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Philosophical Transactions of the Royal Society B: Biological Sciences logoLink to Philosophical Transactions of the Royal Society B: Biological Sciences
. 2004 May 29;359(1445):785–793. doi: 10.1098/rstb.2004.1468

The scarless heart and the MRL mouse.

Ellen Heber-Katz 1, John Leferovich 1, Khamilia Bedelbaeva 1, Dmitri Gourevitch 1, Lise Clark 1
PMCID: PMC1693365  PMID: 15293806

Abstract

The ability to regenerate tissues and limbs in its most robust form is seen in many non-mammalian species. The serendipitous discovery that the MRL mouse has a profound capacity for regeneration in some ways rivalling the classic newt and axolotl species raises the possibility that humans, too, may have an innate regenerative ability. The adult MRL mouse regrows cartilage, skin, hair follicles and myocardium with near perfect fidelity and without scarring. This is seen in the ability to close through-and-through ear holes, which are generally used for lifelong identification of mice, and the anatomic and functional recovery of myocardium after a severe cryo-injury. We present histological, biochemical and genetic data indicating that the enhanced breakdown of scar-like tissue may be an underlying factor in the MRL regenerative response. Studies as to the source of the cells in the regenerating MRL tissue are discussed. Such studies appear to support multiple mechanisms for cell replacement.

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Selected References

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  1. Adachi M., Watanabe-Fukunaga R., Nagata S. Aberrant transcription caused by the insertion of an early transposable element in an intron of the Fas antigen gene of lpr mice. Proc Natl Acad Sci U S A. 1993 Mar 1;90(5):1756–1760. doi: 10.1073/pnas.90.5.1756. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Allen S. P., Maden M., Price J. S. A role for retinoic acid in regulating the regeneration of deer antlers. Dev Biol. 2002 Nov 15;251(2):409–423. doi: 10.1006/dbio.2002.0816. [DOI] [PubMed] [Google Scholar]
  3. Armstrong J. R., Ferguson M. W. Ontogeny of the skin and the transition from scar-free to scarring phenotype during wound healing in the pouch young of a marsupial, Monodelphis domestica. Dev Biol. 1995 May;169(1):242–260. doi: 10.1006/dbio.1995.1141. [DOI] [PubMed] [Google Scholar]
  4. Becker R. O., Chapin S., Sherry R. Regeneration of the ventricular myocardium in amphibians. Nature. 1974 Mar 8;248(5444):145–147. doi: 10.1038/248145a0. [DOI] [PubMed] [Google Scholar]
  5. Beltrami Antonio P., Barlucchi Laura, Torella Daniele, Baker Mathue, Limana Federica, Chimenti Stefano, Kasahara Hideko, Rota Marcello, Musso Ezio, Urbanek Konrad. Adult cardiac stem cells are multipotent and support myocardial regeneration. Cell. 2003 Sep 19;114(6):763–776. doi: 10.1016/s0092-8674(03)00687-1. [DOI] [PubMed] [Google Scholar]
  6. Bettencourt-Dias Monica, Mittnacht Sybille, Brockes Jeremy P. Heterogeneous proliferative potential in regenerative adult newt cardiomyocytes. J Cell Sci. 2003 Aug 19;116(Pt 19):4001–4009. doi: 10.1242/jcs.00698. [DOI] [PubMed] [Google Scholar]
  7. Blankenhorn Elizabeth P., Troutman Scott, Clark Lise Desquenne, Zhang Xiang-Ming, Chen Pan, Heber-Katz Ellen. Sexually dimorphic genes regulate healing and regeneration in MRL mice. Mamm Genome. 2003 Apr;14(4):250–260. doi: 10.1007/s00335-002-2222-3. [DOI] [PubMed] [Google Scholar]
