O complexo da esclerose tuberosa (TSC) é um transtorno clínico, com expressividade variável, caracterizado por hamartomas que podem ocorrer em diferentes órgãos. Tem herança autossômica dominante e é devido a mutações em um de dois genes supressores de tumor, TSC1 ou TSC2. Estes codificam para as proteínas hamartina e tuberina, respectivamente, que se associam formando um complexo macromolecular que regula funções como proliferação, diferenciação, crescimento e migração celular. As lesões cerebrais podem ser muito graves em pacientes com TSC e caracterizam-se por nódulos subependimários (SEN), astrocitomas subependimários de células gigantes (SEGA), tuberosidades corticais e heterotopias neuronais, podendo relacionar-se clinicamente à epilepsia refratária à terapia medicamentosa, deficiência intelectual, desordens do comportamento e hidrocefalia. O potencial de crescimento de SEGA até os 21 anos de idade dos pacientes exige acompanhamento periódico por exame de imagem e condutas clínicas ou cirúrgicas, conforme indicação médica. As lesões subependimárias têm sido explicadas por déficits de controle da proliferação, crescimento e diferenciação de precursores neuro-gliais na zona subventricular telencefálica. Embora a capacidade da tuberina em inibir a proliferação celular pela repressão do alvo da rapamicina em mamíferos (mTOR) esteja bem documentada, outros aspectos celulares do desenvolvimento de SEGA ainda não foram examinados. Assim, é importante estabelecer um sistema in vitro para o estudo de células da zona subventricular e testá-lo na análise das proteínas hamartina e tuberina. Neste sentido, o cultivo de neuroesferas em suspensão é muito apropriado. Neste estudo, buscamos relacionar a expressão e distribuição subcelular da hamartina e tuberina à capacidade proliferativa e de diferenciação das células de neuroesferas cultivadas in vitro a partir da dissociação da vesícula telencefálica de embriões de ratos normais. Analisamos a expressão e distribuição subcelular da hamartina e tuberina por imunofluorescência indireta em células entre a primeira e a quarta passagens das neuroesferas, sincronizadas nas fases G1 ou S do ciclo celular e após a reentrada no ciclo celular, através da incorporação de 5-bromo-2\'-desoxiuridina (BrdU) e imunofluorescência com anticorpo anti-BrdU. Em geral, células de neuroesferas apresentaram baixa colocalização entre hamartina e tuberina in vitro. A expressão da tuberina foi elevada em basicamente todas as células das esferas e fases do ciclo celular; ao contrário, a hamartina apresentou-se principalmente nas células da periferia das esferas. A colocalização entre hamartina e tuberina foi observada em células mais periféricas das esferas, sobretudo no citoplasma e, em G1, no núcleo celular. A proteína rheb, que conhecidamente interage diretamente com a tuberina, apresentou distribuição subcelular muito semelhante à desta. Ao carenciamento das células visando à parada do ciclo celular na transição G1/S, tuberina distribuiu-se ao núcleo celular em quase todas as células avaliadas e, de forma menos frequente, a hamartina também. À reentrada no ciclo celular pelo reacréscimo dos fatores de crescimento, avaliaram-se células com incorporação de BrdU ao seu núcleo celular, após 72 e 96 horas. Nestas, tuberina mostrou-se novamente no citoplasma de forma preponderante e hamartina manteve-se citoplasmática, em geral subjacente à membrana plasmática, em níveis mais baixos. Os grupos cujas células reciclaram por 72 ou 96 horas diferiram quanto ao aumento significativo da expressão da hamartina em células proliferativas no último. À diferenciação neuronal, aumentaram-se os níveis de expressão de hamartina observáveis à imunofluorescência indireta, tornando-se equivalentes àqueles da tuberina. Concluímos que as células de neuroesferas cultivadas em suspensão apresentam-se como um sistema apropriado ao estudo da distribuição das proteínas hamartina e tuberina e sua relação com o ciclo celular / The tuberous sclerosis complex (TSC) is a clinical disorder with variable expressivity, characterized by hamartomas that can occur in different organs. It has autosomal dominant inheritance and is due to mutations in one of two tumor suppressor genes, TSC1 or TSC2. These encode for the proteins hamartin and tuberin, respectively, which are associated in a macromolecular complex which functions as a regulator of cell proliferation, differentiation, growth and migration. TSC brain lesions may be severe and are characterized by subependymal nodules (SEN), subependymal giant cell astrocytomas (SEGA), neuronal heterotopias and cortical tubers, and may be clinically related to refractory epilepsy, intellectual disability, behavioral disorders and hydrocephaly. The growth potential of SEGA up to 21 years of age in TSC patients requires regular monitoring by