a well-established animal model in biomedical research which shares with humans most of its genes.

Zebrafish are extremely well suited to study organ regeneration. After heart injury, zebrafish cardiomyocytes can divide and the scar is replaced by new cardiac muscle. The group of Nadia Mercader from the Institute of Anatomy at the University of Bern has been interested in understanding the cellular mechanisms of heart regeneration during the last 10 years. Now the researchers show that not all cardiomyocytes in the zebrafish heart contribute equally to regenerate the lost muscle, but that there is a specific subset of cardiomyocytes with enhanced regenerative capacity. The study has been published in Cell Reports.

"Repair cells" expand more

The researchers teamed up with the Interfaculty Bioinformatics Unit at University of Bern, EMBL (Heidelberg, Germany), CNIC (Madrid, Spain) and the Hospital Universitario La Paz (Madrid, Spain). Using transgenic tools, Marcos Sande-Melón, lead author of the study and colleagues could identify a small subset of cardiomyocytes in the zebrafish heart, marked by sox10 gene expression that expanded more than the rest of myocardial cells in response to injury. These cells differed from the rest of the myocardium also in their gene expression profile, suggesting that they represented a particular cell subset. Furthermore, experimental erasure of this small cell population, impaired heart regeneration. "We were able to identify a specific cell population that is more efficient than all other heart muscle cells during regeneration, and showed that its contribution to repair is essential," says Mercader.

Possible relevance for heart regeneration in humans

In a next step, the authors would like to unravel the role of sox10 in this cell population: "We want to find out whether the absence of such a sox10 cell population in mammals could explain why their heart does not regenerate well," explains Mercader. If this is the case, the researchers believe that this finding could be of great importance in stimulating the repair process in the human heart.