  8. Borgens R. B. Mice regrow the tips of their foretoes. Science. 1982 Aug 20;217(4561):747–750. doi: 10.1126/science.7100922. [DOI] [PubMed] [Google Scholar]
  9. Brockes J. P. Amphibian limb regeneration: rebuilding a complex structure. Science. 1997 Apr 4;276(5309):81–87. doi: 10.1126/science.276.5309.81. [DOI] [PubMed] [Google Scholar]
  10. Brockes Jeremy P., Kumar Anoop. Plasticity and reprogramming of differentiated cells in amphibian regeneration. Nat Rev Mol Cell Biol. 2002 Aug;3(8):566–574. doi: 10.1038/nrm881. [DOI] [PubMed] [Google Scholar]
  11. Carlsten A., Ericson L. E., Poupa O. The healing of frog heart lesions induced by isoproterenol injections. Acta Pathol Microbiol Immunol Scand A. 1982 Jan;90(1):57–65. doi: 10.1111/j.1699-0463.1982.tb00063_90a.x. [DOI] [PubMed] [Google Scholar]
  12. Chernoff E. A., O'Hara C. M., Bauerle D., Bowling M. Matrix metalloproteinase production in regenerating axolotl spinal cord. Wound Repair Regen. 2000 Jul-Aug;8(4):282–291. doi: 10.1046/j.1524-475x.2000.00282.x. [DOI] [PubMed] [Google Scholar]
  13. Clark L. D., Clark R. K., Heber-Katz E. A new murine model for mammalian wound repair and regeneration. Clin Immunol Immunopathol. 1998 Jul;88(1):35–45. doi: 10.1006/clin.1998.4519. [DOI] [PubMed] [Google Scholar]
  14. D'Armiento Jeanine. Matrix metalloproteinase disruption of the extracellular matrix and cardiac dysfunction. Trends Cardiovasc Med. 2002 Apr;12(3):97–101. doi: 10.1016/s1050-1738(01)00160-8. [DOI] [PubMed] [Google Scholar]
  15. Death Alison K., Nakhla Shirley, McGrath Kristine C. Y., Martell Sally, Yue Dennis K., Jessup Wendy, Celermajer David S. Nitroglycerin upregulates matrix metalloproteinase expression by human macrophages. J Am Coll Cardiol. 2002 Jun 19;39(12):1943–1950. doi: 10.1016/s0735-1097(02)01907-1. [DOI] [PubMed] [Google Scholar]
  16. Echeverri K., Clarke J. D., Tanaka E. M. In vivo imaging indicates muscle fiber dedifferentiation is a major contributor to the regenerating tail blastema. Dev Biol. 2001 Aug 1;236(1):151–164. doi: 10.1006/dbio.2001.0312. [DOI] [PubMed] [Google Scholar]
  17. Ferguson M. W., Whitby D. J., Shah M., Armstrong J., Siebert J. W., Longaker M. T. Scar formation: the spectral nature of fetal and adult wound repair. Plast Reconstr Surg. 1996 Apr;97(4):854–860. doi: 10.1097/00006534-199604000-00029. [DOI] [PubMed] [Google Scholar]
  18. Ferguson Mark W. J., O'Kane Sharon. Scar-free healing: from embryonic mechanisms to adult therapeutic intervention. Philos Trans R Soc Lond B Biol Sci. 2004 May 29;359(1445):839–850. doi: 10.1098/rstb.2004.1475. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Ferrari G., Cusella-De Angelis G., Coletta M., Paolucci E., Stornaiuolo A., Cossu G., Mavilio F. Muscle regeneration by bone marrow-derived myogenic progenitors. Science. 1998 Mar 6;279(5356):1528–1530. doi: 10.1126/science.279.5356.1528. [DOI] [PubMed] [Google Scholar]
  20. Flink Irwin L. Cell cycle reentry of ventricular and atrial cardiomyocytes and cells within the epicardium following amputation of the ventricular apex in the axolotl, Amblystoma mexicanum: confocal microscopic immunofluorescent image analysis of bromodeoxyuridine-labeled nuclei. Anat Embryol (Berl) 2002 May 15;205(3):235–244. doi: 10.1007/s00429-002-0249-6. [DOI] [PubMed] [Google Scholar]
