© 2002 by European Society of Cardiology
Copyright © 2002, European Society of Cardiology
Dedifferentiation of atrial cardiomyocytes: from in vivo to in vitro
aDepartment of Physiology, Cardiovascular Research Institute Maastricht, P.O. Box 616, 6200 MD Maastricht, The Netherlands
bDepartment of Molecular Cell Biology, Cardiovascular Research Institute Maastricht, P.O. Box 616, 6200 MD Maastricht, The Netherlands
* Corresponding author. Tel.: +31-43-388-1076; fax +31-43-388-4166 jannie.ausma@fys.unimaas.nl
Received 9 April 2002; accepted 9 April 2002
| The first 150 words of the full text of this article appear below. |
See article by Rücker-Martin et al. [3] (pages 38–52) in this issue.
| 1. Introduction |
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Atrial fibrillation (AF) is characterized by extensive electrical and structural remodeling [1,2]. The latter aspects have been associated with cardiomyocyte dedifferentiation because of the phenotypic similarities with fetal cardiomyocytes. The paper of Rücker-Martin et al. [3] in this issue describes the dedifferentiation of atrial myocytes both in vivo and in vitro and emphasizes the role of fibroblasts in the maintenance of the dedifferentiated state of the cardiomyocytes. The authors report that in biopsies from patients with AF, concomitantly suffering from valvular disease, the majority of atrial myocytes undergo changes which are reminiscent of dedifferentiation, akin to those seen in ventricular biopsies of patients with hibernating myocardium [1]. The atrial cardiomyocytes are myolytic, accumulate glycogen and myocyte bundles are separated by thick layers of fibrotic tissue. Reexpression and redistribution of structural proteins such as
-smooth muscle actin | 2. Structural remodeling of atrial myocytes |
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| 3. Are the phenotypic adaptations part of a cell survival program? |
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| 4. The role of extracellular matrix and fibroblasts |
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| 5. In vitro simulation of structural remodeling |
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| 6. Role of stretch in initiation and maintenance of the dedifferentiated phenotype |
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| 7. Unsolved issues and future perspectives |
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