imaging. Clinical and surgical interventions may be medically indicated. Subependymal lesions have been explained by deficient control of proliferation, growth and differentiation of neuro-glial progenitors from the telencephalic subventricular zone. While tuberin ability to inhibit cell proliferation by repressing the mammalian target of rapamycin (mTOR) has been well documented, other cell aspects of SEGA development have not been thoroughly examined. Therefore, it is important to establish conditions for an in vitro system to study the cells from the subventricular zone and to test its suitability for the study of the TSC proteins. In this regard, the neurosphere suspension culture is very appropriate. We evaluated the expression and subcellular distribution of hamartin and tuberin in relation to the proliferation and differentiation capability of neurosphere cells derived in vitro from the dissociation of the telencephalic vesicle of normal E14 rat embryos. These analyses were performed by indirect immunofluorescence in cells from first through fourth passages of neurospheres, synchronized in G1 or S phases of the cell cycle, and after reentry into the cell cycle by the addition of 5-brome-2\'-desoxyuridine (BrdU) and immunolabeling with anti-BrdU antibody. In general, neurosphere cells presented low colocalization between hamartin and tuberin in vitro. Tuberin expression was relatively high in basically all neurosphere cells and cell cycle phases, whereas hamartin distributed mainly to cells from the periphery of the spheres. In these cells, hamartin and tuberin colocalization was evident mostly in the cytoplasm and, in G1, also in the cell nucleus. Rheb, which is known to interact directly with tuberin, had subcellular distribution very similar to tuberin. Cell starvation indicating cell cycle arrest at G1/S redistributed tuberin to the cell nucleus in virtually all cells examined, what was accompanied by nuclear location of hamartin in a small subset of cells. When cells were allowed to reenter cell cycle by adding growth factors, we evaluated BrdU-labeled nuclei 72 and 96 hours later. In the two groups, tuberin was shown to move back to the cytoplasm as well as hamartin, which apparently maintained its lower expression levels distribution underneath the plasma membrane. Group of cells that recycled for 96 hours had significantly more expression of hamartin than those cells that cycled for only 72 hours. After neuronal differentiation, hamartin expression levels observed by immunofluorescence were similar to those of tuberin. We conclude that neurosphere cells cultured in suspension showed to be an appropriate cell system to study hamartin and tuberin distribution in respect to the cell cycle

Textbook accounts of vertebrate embryonic development have been based largely upon experiments on amphibian embryos, which have shown that the tissues of the trunk and tail are organised from distinct precursors that existed during gastrulation. In the mouse and chick, however, retrospective clonal analyses and transplantation experiments have demonstrated that the amniote body instead arises progressively from a population of axial precursors that are common to both the neural and mesodermal tissues of the trunk and tail. For this reason, they are known as neuro-mesodermal progenitors (NMps). Detailed studies of NMps have been precluded by their lack of a unique gene expression profile and the technical difficulties associated with isolating them from the embryo. Mouse embryonic stem cells (ESCs) provide the possibility of instead deriving them in vitro. ESCs have been used to model developmental processes, partly through large cellular aggregates known as embryoid bodies. These structures do not, however, resemble the axial organisation of the embryo and they develop in a disordered manner. This thesis presents a novel culture system of small, three-dimensional aggregates of ESCs (gastruloids) that can recreate the events of early post-implantation development, including axial elongation. Gastruloids are the first ESC-based model for axial elongation morphogenesis; this body of work characterises their development and identifies a candidate population of NMps within their elongating tissues. Additionally, this work establishes a xenotransplantation assay for testing the functional properties of in vitro-derived NMp populations in the chicken embryo and applies it to NMps from gastruloid cultures. The results of this assay show that gastruloids are a credible source of NMps in vitro and therefore offer a new experimental means to interrogate their properties. The use of gastruloids to recreate embryonic development has implications for basic research as a synthetic system and for the therapeutic derivation of other embryonic progenitors through bioengineering.

