Abstract
Adult mammalian heart is considered to be one of the least regenerative organs as it is not able to initiate endogenous regeneration in response to injury unlike in lower vertebrates and neonatal mammals. Evidence is now accumulating to suggest normal renewal and replacement of cardiomyocytes occurs even in middle-aged and old individuals. But underlying mechanisms leading to this are not yet clear. Do tissue-resident stem cells exist or somatic cells dedifferentiate leading to regeneration? Lot of attention is currently being focused on epicardium as it is involved in cardiac development, lodges multipotent progenitors and is a source of growth factors. Present study was undertaken to study the presence of stem cells in the pericardium. Intact adult mouse heart was subjected to partial enzymatic digestion to collect the pericardial cells dislodged from the surface. Pericardial cells suspension was processed to enrich the stem cells using our recently published protocol. Two populations of stem cells were successfully enriched from the pericardium of adult mouse heart along with distinct ‘cardiospheres’ with cytoplasmic continuity (formed by rapid proliferation and incomplete cytokinesis). These included very small embryonic-like stem cells (VSELs) and slightly bigger ‘progenitors’ cardiac stem cells (CSCs). Expression of pluripotent (Oct-4A, Sox-2, Nanog), primordial germ cells (Stella, Fragilis) and CSCs (Oct-4, Sca-1) specific transcripts was studied by RT-PCR. Stem cells expressed OCT-4, NANOG, SSEA-1, SCA-1 and c-KIT. c-KIT was expressed by cells of different sizes but only smaller CD45−c-KIT+ VSELs possess regenerative potential. Inadvertent loss of stem cells while processing for different experiments has led to misperceptions & controversies existing in the field of cardiac stem cells and requires urgent rectification. VSELs/CSCs have the potential to regenerate damaged cardiac tissue in the presence of paracrine support provided by the mesenchymal stromal cells.
Graphical Abstract
Data Availability
All data and information generated from the study is provided in the text.
References
Tzahor, E., & Poss, K. D. (2017). Cardiac regeneration strategies: Staying young at heart. Science, 356(6342), 1035–1039.
Lázár, E., Sadek, H., & Bergmann, O. (2017). Cardiomyocyte renewal in the human heart: Insights form the fall-out. European Heart Journal, 38(30), 2333–2342.
Senyo, S. E., Steinhauser, M. L., Pizzimenti, C. L., Yang, V. K., Cai, L., Wang, M., Wu, T. D., Guerquin-Kern, J. L., Lechene, C. P., & Lee, R. T. (2013). Mammalian heart renewal by pre-existing cardiomyocytes. Nature, 493(7432), 433–436.
Asli, N. S., Xaymardan, M., & Harvey, R. P. (2017). Epicardial origin of resident mesenchymal stem cells in the adult mammalian heart. Journal of Developmental Biology, 2, 117–137.
Aguilar-Sanchez, C., Michael, M., & Pennings, S. (2018). Cardiac stem cells in the postnatal heart: Lessons from development. Stem Cells International, 2018, 1–13. https://doi.org/10.1155/2018/1247857.
Kruithof, B. P. T., Wijk, B. V., Somi, S., Julio, M. K., Pomares, J. M. P., et al. (2006). BMP and FGF regulate the differentiation of multipotential pericardial mesoderm into the myocardial or epicardial lineage. Developmental Biology, 295(2), 507–522.
Zhou, B., Ma, Q., Rajagopal, S., Wu, S. M., Domian, I., Rivera-Feliciano, J., Jiang, D., von Gise, A., Ikeda, S., Chien, K. R., & Pu, W. T. (2008). Epicardial progenitors contribute to the cardiomyocyte lineage in the developing heart. Nature, 454(7200), 109–113.
Smart, N., Bollini, S., Dubé, K. N., Vieira, J. M., Zhou, B., Davidson, S., Yellon, D., Riegler, J., Price, A. N., Lythgoe, M. F., Pu, W. T., & Riley, P. R. (2011). De novo cardiomyocytes from within the activated adult heart after injury. Nature, 474(7353), 640–644.
Wei, K., Serpooshan, V., Hurtado, C., Diez-Cuñado, M., Zhao, M., Maruyama, S., Zhu, W., Fajardo, G., Noseda, M., Nakamura, K., Tian, X., Liu, Q., Wang, A., Matsuura, Y., Bushway, P., Cai, W., Savchenko, A., Mahmoudi, M., Schneider, M. D., van den Hoff, M. J. B., Butte, M. J., Yang, P. C., Walsh, K., Zhou, B., Bernstein, D., Mercola, M., & Ruiz-Lozano, P. (2015). Epicardial FSTL1 reconstitution regenerates the adult mammalian heart. Nature, 525(7570), 479–485.
