Thymosin β4 and cardiac regeneration: are we missing a beat?

Stem Cell Rev Rep. 2013 Jun;9(3):303-12. doi: 10.1007/s12015-012-9378-3.

Abstract

Epicardial resident stem cells are known to differentiate into cardiomyocytes during cardiac development, amongst other cell types. Whether epicardium-derived progenitor cells (EPDCs) retain this plasticity in the adult heart has been the topic of heated scientific debate. Priming with thymosin beta 4, a peptide which has been suggested to be critical for cardiac development and to have cardio-protective properties, was recently shown to induce differentiation of EPDCs into cardiomyocytes in a small animal model of myocardial infarction. This finding is in stark contrast to another recent study in which thymosin beta 4 treatment following myocardial infarction did not induce cardiomyocyte differentiation of EPDCs. While EPDCs seem to exhibit overall cardio-protective effects on the heart following myocardial infarction, they have not been shown to differentiate into cardiomyocytes in a clinically relevant setting. It will be important to understand why the ability of one therapeutic agent to induce cardiomyocyte differentiation of EPDCs seemingly depends on a single variable, i.e. the time of administration. Furthermore, in light of a recent report, it appears that thymosin beta 4 may be dispensable for cardiac development.

Publication types

  • Review

MeSH terms

  • Cell Differentiation / drug effects*
  • Heart
  • Humans
  • Myocardial Infarction / therapy*
  • Myocardium / cytology
  • Myocardium / metabolism
  • Myocytes, Cardiac / metabolism
  • Regeneration / drug effects*
  • Stem Cell Transplantation
  • Stem Cells / drug effects
  • Stem Cells / metabolism
  • Thymosin / pharmacology*

Substances

  • thymosin beta(4)
  • Thymosin