Pulmonary arterial hypertension (PAH) is a group of diseases characterized by avascular obstruction leading to a progressive increase of the resistances in the pulmonary blood flow. The recent progress in the understanding of mechanisms at the origin of this disease underlines the role of extrapulmonary cells, such as circulating stem cells and bone marrow-derived progenitor cells in vascular remodeling and in PAH development. In this thesis we have shown implication of the progenitor cells and chemotactic axis in the vascular remodeling in human and experimental PAH. This work could help to develop new therapies allowing more specific and more effective treatments leading to improved survival of PAH patients. / L’hypertension artérielle pulmonaire (HTAP) est un groupe de maladies qui se caractérise par une obstruction vasculaire conduisant à une augmentation progressive des résistances à l’écoulement sanguin. Le remodelage vasculaire qui implique toutes les couches de la paroi du vaisseau est considéré comme un élément clé dans la pathogenèse de l'HTAP. Les progrès récents dans la compréhension des mécanismes à l'origine de cette maladie soulignent le rôle de cellules extrapulmonaires, telles que des cellules souches circulantes et des progéniteurs dérivés de la moelle osseuse, dans le remodelage vasculaire et dans le développement de l’HTAP. Les thérapeutiques ciblées sur la dysfonction endothéliale ne permettent pas à l'heure actuelle de guérir cette maladie, il est donc nécessaire d’identifier d'autres mécanismes physiopathologiques permettant de développer de nouvelles stratégies thérapeutiques. C’est pourquoi nous avons exploré l’implication des cellules progénitrices et des signaux chimiotactiques dans le remodelage vasculaire au cours de l’HTAP humaine et expérimentale. Nous avons mis en évidence un recrutement de cellules c-kit+ (incluant des progéniteurs et des mastocytes) ainsi que l’expansion de vasa vasorum dans les poumons des patients atteints d’HTAP. Grâce à l’utilisation du modèle expérimentale d’HTAP induit par l’hypoxie chez la souris, nous avons montré le rôle central de la chimiokine CXCL12 et de ses deux récepteurs CXCR4 et CXCR7 dans le recrutement des progéniteurs c-kit+. Le traitement combiné par les antagonistes AMD3100 et CCX771, grâce à leurs actions synergiques, inhibe le remodelage vasculaire pulmonaire, l’hypertrophie cardiaque droite, ainsi que le recrutement des progéniteurs c-kit+, induits par l’hypoxie. Par ailleurs, le blocage de c-kit par l’imatinib améliore également les paramètres d’hémodynamique et diminue le recrutement périvasculaire des cellules c-kit+, probablement en inhibant leurs expansion dans la moelle osseuse. Nous avons également mis en évidence une altération d’une population de progéniteurs mésenchymateux d’origine hématopoïétique, appelés fibrocytes, dans le sang des patients souffrant d’HTAP.Ce travail pourrait contribuer à développer des actions thérapeutiques ciblées permettant la mise en place de traitements à la fois plus spécifiques et plus efficaces susceptibles d’améliorer la survie des patients HTAP.

In this thesis, we will give our discovery of original symmetric presentations of several important groups. We have investigated permutation and monomial progenitors 2*8: (23: 22), 2*9: (32: 24), 2*10: (24: (2 × 5)), 5*4:m (23: 22), 7*8:m (32: 24), and 3*5:m (24: (2 × 5)). The finite images of the above progenitors include the Mathieu sporadic group M12, the linear groups L2(8) and L2(13), and the extensions S6 × 2, 28 : .L2(8) , and 27 : .A5. We will show our construction of the four groups S3 , L2(8), L2(13), and S6 × 2 over S3, 22, S3 : 2, and S5, by using the technique of double coset enumeration. We will also provide isomorphism types all of the groups that have appeared as finite homomorphic images. We will show that the group L2(8) does not satisfy the conditions of Iwasawas Lemma and that the group L2(13) is simple by Iwasawas Lemma. We give constructions of M22 × 2 and M22 as homomorphic images of the progenitor S6.