Cao, J., & Poss, K. (2018). The epicardium as a hub for heart regeneration. Nature Reviews. Cardiology, 15(10), 631–647.
Redpath, A. N., & Smart, N. (2020). Recapturing embryonic potential in the adult epicardium: Prospects for cardiac repair. Stem Cells Translational Medicine. https://doi.org/10.1002/sctm.20-0352.
Bhartiya, D., & Patel, H. (2018). Ovarian stem cells-resolving controversies. Journal of Assisted Reproduction and Genetics, 35(3), 393–398.
Parte, S., Patel, H., Sriraman, K., & Bhartiya, D. (2015). Isolation and characterization of stem cells in the adult mammalian ovary. Methods in Molecular Biology, 1235, 203–229.
Sriraman, K., Bhartiya, D., Anand, S., & Bhutda, S. (2015). Mouse ovarian very small embryonic-like stem cells resist chemotherapy and retain ability to initiate oocyte-specific differentiation. Reproductive Sciences, 22(7), 884–903.
Bhartiya, D., Ali Mohammad, S., Guha, A., Singh, P., Sharma, D., & Kaushik, A. (2019). Evolving definition of adult stem/progenitor cells. Stem Cell Reviews and Reports, 15, 456–458.
Kaushik, A., & Bhartiya, D. (2020). Additional evidence to establish existence of two stem cell populations including VSELs and SSCs in adult mouse testes. Stem Cell Reviews and Reports, 16, 992–1004.
Mohammad, S. A., Metkari, S. M., & Bhartiya, D. (2020). Mouse pancreas stem/progenitor cells get augmented by streptozotocin and regenerate diabetic pancreas after partial pancreatectomy. Stem Cell Reviews and Reports, 16, 144–158.
Singh, P., & Bhartiya, D. (2020). Pluripotent stem (VSELs) and progenitor (EnSCs) cells exist in adult mouse uterus and show cyclic changes across estrus cycle. Reproductive Sciences, 28, 278–290. https://doi.org/10.1007/s43032-020-00250-2.
Patel, H., Bhartiya, D., & Parte, S. (2018). Further characterization of adult sheep ovarian stem cells and their involvement in neo-oogenesis and follicle assembly. Journal Ovarian Research, 11, 3.
Bhartiya, D., Patel, H., Ganguly, R., Shaikh, A., Shukla, Y., Sharma, D., & Singh, P. (2018). Novel insights into adult and cancer stem cell biology. Stem Cells and Development, 27(22), 1527–1539.
Kretzschmar, K., Post, Y., Bannier-Hélaouët, M., Mattiotti, A., Drost, J., et al. (2018). Profiling proliferative cells and their progeny in damaged murine hearts. Proceedings of the National Academy of Sciences, 115(52), 12245–12254.
Clevers, H., & Watt, F. M. (2018). Defining adult stem cells by function, not by phenotype. Annual Review of Biochemistry, 87, 1015–1027.
Post, Y., & Clevers, H. (2019). Defining adult stem cell function at its simplest: The ability to replace lost cells through mitosis. Cell Stem Cell, 25(2), 174–183.
Li, L., & Clevers, H. (2010). Coexistence of quiescent and active adult stem cells in mammals. Science, 327(5965), 542–545.
Murata, K., Jadhav, U., Madha, S., van Es, J., Dean, J., Cavazza, A., Wucherpfennig, K., Michor, F., Clevers, H., & Shivdasani, R. A. (2020). Ascl2-dependent cell dedifferentiation drives regeneration of ablated intestinal stem cells. Cell Stem Cell, 26(3), 377–390.
Liu, Y., Xiong, X., & Chen, Y.-G. (2020). Dedifferentiation: The return road to repair the intestinal epithelium. Cell Regen, 9(1), 2.
Leedham, S. J. (2020). Reserving the right to change the intestinal stem cell model. Cell Stem Cell, 26(3), 301–302.
Carvalho, J. (2020). Cell reversal from a differentiated to a stem-like state at cancer initiation. Frontiers in Oncology, 10, 541.
Ratajczak, M. Z., Bujko, K., Mack, A., Kucia, M., & Ratajczak, J. (2018). Cancer from the perspective of stem cells and misappropriated tissue regeneration mechanisms. Leukemia, 32(12), 2519–2526.