  21. Foerster A. P., Holmes M. J. Spontaneous regeneration of severed optic axons restores mapped visual responses to the adult rat superior colliculus. Eur J Neurosci. 1999 Sep;11(9):3151–3166. doi: 10.1046/j.1460-9568.1999.00735.x. [DOI] [PubMed] [Google Scholar]
  22. Fuchs E., Segre J. A. Stem cells: a new lease on life. Cell. 2000 Jan 7;100(1):143–155. doi: 10.1016/s0092-8674(00)81691-8. [DOI] [PubMed] [Google Scholar]
  23. Globus M., Vethamany-Globus S., Lee Y. C. Effect of apical epidermal cap on mitotic cycle and cartilage differentiation in regeneration blastemata in the newt, Notophthalmus viridescens. Dev Biol. 1980 Mar 15;75(2):358–372. doi: 10.1016/0012-1606(80)90169-4. [DOI] [PubMed] [Google Scholar]
  24. Goodell M. A., Jackson K. A., Majka S. M., Mi T., Wang H., Pocius J., Hartley C. J., Majesky M. W., Entman M. L., Michael L. H. Stem cell plasticity in muscle and bone marrow. Ann N Y Acad Sci. 2001 Jun;938:208–220. doi: 10.1111/j.1749-6632.2001.tb03591.x. [DOI] [PubMed] [Google Scholar]
  25. Goss R. J., Grimes L. N. Epidermal downgrowths in regenerating rabbit ear holes. J Morphol. 1975 Aug;146(4):533–542. doi: 10.1002/jmor.1051460408. [DOI] [PubMed] [Google Scholar]
  26. Goss R. J. Problems of antlerogesis. Clin Orthop Relat Res. 1970 Mar-Apr;69:227–238. [PubMed] [Google Scholar]
  27. Gourevitch Dmitri, Clark Lise, Chen Pan, Seitz Alexander, Samulewicz Stefan J., Heber-Katz Ellen. Matrix metalloproteinase activity correlates with blastema formation in the regenerating MRL mouse ear hole model. Dev Dyn. 2003 Feb;226(2):377–387. doi: 10.1002/dvdy.10243. [DOI] [PubMed] [Google Scholar]
  28. Grillo H. C., Lapière C. M., Dresden M. H., Gross J. Collagenolytic activity in regenerating forelimbs of the adult newt (Triturus viridescens). Dev Biol. 1968 May;17(5):571–583. doi: 10.1016/0012-1606(68)90006-7. [DOI] [PubMed] [Google Scholar]
  29. Gross J. Getting to mammalian wound repair and amphibian limb regeneration: a mechanistic link in the early events. Wound Repair Regen. 1996 Apr–Jun;4(2):190–202. doi: 10.1046/j.1524-475X.1996.40205.x. [DOI] [PubMed] [Google Scholar]
  30. Havran W. L., Allison J. P. Developmentally ordered appearance of thymocytes expressing different T-cell antigen receptors. Nature. 1988 Sep 29;335(6189):443–445. doi: 10.1038/335443a0. [DOI] [PubMed] [Google Scholar]
  31. Heber-Katz E. The regenerating mouse ear. Semin Cell Dev Biol. 1999 Aug;10(4):415–419. doi: 10.1006/scdb.1999.0328. [DOI] [PubMed] [Google Scholar]
  32. Hopkinson-Woolley J., Hughes D., Gordon S., Martin P. Macrophage recruitment during limb development and wound healing in the embryonic and foetal mouse. J Cell Sci. 1994 May;107(Pt 5):1159–1167. doi: 10.1242/jcs.107.5.1159. [DOI] [PubMed] [Google Scholar]
  33. Inoue T., Kawaguchi S., Kurisu K. Spontaneous regeneration of the pyramidal tract after transection in young rats. Neurosci Lett. 1998 May 15;247(2-3):151–154. doi: 10.1016/s0304-3940(98)00297-3. [DOI] [PubMed] [Google Scholar]
  34. Jackson K. A., Majka S. M., Wang H., Pocius J., Hartley C. J., Majesky M. W., Entman M. L., Michael L. H., Hirschi K. K., Goodell M. A. Regeneration of ischemic cardiac muscle and vascular endothelium by adult stem cells. J Clin Invest. 2001 Jun;107(11):1395–1402. doi: 10.1172/JCI12150. [DOI] [PMC free article] [PubMed] [Google Scholar]