When a multicellular organism suffers damages to tissues/organs it heals itself by either substituting the lost cellular matrix by scar formation or by regenerating the lost tissue. Regeneration likely occurs by a recapitulation of the developmental process that formed the organ. Many processes regulating organ development are based on epithelial-mesenchymal interactions and a strict control of organ specific stem/progenitor cells. Elucidation of the molecular basis of these processes is therefore vital in order to develop novel therapies in regenerative medicine. The LIM homebox gene Lhx2 is interesting in this context since Lhx2 has been shown to be important for the formation of several organs by regulating epithelial-mesenchymal interactions and progenitor cell function. Targeted inactivation of Lhx2 leads to a lethal anemia due to malformed liver and severe neural abnormalities such as hypoplasia of the forebrain and anophtalmia. Thus, elucidation of the mechanisms of the function of Lhx2 in different organ systems would give important insights into the molecular mechanisms regulating epithelial-mesenchymal interactions and stem/progenitor cell function. To elucidate the function of Lhx2 in the hematopoietic system Lhx2 was initially expressed in hematopoietic progenitor cells derived from ES cells differentiated in vitro using retroviral vectors. This approach led to the generation of hematopoietic stem cell (HSC)-like cell lines suggesting that Lhx2 could impact HSC function. However neither the specificity nor the efficiency of the Lhx2-induced phenotype could be determined using this approach. To be able to elucidate the function of Lhx2 in the hematopoietic system, an ES cell line with inducible Lhx2 expression was generated. Lhx2 expression induces self-renewal of a distinct hematopoietic progenitor cell from which HSC-like cell lines were established. Down-regulation of Lhx2 in these HSC-like cell lines leads to a rapid loss of stem cell character, providing a good model to study the molecular function of Lhx2 in hematopoietic stem/progenitor cells. A global gene expression analysis was performed comparing the Lhx2+ stem cell population to the Lhx2- differentiated progeny. This approach identified genes putatively linked to self-renewal/differentiation of HSCs. A considerable proportion of the genes showed an overlapping gene expression pattern with Lhx2 expression in tissue of non-hematopoietic origin suggesting that Lhx2 function in stem/progenitor cells partly overlap with Lhx2 function during organ development. In order to define other Lhx2-dependent progenitor cell populations and to generate a tool to analyze the function of Lhx2 in organ development a new transgenic mouse model was generated. By using a specific part of the Lhx2 promoter to drive expression of Cre recombinase in vivo (Lhx2-Cre mice) we have been able to define the first eye committed progenitor cells in the forebrain. By using the Lhx2-Cre mice it will be possible to distinguish the function of genes during eye development from their function in the patterning of the forebrain e.g. the eye field transcription factors. Conditional inactivation of Lhx2 in these eye specific progenitor cells causes an immediate developmental arrest. The transgene is also active in Lhx2-/- embryonic forebrain, but re-expression of Lhx2 in Lhx2-/- progenitor cells only promote formation of retinal pigment epithelium cells. Analysis of genes expressed by the Lhx2+ stem cell population allowed us to define novel genes putatively linked to Lhx2 function in eye development. Thus, we have defined the progenitor cells in the forebrain committed to eye development and the expansion and patterning of these progenitors are dependent on Lhx2. Although commitment to eye development is Lhx2-independent, Lhx2 might be important for the acquisition of the oligopotent fate of these progenitor cells.

Recentment ha estat demostrada l’existència de cèl.lules progenitores en el greix que envolta el cor. Aquesta nova font cel!lular ha esdevingut una bona alternativa per a regenerar el miocardi infartat. Per aquest motiu, és possible que posant en contacte el teixit adipós cardíac en forma de biomembrana amb la zona infartada es pugui limitar l’extensió de l’infart de miocardi. Els objectius de la present tesi són: 1) Generar els perfils genètics de l’evolució de l’IM en el model porcí. 2) Determinar l’existència de cèl.lules mesenquimals al teixit adipós d’origen pericardíac i caracteritzar-les. 3) Avaluar l’efecte de la transposició d’un pedicle adipós pericardíac vascularitzat sobre: a. l’IAM en el model porcí per a valorar els possibles efectes beneficiosos sobre la mida de l’infart i la funció ventricular. b. l’ICM en el model porcí per a valorar els possibles efectes beneficiosos sobre la mida de l’infart i la funció ventricular.

