Elisabetta Avizzano
Study of direct reprogramming of human fibroblasts into cardiomyocytes in a mechanically stimulated-3D microenvironment.
Rel. Valeria Chiono, Camilla Paoletti. Politecnico di Torino, Master of science program in Biomedical Engineering, 2021
Abstract
Myocardial infarction is the leading cause of death worldwide and it causes cardiomyocyte loss, formation of a non-functional fibrotic scar and, eventually, a pathological remodelling of the heart wall and deterioration of cardiac functions. Traditional therapeutic strategies are unable to restore myocardium functionality and heart transplant, the only procedure that guarantees a full cardiac recovery, is affected by several problems, such as the need for lifelong immunosuppression and shortage of organ donors. Innovative research, based on regenerative medicine’s approach, aims at obtaining mature cardiomyocytes in vitro by inducing stem cell differentiation or somatic cell reprogramming, including the direct reprogramming of cardiac fibroblasts into cardiomyocytes.
Direct reprogramming can be achieved by different strategies including the forced expression of transcription factors and/or microRNAs, and/or the use of chemical agents
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