Adult mammalian hearts have limited regenerative capacity
due to the inability of cardiomyocytes to proliferate, a major
clinical hurdle in contemporary cardiology. The presence of
highly organized, contractile sarcomeres has long been
considered an impediment for cardiomyocyte division. Indeed,
sarcomere disassembly is a crucial step to complete the cell
cycle in the few situations where cardiomyocytes have been
observed to proliferate. However, whether sarcomere disassembly
can per se trigger cell cycle re-entry remains unknown,
a possibility that we have tested here. In this study, we have
engineered a system to induce sarcomere disassembly in living
murine cardiomyocytes based on the specific cleavage of the
structural protein titin by tobacco etch virus protease.
Although isolated neonatal cardiomyocytes with disassembled
sarcomeres remain viable and retain low-amplitude contractile
activity, our results show no evidence of increased cardiomyocyte
proliferation in targeted cells, as indicated by the
analyses of markers of DNA synthesis and cytokinesis. We
obtain equivalent results when titin is cleaved in cardiomyocytes
stimulated with mitogenic factors in vitro and in
the adult myocardium in vivo. These findings suggest that the
removal of sarcomere structural barriers is necessary, but not
sufficient, for cardiomyocyte proliferation, which implies that
additional factors are required for cardiomyocytes to undergo
cell division.
Pricolo, M. R., López-Unzu, M. A., Vicente, N., Morales-López, C., Huerta-López, C., Pérez-Franco, W., Dumitru, A.-C., Jorge Peña-Peña, Espinosa, F. M., Sanchez, M. I., Garcia, R., Silva-Rojas, R., Miguel Torres, Herrero-Galán, E., Alegre-Cebollada, J., & et al. (2026). Titin cleavage in living cardiomyocytes induces sarcomere disassembly but does not trigger cell proliferation. Journal of Biological Chemistry, 302(7), 113167. https://doi.org/10.1016/j.jbc.2026.113167 (Original work published 2026)