Evidence map›Paper›PMID 39912233›Full record

ArticleCirculation2025

Induced Cytokinesis Generates Highly Proliferative Mononuclear Cardiomyocytes at the Expense of Contractility.

Nicholas T Lam, Ngoc Uyen Nhi Nguyen, Waleed M Elhelaly, Ching-Cheng Hsu, Ivan Menendez-Montes, Feng Xiao, Shah R Ali, Nelson Vo, Nathan Briard, Lobna El-Feky and 9 more

Abstract read
In one paragraph

Article in Circulation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Dynamic cardiac hyperplasia and hypertrophy in Burmese pythons.American journal of physiology. Cell physiology · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Nicholas T LamDepartment of Internal Medicine, Division of Cardiology (N.T.L., N.U.N.N., W.M.E., C.-C.H., I.M.-M., F.X., S.R.A., N.V., N.B., L.E.-F., Q.M.O., A.C.C., M.S.A., S.L., S.T., H.A.S.), The University of Texas Southwestern Medical Center, Dallas.ORCID 0000-0002-9446-7378
Ngoc Uyen Nhi NguyenDepartment of Internal Medicine, Division of Cardiology (N.T.L., N.U.N.N., W.M.E., C.-C.H., I.M.-M., F.X., S.R.A., N.V., N.B., L.E.-F., Q.M.O., A.C.C., M.S.A., S.L., S.T., H.A.S.), The University of Texas Southwestern Medical Center, Dallas.ORCID 0000-0003-0694-3176
Waleed M ElhelalyDepartment of Internal Medicine, Division of Cardiology (N.T.L., N.U.N.N., W.M.E., C.-C.H., I.M.-M., F.X., S.R.A., N.V., N.B., L.E.-F., Q.M.O., A.C.C., M.S.A., S.L., S.T., H.A.S.), The University of Texas Southwestern Medical Center, Dallas.ORCID 0000-0002-6942-3680
Ching-Cheng HsuDepartment of Internal Medicine, Division of Cardiology (N.T.L., N.U.N.N., W.M.E., C.-C.H., I.M.-M., F.X., S.R.A., N.V., N.B., L.E.-F., Q.M.O., A.C.C., M.S.A., S.L., S.T., H.A.S.), The University of Texas Southwestern Medical Center, Dallas.
Ivan Menendez-MontesDepartment of Internal Medicine, Division of Cardiology (N.T.L., N.U.N.N., W.M.E., C.-C.H., I.M.-M., F.X., S.R.A., N.V., N.B., L.E.-F., Q.M.O., A.C.C., M.S.A., S.L., S.T., H.A.S.), The University of Texas Southwestern Medical Center, Dallas.
Feng XiaoDepartment of Internal Medicine, Division of Cardiology (N.T.L., N.U.N.N., W.M.E., C.-C.H., I.M.-M., F.X., S.R.A., N.V., N.B., L.E.-F., Q.M.O., A.C.C., M.S.A., S.L., S.T., H.A.S.), The University of Texas Southwestern Medical Center, Dallas.
Shah R AliDepartment of Internal Medicine, Division of Cardiology (N.T.L., N.U.N.N., W.M.E., C.-C.H., I.M.-M., F.X., S.R.A., N.V., N.B., L.E.-F., Q.M.O., A.C.C., M.S.A., S.L., S.T., H.A.S.), The University of Texas Southwestern Medical Center, Dallas.ORCID 0000-0002-1241-6826
Nelson VoDepartment of Internal Medicine, Division of Cardiology (N.T.L., N.U.N.N., W.M.E., C.-C.H., I.M.-M., F.X., S.R.A., N.V., N.B., L.E.-F., Q.M.O., A.C.C., M.S.A., S.L., S.T., H.A.S.), The University of Texas Southwestern Medical Center, Dallas.
Nathan BriardDepartment of Internal Medicine, Division of Cardiology (N.T.L., N.U.N.N., W.M.E., C.-C.H., I.M.-M., F.X., S.R.A., N.V., N.B., L.E.-F., Q.M.O., A.C.C., M.S.A., S.L., S.T., H.A.S.), The University of Texas Southwestern Medical Center, Dallas.
Lobna El-FekyDepartment of Internal Medicine, Division of Cardiology (N.T.L., N.U.N.N., W.M.E., C.-C.H., I.M.-M., F.X., S.R.A., N.V., N.B., L.E.-F., Q.M.O., A.C.C., M.S.A., S.L., S.T., H.A.S.), The University of Texas Southwestern Medical Center, Dallas.
Qamar M OmariDepartment of Internal Medicine, Division of Cardiology (N.T.L., N.U.N.N., W.M.E., C.-C.H., I.M.-M., F.X., S.R.A., N.V., N.B., L.E.-F., Q.M.O., A.C.C., M.S.A., S.L., S.T., H.A.S.), The University of Texas Southwestern Medical Center, Dallas.
Alisson C CardosoDepartment of Internal Medicine, Division of Cardiology (N.T.L., N.U.N.N., W.M.E., C.-C.H., I.M.-M., F.X., S.R.A., N.V., N.B., L.E.-F., Q.M.O., A.C.C., M.S.A., S.L., S.T., H.A.S.), The University of Texas Southwestern Medical Center, Dallas.ORCID 0000-0002-3051-9976
Yan LiuEugene McDermott Center for Human Growth and Development (Y.L., C.X.), The University of Texas Southwestern Medical Center, Dallas.
Mahmoud Salama AhmedDepartment of Internal Medicine, Division of Cardiology (N.T.L., N.U.N.N., W.M.E., C.-C.H., I.M.-M., F.X., S.R.A., N.V., N.B., L.E.-F., Q.M.O., A.C.C., M.S.A., S.L., S.T., H.A.S.), The University of Texas Southwestern Medical Center, Dallas.ORCID 0000-0002-5600-4698
Shujuan LiDepartment of Internal Medicine, Division of Cardiology (N.T.L., N.U.N.N., W.M.E., C.-C.H., I.M.-M., F.X., S.R.A., N.V., N.B., L.E.-F., Q.M.O., A.C.C., M.S.A., S.L., S.T., H.A.S.), The University of Texas Southwestern Medical Center, Dallas.
Suwannee ThetDepartment of Internal Medicine, Division of Cardiology (N.T.L., N.U.N.N., W.M.E., C.-C.H., I.M.-M., F.X., S.R.A., N.V., N.B., L.E.-F., Q.M.O., A.C.C., M.S.A., S.L., S.T., H.A.S.), The University of Texas Southwestern Medical Center, Dallas.
Chao XingEugene McDermott Center for Human Growth and Development (Y.L., C.X.), The University of Texas Southwestern Medical Center, Dallas.ORCID 0000-0002-1838-0502
Lior ZangiCardiovascular Research Institute, Department of Genetics and Genomic Sciences, and Black Family Stem Cell Institute, Icahn School of Medicine at Mount Sinai, New York, NY (L.Z.).ORCID 0000-0002-6153-9857
Hesham A SadekDepartment of Internal Medicine, Division of Cardiology (N.T.L., N.U.N.N., W.M.E., C.-C.H., I.M.-M., F.X., S.R.A., N.V., N.B., L.E.-F., Q.M.O., A.C.C., M.S.A., S.L., S.T., H.A.S.), The University of Texas Southwestern Medical Center, Dallas.ORCID 0000-0002-4745-366X

