PMID- 26375005 OWN - NLM STAT- MEDLINE DCOM- 20151019 LR - 20240324 IS - 1476-4687 (Electronic) IS - 0028-0836 (Print) IS - 0028-0836 (Linking) VI - 525 IP - 7570 DP - 2015 Sep 24 TI - Epicardial FSTL1 reconstitution regenerates the adult mammalian heart. PG - 479-85 LID - 10.1038/nature15372 [doi] AB - The elucidation of factors that activate the regeneration of the adult mammalian heart is of major scientific and therapeutic importance. Here we found that epicardial cells contain a potent cardiogenic activity identified as follistatin-like 1 (Fstl1). Epicardial Fstl1 declines following myocardial infarction and is replaced by myocardial expression. Myocardial Fstl1 does not promote regeneration, either basally or upon transgenic overexpression. Application of the human Fstl1 protein (FSTL1) via an epicardial patch stimulates cell cycle entry and division of pre-existing cardiomyocytes, improving cardiac function and survival in mouse and swine models of myocardial infarction. The data suggest that the loss of epicardial FSTL1 is a maladaptive response to injury, and that its restoration would be an effective way to reverse myocardial death and remodelling following myocardial infarction in humans. FAU - Wei, Ke AU - Wei K AD - Department of Bioengineering, University of California, San Diego, La Jolla, California 92037, USA. AD - Sanford-Burnham-Prebys Medical Discovery Institute, 10901 N. Torrey Pines Road, La Jolla, California 92037, USA. FAU - Serpooshan, Vahid AU - Serpooshan V AD - Stanford Cardiovascular Institute and Department of Pediatrics, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, USA. FAU - Hurtado, Cecilia AU - Hurtado C AD - Department of Bioengineering, University of California, San Diego, La Jolla, California 92037, USA. AD - Sanford-Burnham-Prebys Medical Discovery Institute, 10901 N. Torrey Pines Road, La Jolla, California 92037, USA. FAU - Diez-Cunado, Marta AU - Diez-Cunado M AD - Department of Bioengineering, University of California, San Diego, La Jolla, California 92037, USA. AD - Sanford-Burnham-Prebys Medical Discovery Institute, 10901 N. Torrey Pines Road, La Jolla, California 92037, USA. AD - Stanford Cardiovascular Institute and Department of Pediatrics, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, USA. FAU - Zhao, Mingming AU - Zhao M AD - Stanford Cardiovascular Institute and Department of Pediatrics, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, USA. FAU - Maruyama, Sonomi AU - Maruyama S AD - Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston, Massachusetts 02118, USA. FAU - Zhu, Wenhong AU - Zhu W AD - Department of Bioengineering, University of California, San Diego, La Jolla, California 92037, USA. AD - Sanford-Burnham-Prebys Medical Discovery Institute, 10901 N. Torrey Pines Road, La Jolla, California 92037, USA. FAU - Fajardo, Giovanni AU - Fajardo G AD - Stanford Cardiovascular Institute and Department of Pediatrics, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, USA. FAU - Noseda, Michela AU - Noseda M AD - Imperial College London, Faculty of Medicine, Imperial Centre for Translational and Experimental Medicine, Du Cane Road, London W12 0NN, UK. FAU - Nakamura, Kazuto AU - Nakamura K AD - Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston, Massachusetts 02118, USA. FAU - Tian, Xueying AU - Tian X AD - Key Laboratory of Nutrition and Metabolism, Institute for Nutritional Sciences, and Shanghai Institutes for Biological Sciences, Graduate School of the Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai 200031, China. FAU - Liu, Qiaozhen AU - Liu Q AD - Key Laboratory of Nutrition and Metabolism, Institute for Nutritional Sciences, and Shanghai Institutes for Biological Sciences, Graduate School of the Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai 200031, China. FAU - Wang, Andrew AU - Wang A AD - Stanford Cardiovascular Institute and Department of Pediatrics, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, USA. FAU - Matsuura, Yuka AU - Matsuura Y AD - Stanford Cardiovascular Institute and Department of Pediatrics, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, USA. FAU - Bushway, Paul AU - Bushway P AD - Department of Bioengineering, University of California, San Diego, La Jolla, California 92037, USA. AD - Sanford-Burnham-Prebys Medical Discovery Institute, 10901 N. Torrey Pines Road, La Jolla, California 92037, USA. FAU - Cai, Wenqing AU - Cai W AD - Department of Bioengineering, University of California, San Diego, La Jolla, California 92037, USA. AD - Sanford-Burnham-Prebys Medical Discovery Institute, 10901 N. Torrey Pines Road, La Jolla, California 92037, USA. FAU - Savchenko, Alex AU - Savchenko A AD - Department of Bioengineering, University of California, San Diego, La