Cardiovascular diseases are the leading cause of death throughout the world and various estimates predict that heart disease will remain the number one killer in the world. Pharmacotherapies have not shown significant long term survival benefits to the patients, therefore alternate therapeutic strategies such as bioactive agent delivery and cell therapy based approaches are being investigated. One of the major causes of heart failure is the disease progression after an ischemic event and any successful therapy will be needed over the course of several days/weeks. Oxidative stress is greatly increased in the myocardium following infarction. This plays a significant role in cardiac disease progression and it has also been implicated in the failure of implanted cell therapy. Therefore, reducing oxidative stress in damaged tissue using antioxidants may have broad clinical implications for both the treatment of cardiac dysfunction and for cardiac regeneration applications. This dissertation work examines the effect of sustained delivery of endogenous antioxidant superoxide dismutase (SOD) to the rat myocardium following ischemia/reperfusion (IR) using polyketal polymers as drug carriers. The second major objective of this dissertation is to examine the effects of oxidative stress on cardiac progenitor cells - a promising endogenous adult stem cell in cardiac cell therapy applications

Gastrulation leads to the formation of the embryonic germ layers, ectoderm, mesoderm and endoderm, and is the first key morphogenetic process that occurs in development. Gastrulation provides a unique developmental assay system in which to study cellular movements and rearrangements in vivo. The different cell movements occurring during gastrulation take place in a highly coordinated spatial and temporal manner, indicating that they must be controlled by a complex interplay of morphogenetic and inductive events. Generally, cell movement constitutes a highly integrated program of different cellular behaviors including sensing, polarization, cytoskeletal reorganization, and changes in adhesion and cell shape. During migration, these different behaviors require a continuous regulation and feedback control to direct and coordinate them. In this work, we analyze the cellular and molecular mechanisms underlying the different types of cell behaviors during gastrulation in zebrafish. Specifically, we focus on the role of the adhesive and mechanical properties of germ layer progenitors in the regulation of gastrulation movements. In the first part of the project, we investigated the role of the adhesive and mechanical properties of the different germ layer progenitor cell types for germ layer separation and stratification. In the second part of this study, we applied the same methodology to determine the function of germ layer progenitor cell adhesion in collective cell migration. Tissue organization is thought to depend on the adhesive and mechanical properties of the constituent cells. However, it has been difficult to determine the precise contribution of these different properties due to the lack of tools to measure them. Here we use atomic force microscopy (AFM) to quantify the adhesive and mechanical properties of the different germ layer progenitor cell types. Applying this methodology, we demonstrate that mesoderm and endoderm progenitors are more adhesive than ectoderm cells and that E-cadherin is the main adhesion molecule regulating this differential adhesion. In contrast, ectoderm progenitors exhibit a higher actomyosin-dependent cell cortex tension than mesoderm and endoderm progenitors. Combining these data with tissue self-assembly in vitro and in vivo, we provide evidence that the combinatorial activities of cell adhesion and cell cortex tension direct germ layer separation and stratification. It has been hypothesized that the directionality of cell movement during collective migration results from a collective property. Using a single cell transplantation assay, we show that individual progenitor cells are capable of normal directed migration when moving as single cells, but require cell-cell adhesion to participate in coordinated and directed migration when moving collectively. These findings contribute to the understanding of the gastrulation process. Cell-cell adhesion is required for collective germ layer progenitor cell migration, and cell cortex tension is critical for germ layer separation and stratification. However, many questions still have to be solved. Future studies will have to explore the interaction between the adhesive and mechanical progenitor cell properties, as well as the role of these properties for cell protrusion formation, cell polarization, interaction with extracellular matrix, and their regulation by different signaling pathways.