Funding

Project 3 - Role of Proline Metabolism in Regulation of Mammalian Cardiomyocyte ProliferationP01HL160476 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Jianyi Zhang · 2022 to 2026
$13.1M
T-Cell-Mediated Inflammatory Response in Neonatal Heart RegenerationP01HL160488 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI Hesham Sadek · 2023 to 2026
$10.2M
Supply and Demand: Oxygen and Workload Regulate Cardiomyocyte ProliferationR35HL166563 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI Hesham Sadek · 2023 to 2026
$4.1M
Role of Meis1 in Regulation of Cardiomyocyte ProliferationR01HL115275 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI SADEK, HESHAM · 2012 to 2016
$2.4M
Regulation of Cardiomyocyte Turnover in the Adult Mammalian HeartR01HL131778 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI SADEK, HESHAM · 2016 to 2019
$1.6M
NHLBI NIH HHS P01 HL160476NHLBI NIH HHS P01 HL160488NHLBI NIH HHS R01 HL115275NHLBI NIH HHS R01 HL131778NHLBI NIH HHS R35 HL166563
6 · The paper itself

Abstract

backgroundCytokinesis is the last step in the eukaryotic cell cycle, which physically separates a mitotic cell into 2 daughter cells. A few days after birth in mouse cardiomyocytes, DNA synthesis occurs without cytokinesis, leading to the majority of cardiomyocytes becoming binucleated instead of generating 2 daughter cells with 1 nucleus each. This results in cell cycle arrest of cardiomyocytes, and the mouse heart is no longer able to regenerate. A longstanding unanswered question is whether binucleation of cardiomyocytes is a result of cytokinesis failure.

methodsTo address this, we generated several transgenic mouse models to determine whether forced induction of cardiomyocyte cytokinesis generates mononucleated cardiomyocytes and restores the endogenous regenerative properties of the myocardium. We focused on 2 complementary regulators of cytokinesis: Plk1 (polo-like kinase 1) and Ect2 (epithelial cell-transformation sequence 2).

resultsWe found that cardiomyocyte-specific transgenic overexpression of constitutively active Plk1(T210D) promotes mitosis and cytokinesis in adult hearts, whereas overexpression of Ect2 alone promotes only cytokinesis. Cardiomyocyte-specific overexpression of both Plk1(T210D) and Ect2 concomitantly (double transgenic) prevents binucleation of cardiomyocytes postnatally and results in widespread cardiomyocyte mitosis, cardiac enlargement, contractile failure, and death before 2 weeks of age. In contrast, doxycycline-inducible cardiomyocyte-specific overexpression of both genes (inducible double transgenic) in the adult heart results in cardiomyocyte mitosis and transient contractile dysfunction. Importantly, this transient induction of cytokinesis in adult mice improves left ventricular systolic function after myocardial infarction.

conclusionsThese results collectively demonstrate that cytokinesis failure mediates cardiomyocyte multinucleation and cell cycle exit of postnatal cardiomyocytes, but may be a protective mechanism to preserve the contractile function of the myocardium.

Indexed as

Cell ProliferationCytokinesisMyocardial ContractionMyocytes, CardiacAnimalsCell Cycle ProteinsMiceMice, TransgenicMitosisMyocardial InfarctionPolo-Like Kinase 1Protein Serine-Threonine KinasesProto-Oncogene ProteinsCell Cycle ProteinsPolo-Like Kinase 1Protein Serine-Threonine KinasesProto-Oncogene Proteinscytokinesismyocardiummyocytes, cardiac

Identifiers

PMID39912233
PMCPMC12453028

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