Jolla, California 92037, USA. AD - Sanford-Burnham-Prebys Medical Discovery Institute, 10901 N. Torrey Pines Road, La Jolla, California 92037, USA. FAU - Mahmoudi, Morteza AU - Mahmoudi M AD - Stanford Cardiovascular Institute and Department of Pediatrics, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, USA. AD - Nanotechnology Research Center, Faculty of Pharmacy, Tehran University of Medical Sciences, 1417613151 Tehran, Iran. FAU - Schneider, Michael D AU - Schneider MD AD - Imperial College London, Faculty of Medicine, Imperial Centre for Translational and Experimental Medicine, Du Cane Road, London W12 0NN, UK. FAU - van den Hoff, Maurice J B AU - van den Hoff MJ AD - Academic Medical Center. Dept Anatomy, Embryology and Physiology. Meibergdreef 15. 1105AZ Amsterdam, The Netherlands. FAU - Butte, Manish J AU - Butte MJ AD - Stanford Cardiovascular Institute and Department of Pediatrics, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, USA. FAU - Yang, Phillip C AU - Yang PC AD - Stanford Cardiovascular Institute and Department of Pediatrics, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, USA. FAU - Walsh, Kenneth AU - Walsh K AD - Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston, Massachusetts 02118, USA. FAU - Zhou, Bin AU - Zhou B AD - Key Laboratory of Nutrition and Metabolism, Institute for Nutritional Sciences, and Shanghai Institutes for Biological Sciences, Graduate School of the Chinese Academy of Sciences, Chinese Academy of Sciences, Shanghai 200031, China. AD - CAS Center for Excellence in Brain Science, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, Shanghai 200031, China. FAU - Bernstein, Daniel AU - Bernstein D AD - Stanford Cardiovascular Institute and Department of Pediatrics, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, USA. FAU - Mercola, Mark AU - Mercola M AD - Department of Bioengineering, University of California, San Diego, La Jolla, California 92037, USA. AD - Sanford-Burnham-Prebys Medical Discovery Institute, 10901 N. Torrey Pines Road, La Jolla, California 92037, USA. FAU - Ruiz-Lozano, Pilar AU - Ruiz-Lozano P AD - Stanford Cardiovascular Institute and Department of Pediatrics, Stanford University School of Medicine, 300 Pasteur Drive, Stanford, California 94305, USA. LA - eng GR - R01 HL116591/HL/NHLBI NIH HHS/United States GR - RG/15/1/31165/BHF_/British Heart Foundation/United Kingdom GR - R01 HL113601/HL/NHLBI NIH HHS/United States GR - K08 AI079268/AI/NIAID NIH HHS/United States GR - R01 HL065484/HL/NHLBI NIH HHS/United States GR - R01 HL108176/HL/NHLBI NIH HHS/United States GR - HL116591/HL/NHLBI NIH HHS/United States GR - P01 HL098053/HL/NHLBI NIH HHS/United States GR - P30 AR061303/AR/NIAMS NIH HHS/United States GR - R01 HL086879/HL/NHLBI NIH HHS/United States GR - R56 HL065484/HL/NHLBI NIH HHS/United States GR - 5UM1 HL113456/HL/NHLBI NIH HHS/United States GR - P30 CA030199/CA/NCI NIH HHS/United States GR - RG/08/007/25296/BHF_/British Heart Foundation/United Kingdom GR - HL065484/HL/NHLBI NIH HHS/United States GR - UM1 HL113456/HL/NHLBI NIH HHS/United States GR - HL113601/HL/NHLBI NIH HHS/United States GR - R01 GM110482/GM/NIGMS NIH HHS/United States GR - HL108176/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20150916 PL - England TA - Nature JT - Nature JID - 0410462 RN - 0 (Culture Media, Conditioned) RN - 0 (Follistatin-Related Proteins) RN - 0 (Fstl1 protein, mouse) RN - 158709-61-6 (FSTL1 protein, human) SB - IM CIN - Nature. 2015 Sep 24;525(7570):461-2. PMID: 26375007 CIN - Nat Rev Drug Discov. 2015 Nov;14(11):747. PMID: 26471365 CIN - Trends Mol Med. 2015 Dec;21(12):731-3. PMID: 26596868 MH - Animals MH - Cell Cycle/drug effects MH - Cell Proliferation/drug effects MH - Culture Media, Conditioned/pharmacology MH - Female MH - Follistatin-Related Proteins/genetics/*metabolism MH - Humans MH - Male MH - Mice MH - Myoblasts, Cardiac/cytology/drug effects MH - Myocardial Infarction/genetics/metabolism/pathology/physiopathology MH - Myocardium/*metabolism MH - Myocytes, Cardiac/cytology/drug effects/metabolism MH - Pericardium/cytology/drug effects/*growth & development/*metabolism MH - Rats MH - *Regeneration/drug effects MH - Signal Transduction MH - Swine MH - Transgenes/genetics PMC - PMC4762253 MID - NIHMS745341 COIS- The authors declare no competing financial interests. EDAT- 2015/09/17 06:00 MHDA- 2015/10/20 06:00 PMCR- 2016/02/22 CRDT- 2015/09/17 06:00 PHST- 2013/12/18 00:00 [received] PHST- 2015/08/11 00:00 [accepted] PHST- 2015/09/17 06:00 [entrez] PHST- 2015/09/17 06:00 [pubmed] PHST- 2015/10/20 06:00 [medline] PHST- 2016/02/22 00:00 [pmc-release] AID - nature15372 [pii] AID - 10.1038/nature15372 [doi] PST - ppublish SO - Nature. 2015 Sep 24;525(7570):479-85. doi: 10.1038/nature15372. Epub 2015 Sep 16.