  35. Kench J. A., Russell D. M., Fadok V. A., Young S. K., Worthen G. S., Jones-Carson J., Henson J. E., Henson P. M., Nemazee D. Aberrant wound healing and TGF-beta production in the autoimmune-prone MRL/+ mouse. Clin Immunol. 1999 Sep;92(3):300–310. doi: 10.1006/clim.1999.4754. [DOI] [PubMed] [Google Scholar]
  36. Lee R. T. Matrix metalloproteinase inhibition and the prevention of heart failure. Trends Cardiovasc Med. 2001 Jul;11(5):202–205. doi: 10.1016/s1050-1738(01)00113-x. [DOI] [PubMed] [Google Scholar]
  37. Leferovich J. M., Bedelbaeva K., Samulewicz S., Zhang X. M., Zwas D., Lankford E. B., Heber-Katz E. Heart regeneration in adult MRL mice. Proc Natl Acad Sci U S A. 2001 Aug 7;98(17):9830–9835. doi: 10.1073/pnas.181329398. [DOI] [PMC free article] [PubMed] [Google Scholar]
  38. Leferovich John M., Heber-Katz Ellen. The scarless heart. Semin Cell Dev Biol. 2002 Oct;13(5):327–333. doi: 10.1016/s1084952102000885. [DOI] [PubMed] [Google Scholar]
  39. Lindsey Merry L., Mann Douglas L., Entman Mark L., Spinale Francis G. Extracellular matrix remodeling following myocardial injury. Ann Med. 2003;35(5):316–326. doi: 10.1080/07853890310001285. [DOI] [PubMed] [Google Scholar]
  40. Lo D. C., Allen F., Brockes J. P. Reversal of muscle differentiation during urodele limb regeneration. Proc Natl Acad Sci U S A. 1993 Aug 1;90(15):7230–7234. doi: 10.1073/pnas.90.15.7230. [DOI] [PMC free article] [PubMed] [Google Scholar]
  41. Masinde G. L., Li X., Gu W., Davidson H., Mohan S., Baylink D. J. Identification of wound healing/regeneration quantitative trait loci (QTL) at multiple time points that explain seventy percent of variance in (MRL/MpJ and SJL/J) mice F2 population. Genome Res. 2001 Dec;11(12):2027–2033. doi: 10.1101/gr.203701. [DOI] [PMC free article] [PubMed] [Google Scholar]
  42. Nadal-Ginard B. Commitment, fusion and biochemical differentiation of a myogenic cell line in the absence of DNA synthesis. Cell. 1978 Nov;15(3):855–864. doi: 10.1016/0092-8674(78)90270-2. [DOI] [PubMed] [Google Scholar]
  43. Ohishi K., Fujita N., Morinaga Y., Tsuruo T. H-31 human breast cancer cells stimulate type I collagenase production in osteoblast-like cells and induce bone resorption. Clin Exp Metastasis. 1995 Jul;13(4):287–295. doi: 10.1007/BF00133484. [DOI] [PubMed] [Google Scholar]
  44. Orlic D., Kajstura J., Chimenti S., Jakoniuk I., Anderson S. M., Li B., Pickel J., McKay R., Nadal-Ginard B., Bodine D. M. Bone marrow cells regenerate infarcted myocardium. Nature. 2001 Apr 5;410(6829):701–705. doi: 10.1038/35070587. [DOI] [PubMed] [Google Scholar]
  45. Parks W. C. Matrix metalloproteinases in repair. Wound Repair Regen. 1999 Nov-Dec;7(6):423–432. doi: 10.1046/j.1524-475x.1999.00423.x. [DOI] [PubMed] [Google Scholar]
  46. Peled Ziv M., Phelps Eric D., Updike Dawn L., Chang James, Krummel Thomas M., Howard Eric W., Longaker Michael T. Matrix metalloproteinases and the ontogeny of scarless repair: the other side of the wound healing balance. Plast Reconstr Surg. 2002 Sep 1;110(3):801–811. doi: 10.1097/00006534-200209010-00013. [DOI] [PubMed] [Google Scholar]
  47. Poss Kenneth D., Wilson Lindsay G., Keating Mark T. Heart regeneration in zebrafish. Science. 2002 Dec 13;298(5601):2188–2190. doi: 10.1126/science.1077857. [DOI] [PubMed] [Google Scholar]
