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Circulation Research. 2008
Published online before print February 7, 2008, doi: 10.1161/CIRCRESAHA.107.161737
A more recent version of this article appeared on March 28, 2008
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Submitted on August 13, 2008
Revised on January 23, 2008
Accepted on January 24, 2008

c-kit Is Required for Cardiomyocyte Terminal Differentiation

Ming Li ; Nawazish Naqvi ; Eiji Yahiro ; Ke Liu ; Pamela C. Powell ; Wayne E. Bradley ; David I.K. Martin ; Robert M. Graham ; Louis J. Dell'Italia ; and Ahsan Husain *

From the Departments of Physiology and Biophysics (M.L., N.N., E.Y., K.L., L.J.D., A.H.) and Medicine (P.C.P., W.E.B., L.J.D., A.H.), University of Alabama at Birmingham; Children's Hospital Oakland Research Institute (D.I.K.M.), Calif; Victor Chang Cardiac Research Institute (R.M.G.), Darlinghurst, Australia; and Department of Veteran Affairs (L.J.D.), Birmingham, Ala.

* To whom correspondence should be addressed. E-mail: ahusain{at}physiology.uab.edu.

c-kit, the transmembrane tyrosine kinase receptor for stem cell factor, is required for melanocyte and mast cell development, hematopoiesis, and differentiation of spermatogonial stem cells. We show here that in the heart, c-kit is expressed not only by cardiac stem cells but also by cardiomyocytes, commencing immediately after birth and terminating a few days later, coincident with the onset of cardiomyocyte terminal differentiation. To examine the function of c-kit in cardiomyocyte terminal differentiation, we used compound heterozygous mice carrying the W (null) and Wv (dominant negative) mutations of c-kit. In vivo, adult W/Wv cardiomyocytes are phenotypically indistinguishable from their wild-type counterparts. After acute pressure overload adult W/Wv cardiomyocytes reenter the cell cycle and proliferate, leading to left ventricular growth; furthermore in transgenic mice with cardiomyocyte-restricted overexpression of the dominant negative Wv mutant, pressure overload causes cardiomyocytes to reenter the cell cycle. In contrast, in wild-type mice left ventricular growth after pressure overload results mainly from cardiomyocyte hypertrophy. Importantly, W/Wv mice with pressure overload–induced cardiomyocyte hyperplasia had improved left ventricular function and survival. In W/Wv mice, c-kit dysfunction also resulted in an {approx}14-fold decrease (P<0.01) in the number of c-kit+/GATA4+ cardiac progenitors. These findings identify novel functions for c-kit: promotion of cardiac stem cell differentiation and regulation of cardiomyocyte terminal differentiation.


Key words: c-kit • cardiomyocyte • terminal differentiation • cardiac stem cells • pressure overload