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Photomicrograph of right ventricle, age -6 months, H&E. Magnifi cation – x100.  

Photomicrograph of right ventricle, age -6 months, H&E. Magnifi cation – x100.  

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p> Background: Aging of the myocardium is a dynamic process which involves progressive loss of cardiomyocytes due to necrosis and apoptosis, interstitial fibrosis and reactive hypertrophy of the remaining vital cardiomyocytes. In our study, we investigated the postnatal changes in the myocardium of 15 adult male Wistar rats, distributed in the foll...

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Aim: Circulating microRNA expression has become a biomarker of cardiovascular disease; however, the association of microRNA expression between circulation and myocardium in hypertrophic cardiomyopathy remains unclear. This study aimed to find a circulating biomarker correlated not only to myocardial expression, but also to cardiac hypertrophy and...

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... We chose the heart as a model due to its high metabolic activity as well as its great clinical significance related to aging (Strait and Lakatta 2012). The aging heart is characterized by progressive reactive interstitial fibrosis and hypertrophy in both ventricles (Biernacka and Frangogiannis 2011;Kotov et al. 2017). We reported earlier that aging in both ventricles was characterized by hypertrophy of cardiomyocytes and increased accumulation of complex collagen deposits in the interstitial space and perivascular zone. ...
... We reported earlier that aging in both ventricles was characterized by hypertrophy of cardiomyocytes and increased accumulation of complex collagen deposits in the interstitial space and perivascular zone. These changes were more prominent in the LV than in the RV due to the higher afterload (Kotov et al. 2017). Prominent fibrotic changes also are evident in the RV with advancing age (Kotov et al. 2017). ...
... These changes were more prominent in the LV than in the RV due to the higher afterload (Kotov et al. 2017). Prominent fibrotic changes also are evident in the RV with advancing age (Kotov et al. 2017). Fibroblasts are important participants in the development of fibrosis; they can transform into the myofibroblast phenotype and promote myofibroblast-promoted collagen turnover (Biernacka and Frangogiannis 2011). ...
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... 23 For this reason, the ratio between aged and young cardiomyocytes, together with the total number of cardiomyocytes can be used as a prognostic marker of the ability of the myocardium to preserve or worsen its function. 24 In support of this, our previous studies [25][26][27][28] have shown that aging of the myocardium is characterised by an increase in the amount of collagen, a decrease in capillary density and changes in the activity of enzymes of the NOS group, which may explain the onset of dysfunction in the aging myocardium. These data and the results of the present study, in line with evidence from the relevant literature lead to the conclusion that as aging advances, the morphology and the structure of the heart become impaired both at the level of the organ and at the level of the individual cardiomyocyte. ...
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... These changes in the parameters may be interpreted as a compensatory response of the myocardium at the cellular level, intended to decrease the effects of increased pre-and afterload of the heart [2]. Our previous studies have shown that the myocardial response to increased stress includes ventricular remodelling with accumulation of collagen and development of reactive fibrosis [21], a specific location-targeted up-regulation of enzymes of the NOS group [13][14][15] and a decrease in the capillary density [16]. ...
... Moreover, the hypertrophied myocardium contained zones of replacement fibrosis in the place of cardiomyocytes which had undergone atrophic deformations and/or loss [24]. The presence of such replacement fibrosis has been confirmed by our previous studies [21]. These changes in the normal architectonics of the myocardium may predispose it towards development of arrhythmias due to the discontinuous conduction [24]. ...
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... The change in the quantity of the collagen fibres of the connective tissue is the most significant marker of physiological processes such as aging of the myocardium, as well as pathological conditions associated with increased load and impaired function of the heart. [20][21][22][23] The intercalated disc is the zone of contact between the adjacent cardiomyocytes in longitudinal direction. It consists of two parts: transversal part and lateral part. ...