Kaushik, A., Anand, S., & Bhartiya, D. (2020). Altered biology of testicular VSELs and SSCs by neonatal endocrine disruption results in defective spermatogenesis, reduced fertility and tumor initiation in adult mice. Stem Cell Reviews and Reports, 16(5), 893–908.
Bhartiya, D., Kausik, A., Singh, P., & Sharma, D. (2020). Will single-cell RNAseq decipher stem cells biology in normal and cancerous tissues? Human Reproduction Update. https://doi.org/10.1093/humupd/dmaa058.
Bhartiya, D., & Sharma, D. (2020). Ovary does harbor stem cells - size of the cells matter! Journal Ovarian Research, 13, 39.
Bhatiya, D. (2021). Adult tissue-resident stem cells- fact or fiction? Stem Cells Research and Therapy. https://doi.org/10.1186/s13287-021-02142-x.
El-Helw, M., Chelvarajan, L., Abo-Aly, M., Soliman, M., Milburn, G., et al. (2020). Identification of human very small embryonic like stem cells (VSELS) in human heart tissue among young and old individuals. Stem Cell Reviews and Reports, 16, 181–185.
Zuba-Surma, E. K., Kucia, M., Dawn, B., Guo, Y., Ratajczak, M. Z., & Bolli, R. (2008). Bone marrow-derived pluripotent very small embryonic-like stem cells (VSELs) are mobilized after acute myocardial infarction. Journal of Molecular and Cellular Cardiology, 44(5), 865–873.
Wojakowski, W., Tendera, M., Kucia, M., Zuba-Surma, E., Paczkowska, E., Ciosek, J., Hałasa, M., Król, M., Kazmierski, M., Buszman, P., Ochała, A., Ratajczak, J., Machaliński, B., & Ratajczak, M. Z. (2009). Mobilization of bone marrow-derived Oct-4+ SSEA-4+ very small embryonic-like stem cells in patients with acute myocardial infarction. Journal of the American College of Cardiology, 53(1), 1–9.
Wojakowski, W., Kucia, M., Liu, R., Zuba-Surma, E., Jadczyk, T., Bachowski, R., Nabiałek, E., Kaźmierski, M., Ratajczak, M. Z., & Tendera, M. (2011). Circulating very small embryonic-like stem cells in cardiovascular disease. Journal of Cardiovascular Translational Research, 4(2), 138–144.
Ratajczak, M. Z., Ratajczak, J., & Kucia, M. (2019). Very small embryonic-like stem cells (VSELs). Circulation Research, 124(2), 208–210.
Shaikh, A., Anand, S., Kapoor, S., Ganguly, R., & Bhartiya, D. (2017). Mouse bone marrow VSELs exhibit differentiation into three embryonic germ lineages and germ & hematopoietic cells in culture. Stem Cell Reviews, 13(2), 202–216.
Wojakowski, W., Tendera, M., Kucia, M., Zuba-Surma, E., & Milewski, K. (2010). Cardiomyocyte differentiation of bone marrow-derived Oct-4+CXCR4+SSEA-1+ very small embryonic-like stem cells. International Journal of Oncology, 37(2), 237–247.
Marino, F., Scalise, M., Cianflone, E., Mancuso, T., Aquila, I., Agosti, V., Torella, M., Paolino, D., Mollace, V., Nadal-Ginard, B., & Torella, D. (2019). Role of c-kit in myocardial regeneration and aging. Frontiers in Endocrinology, 10, 371. https://doi.org/10.3389/fendo.2019.00371.
Orlic, D., Kajstura, J., Chimenti, S., Jakoniuk, I., Anderson, S. M., & Li, B. (2001). Bone marrow cells regenerate infarcted myocardium. Nature, 410, 701–705.
Orlic, D., Fischer, R., Nishikawa, S., Nienhuis, A. W., & Bodine, D. M. (1993). (1993). Purification and characterization of heterogeneous pluripotent hematopoietic stem cell populations expressing high levels of c-kit receptor. Blood., 82(3), 762–770.
van Berlo, J. H., Kanisicak, O., Maillet, M., Vagnozzi, R. J., Karch, J., Lin, S. C. J., Middleton, R. C., Marbán, E., & Molkentin, J. D. (2014). C-kit+ cells minimally contribute cardiomyocytes to the heart. Nature., 509(7500), 337–341.