  48. Price J., Allen S. Exploring the mechanisms regulating regeneration of deer antlers. Philos Trans R Soc Lond B Biol Sci. 2004 May 29;359(1445):809–822. doi: 10.1098/rstb.2004.1471. [DOI] [PMC free article] [PubMed] [Google Scholar]
  49. Quiñones José L., Rosa Rey, Ruiz Dorcas L., García-Arrarás José E. Extracellular matrix remodeling and metalloproteinase involvement during intestine regeneration in the sea cucumber Holothuria glaberrima. Dev Biol. 2002 Oct 1;250(1):181–197. doi: 10.1006/dbio.2002.0778. [DOI] [PubMed] [Google Scholar]
  50. Seitz Alexander, Aglow Elsa, Heber-Katz Ellen. Recovery from spinal cord injury: a new transection model in the C57Bl/6 mouse. J Neurosci Res. 2002 Feb 1;67(3):337–345. doi: 10.1002/jnr.10098. [DOI] [PubMed] [Google Scholar]
  51. Soonpaa M. H., Field L. J. Survey of studies examining mammalian cardiomyocyte DNA synthesis. Circ Res. 1998 Jul 13;83(1):15–26. doi: 10.1161/01.res.83.1.15. [DOI] [PubMed] [Google Scholar]
  52. Stocum D. L., Crawford K. Use of retinoids to analyze the cellular basis of positional memory in regenerating amphibian limbs. Biochem Cell Biol. 1987 Aug;65(8):750–761. doi: 10.1139/o87-098. [DOI] [PubMed] [Google Scholar]
  53. Stocum D. L. Tissue restoration: approaches and prospects. Wound Repair Regen. 1996 Jan–Mar;4(1):3–15. doi: 10.1046/j.1524-475X.1996.40104.x. [DOI] [PubMed] [Google Scholar]
  54. Tanaka Elly M. Regeneration: if they can do it, why can't we? Cell. 2003 May 30;113(5):559–562. doi: 10.1016/s0092-8674(03)00395-7. [DOI] [PubMed] [Google Scholar]
  55. Taylor Doris A., Hruban Ralph, Rodriguez E. Rene, Goldschmidt-Clermont Pascal J. Cardiac chimerism as a mechanism for self-repair: does it happen and if so to what degree? Circulation. 2002 Jul 2;106(1):2–4. doi: 10.1161/01.cir.0000024386.99599.4a. [DOI] [PubMed] [Google Scholar]
  56. Terada Naohiro, Hamazaki Takashi, Oka Masahiro, Hoki Masanori, Mastalerz Diana M., Nakano Yuka, Meyer Edwin M., Morel Laurence, Petersen Bryon E., Scott Edward W. Bone marrow cells adopt the phenotype of other cells by spontaneous cell fusion. Nature. 2002 Mar 13;416(6880):542–545. doi: 10.1038/nature730. [DOI] [PubMed] [Google Scholar]
  57. Toma Catalin, Pittenger Mark F., Cahill Kevin S., Byrne Barry J., Kessler Paul D. Human mesenchymal stem cells differentiate to a cardiomyocyte phenotype in the adult murine heart. Circulation. 2002 Jan 1;105(1):93–98. doi: 10.1161/hc0102.101442. [DOI] [PubMed] [Google Scholar]
  58. Watanabe-Fukunaga R., Brannan C. I., Copeland N. G., Jenkins N. A., Nagata S. Lymphoproliferation disorder in mice explained by defects in Fas antigen that mediates apoptosis. Nature. 1992 Mar 26;356(6367):314–317. doi: 10.1038/356314a0. [DOI] [PubMed] [Google Scholar]
  59. Watson M. L., Rao J. K., Gilkeson G. S., Ruiz P., Eicher E. M., Pisetsky D. S., Matsuzawa A., Rochelle J. M., Seldin M. F. Genetic analysis of MRL-lpr mice: relationship of the Fas apoptosis gene to disease manifestations and renal disease-modifying loci. J Exp Med. 1992 Dec 1;176(6):1645–1656. doi: 10.1084/jem.176.6.1645. [DOI] [PMC free article] [PubMed] [Google Scholar]
  60. Yang E. V., Bryant S. V. Developmental regulation of a matrix metalloproteinase during regeneration of axolotl appendages. Dev Biol. 1994 Dec;166(2):696–703. doi: 10.1006/dbio.1994.1348. [DOI] [PubMed] [Google Scholar]

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