Abstract
Adult cardiomyocytes have only a limited capacity for regeneration, with intrinsic renewal rates of approximately 1% per year reported for humans and rodents. Individual cardiomyocytes are thus quite long-lived and must be able to continuously adapt to physiologic and pathophysiologic stresses. Stress adaptation often entails the renewal of intracellular constituents, as exemplified by the changes in enzymatic activity which accompanies shifts in oxygenation and metabolism, occurring during perinatal development; the modification in myofiber content in response to altered cardiac workload; and the renewal of proteins and organelles which takes place in response to reactive oxygen species-induced damage. Multiple proteolytic pathways have evolved to promote the efficient degradation of intracellular constituents, which is an essential step for their ultimate renewal. This chapter is focused on the role of the Autophagy in the heart. We begin with a description of types and molecular regulation of Autophagy, and then briefly summarize the importance of Autophagy in pathophysiologic regulation in other cell types. This is followed by a more detailed description of the role of Autophagy in cardiomyocytes during physiologic (i.e. perinatal development and physiologic hypertrophy), as well as pathophysiologic (i.e. cardiac atrophy, hypertrophy, proteinopathies and aging) conditions.
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Acknowledgements
We are grateful to Marco Mongillo (University of Padova) for critical reading and discussion, and Nicola Pianca, Ph.D. (University of Padova) for critical reading and technical assistance.
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Zaglia, T., Field, L.J. (2022). Autophagy in Cardiac Physiology and Pathology. In: Kirshenbaum, L.A. (eds) Biochemistry of Apoptosis and Autophagy. Advances in Biochemistry in Health and Disease, vol 18. Springer, Cham. https://doi.org/10.1007/978-3-030-78799-8_4
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