... In addition, some of the cytoskeleton's components take part in other cell processes such as hypertrophy, cell division, migration, intracellular vesicular transport, arrangement and function of cellular components, disposition of membrane receptors and intercellular communication. [8][9][10][21][22][23] It is suggested that the cytoskeleton plays a key role in the mechanical signal transduction of the cell. [33] For an easier examination and understanding of its function, the cytoskeleton is divided, based on its morphology and topography, into different types: sarcomeric, extrasarcomeric, membrane-submembrane, nuclear. ...
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Many questions regarding the morphology of the cardiovascular system are yet to be answered. In particular, elucidating the core principles of the architectonics of the myocardium is of great importance for the understanding of the exact mechanisms of the cardiac functions and the pathogenic processes which constitute a prerequisite for cardiovascular diseases. A number of contemporary studies reveal the importance of the myocardium in almost every disease – either as a primary pathophysiological unit or as the target of the pathological damage. It has to be stated that the myocardium has a remarkable diagnostic and therapeutic potential. It is comprised of various types of cells – contractile cardiomyocytes of the atria and ventricles, cells of the sinoatrial node and Purkinje fibres, the latter two being part of the conducting system of the heart. The ultrastructural components of these cells include the various structures which ensure cellular contact and communication, the specialised structures of the cellular and the sarcoplasmic membrane and the different elements of the complex cytoskeleton. Furthermore, the orientation of the cardiomyocytes plays a key role not only for the mechanical contraction but also in the electric conduction and the energy metabolism of the cardiac muscle. Studies on the size, alignment and specific characteristics of the cardiomyocytes have the potential to provide a morphological base for the diagnostics of various cardiac pathologies.
Chapter
The present chapter attempts a detailed yet comprehensive account of the exceedingly complex molecular events involved in heart development, including description of the main differentiation signaling pathways, transcription factors, enhancers and gene regulatory networks, with a special emphasis on applying this continuously enlarging body of modern scientific knowledge to the field of stem cell differentiation into cardiomyocytes for diagnostic and therapeutic applications. MicroRNAs are also emerging as an important area of discovery aiming to revolutionize current therapies in cardiology, therefore we describe their involvement in cardiogenesis, proliferation/apoptosis, angiogenesis, fibrosis and hypertrophy. After reviewing the architectural organization, ultrastructure details and functional compartments of cardiomyocytes derived from in vitro and in vivo studies, we focus on molecular mechanisms involved in cardiac hypertrophy and fibrosis, particularly on calcium signaling events triggering these excessive adaptive responses. Further, we stress the embryogenetic and molecular differences between the right and left ventricle, as well as their pathophysiology specificities and clinical consequences.
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Introduction: Spontaneously hypertensive rats are often used as a model of arterial hypertension in humans. Cardiomyocytic hypertrophy, focal myocytolysis and ventricular fibrosis are only a part of the alterations in the morphology of the myocardium observed in spontaneously hypertensive rats with the progression of hypertension. The present manuscript reviews our studies on spontaneously hypertensive rats, with focus on the microscopic changes in the myocardial architectonics and analysis of several morphometric parameters. Materials and methods: A total of 12 male spontaneously hypertensive rats, distributed in two age groups, each containing six animals: 1-monthold (young) and 6-months-old (adult) were used. We also used 12 male normotensive Wistar rats, distributed in two age groups, each containing six animals: 1-month-old (young) and 6-months-old (adult). Routine haematoxylin and eosin staining and Mallory’s trichrome stain were conducted. Quantitative data were obtained with a computerized system for image analysis NISElements Advanced Research (Ver. 2.30). Results: Changes in the normal morphology of the myocardium included cardiomyocytic hypertrophy, focal myocytolysis and ventricular fibrosis. As aging progressed, we noted a significant increase in the thickness of the free wall and cross-sectional area of the cardiomyocytes and the cardiomyocytic nuclei and a decrease in cardiomyocytic density. Conclusion: The manuscript presents a detailed qualitative and quantitative study of changes in the normal structure of the myocardium initiated by arterial hypertension.