Smith, A. J., Lewis, F. C., Aquila, I., Waring, C. D., Nocera, A., Agosti, V., et al. (2014) Isolation and characterization of resident endogenous c-Kit+ cardiac stem cells from the adult mouse and rat heart. Nature Protocols, 9(7), 1662–1681.
Liu, Q., Yang, R., Huang, X., Zhang, H., & He, L. (2016). Genetic lineage tracing identifies in situ kit-expressing cardiomyocytes. Cell Research, 26(1), 119–130.
Li, Y., He, L., Huang, X., Bhaloo, S. I., Zhao, H., Zhang, S., Pu, W., Tian, X., Li, Y., Liu, Q., Yu, W., Zhang, L., Liu, X., Liu, K., Tang, J., Zhang, H., Cai, D., Ralf, A. H., Xu, Q., Lui, K. O., & Zhou, B. (2018). Genetic lineage tracing of nonmyocyte population by dual recombinases. Circulation, 138(8), 793–805.
Chien, K. R., Frisén, J., Fritsche-Danielson, R., Melton, D. A., Murry, C. E., & Weissman, I. L. (2019). Regenerating the field of cardiovascular cell therapy. Nature Biotechnology, 37(3), 232–237.
Lüscher, T. F. (2019). Back to square one: The future of stem cell therapy and regenerative medicine after the recent events. European Heart Journal, 40(13), 1031–1033.
Ozkan, J. (2019). Piero Anversa and cardiomyocyte regeneration. European Heart Journal, 40(13), 1036–1037.
He, L., Nguyen, N. B., Ardehali, R., & Zhou, B. (2020). Heart regeneration by endogenous stem cells and cardiomyocyte proliferation: Controversy, fallacy, and progress. Circulation, 142(3), 275–291.
Bhartiya, D. (2019). Clinical translation of stem cells for regenerative medicine. Circulation Research, 124(6), 840–842.
Balbi, C., Costa, A., Barile, L., & Bollini, S. (2020). Message in a bottle: Upgrading cardiac repair into rejuvenation. Cells, 9(3), 724.
Cardoso, A. C., Pereira, A. H. M., & Sadek, H. A. (2020). Mechanisms of neonatal heart regeneration. Current Cardiology ReportsCurrent Cardiology Reports, 22(5), 33.
Sadek, H., & Olson, E. N. (2020). Toward the goal of human heart regeneration. Cell Stem Cell, 26(1), 7–16.
Witman, N., Zhou, C., Beverborg, N. G., Sahara, M., & Chien, K. R. (2020). Cardiac progenitors and paracrine mediators in cardiogenesis and heart regeneration. Seminars in Cell & Developmental Biology, 100, 29–51.
Guo, Y., & Pu, W. T. (2020). Cardiomyocyte maturation: New phase in development. Circulation Research, 126(8), 1086–1106.
Guo, Y., Yu, Y., Hu, S., Chen, Y., & Shen, Z. (2020). The therapeutic potential of mesenchymal stem cells for cardiovascular diseases. Cell Death & Disease, 11(5), 349. https://doi.org/10.1038/s41419-020-2542-9.
Tsiapalis, D., & O’Driscoll, L. (2020). Mesenchymal stem cell derived extracellular vesicles for tissue engineering and regenerative medicine applications. Cells., 9(4), 991. https://doi.org/10.3390/cells9040991.
Balbi, C., & Vassalli, G. (2020). Exosomes: Beyond stem cells for cardiac protection and repair. Stem Cells, 38(11), 1387–1399.
Acknowledgements
We acknowledge published work of all colleagues working on VSELs towards cardiac repair.
Funding
Core support provided to the lab by Indian Council of medical Research, Government of India, New Delhi.
Author information
Authors and Affiliations
Contributions
DB conceptualized and planned the study, data interpretation and wrote the manuscript. YF performed all the experiments with help from DS and SAM. All authors read and approved the manuscript.
Corresponding author
Ethics declarations
Ethical Approval
Study was approved by Institute Animal Ethics Committee (IAEC) at NIRRH.
Consent to Participate
Not applicable as it is not a clinical study.
Consent to Publish
NIRRH manuscript number: RA/967/09–2020.
Competing Interests
We have no competing interests whatsoever.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Bhartiya, D., Flora, Y., Sharma, D. et al. Two Stem Cell Populations Including VSELs and CSCs Detected in the Pericardium of Adult Mouse Heart. Stem Cell Rev and Rep 17, 685–693 (2021). https://doi.org/10.1007/s12015-021-10119-9
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12015-021-10119-9