Η δημιουργία του εγκεφαλικού φλοιού στηρίζεται στη διαδοχική εμφάνιση πληθυσμών προγονικών νευρώνων, οι οποίοι δίνουν γένεση σε νευρικά και γλοιακά κύτταρα. Κατά την νευρογένεση όλοι οι νευρώνες του εγκεφαλικού φλοιού προέρχονται από το νευροεπιθήλιο που βρίσκεται δίπλα από τις πλευρικές κοιλίες. Τα νευροεπιθηλιακά κύτταρα αρχικά διαιρούνται με σκοπό την δημιουργία ικανού αριθμού πρόδρομων κυττάρων που θα δώσουν γένεση στον αναπτυσσόμενο φλοιό. Αργότερα, τα κύτταρα αυτά, διαφοροποιούνται προς τις άλλες κατηγορίες πρόδρομων κυττάρων και προς τους διαφοροποιημένους νευρώνες. Η πρωτεΐνη Geminin έχει προταθεί ως ένα μόριο που ρυθμίζει τόσο τον κυτταρικό πολλαπλασιασμό όσο και την κυτταρική διαφοροποίηση. Προκειμένου να διερευνηθεί ο ρόλος της πρωτεΐνης Geminin in vivo στη δημιουργία νευρώνων, πραγματοποιήθηκαν πειράματα υπερέκφρασης της Geminin στον αναπτυσσόμενο εγκεφαλικό φλοιό του μυός κατά την Ε14.5 dpc. Τα αποτελέσματα της παρούσας εργασίας δείχνουν ότι η υπερέκφραση της Geminin οδηγεί στην αύξηση του αριθμού των κυττάρων της ανώτερης στοιβάδας και μείωση του αριθμού των κυττάρων της κατώτερης στοιβάδας. Συνοψίζοντας, τα αποτελέσματά μας προτείνουν ότι η Geminin συμμετέχει στη ρύθμιση του πληθυσμού των φλοιϊκών νευρώνων. / Cortical development is a highly ordered process, involving the timely orchestration of the appearance of different neural progenitor lineages, which succeed one another in order to generate the neurons and glia comprising the cortex.During neurogenesis, the cortical neurons are originated from the neuroepithelium that lies next to the lateral vesicles. At the beginning, neuroepithelial cells divide in order to expand their population and to create the number of progenitor cells that would give rise to the neurons and glia that comprise the cortex. Geminin has been shown to regulate cell proliferation, fate determination and organogenesis, representing a potential link between these processes. In order to investigate the in vivo role of Geminin in the creation of the cortical neurons, we performed overexpression experiments with of Geminin in the developing mouse cortex. Our results indicate that overexpression of Geminin in the developing cerebral cortex increases the number of the upper layer cells and reduces the number of the deep layer cells at E14.5 dpc. Our work suggests that Geminin is a molecule that participates in the regulation of the correct number of cortical progenitors and neurons in the cerebral cortex.

Nos études ont démontrées que la formation de la cicatrice et la guérison sont associées avec l’apparition de cellules de type myocytes cardiaques nestine(+) dans la région péri-infarcie. Présentement, l’étude examine le mécanisme, tel que l’hypoxie ou les hormones neuronales, possiblement impliqué dans leur recrutement et de dévoiler leur origine cellulaire. La présence de ces cellules a été détectée dans les coeurs infarcies d’une semaine et maintenue après neuf mois suite à une sujétion coronaire complète. Aussi, ces cellules de type myocytes cardiaques nestine(+) ont été observées dans le coeur infarci humain. L’hypoxie représente un événement prédominant suite à un infarctus de myocarde, mais l’exposition des rats normaux à un environnement hypoxique n’a pas pu promouvoir l’apparition de ces cellules. Autrement, l’infusion de l’agoniste -adrénergique non-sélectif isoprotérénol (ISO) dans les rats adultes Sprague-Dawley a augmenté la protéine nestine dans le ventricule gauche et a été associé avec la réapparition de cellules de type myocytes cardiaques nestine(+). Cela représente possiblement un effet secondaire suite à la nécrose des myocytes cardiaques par l’administration d’isoprotérénol. Dernièrement, on a identifié une sous-population de cellules nestine(+) dans le coeur normal du rat qui co-exprime les marqueurs de cellules cardiaques progénitrices Nkx-2.5 et GATA-4. Cette sous-population de cellules nestine/Nkx-2.5/GATA-4 pourrait représenter des substrats cellulaires qui puissent se différentier en cellules de type myocytes cardiaques nestine(+) suite à une ischémie. Mots clés: nestine, isoprotérénol, nécrose, cellule souche, cellule progénitrice, myocyte cardiaque / Studies from our lab demonstrated that scar formation and healing was associated with the appearance of nestin(+) cardiac myocyte-like cells predominantly at the peri-infarct region. The focus of the present study was to identify the underlying mechanism(s) (e.g. hypoxia, neurohormones) implicated in their recruitment and their cellular origin. The presence of these cells was detected as early as 1-week post-myocardial infarction (MI) and persisted 9 months after complete coronary artery ligation. Furthermore, nestin(+) cardiac myocyte-like cells were also detected in the infarcted human heart. Hypoxia represents a predominant stimulus following MI, however the exposure of normal rats to a hypoxic environment failed to promote the re-appearance of nestin(+) cardiac myocyte-like cells. By contrast, the infusion of the non-selective -adrenergic agonist isoproterenol (ISO) in the normal adult Sprague-Dawley rat increased nestin expression in the left ventricle and was associated with the reappearance of nestin(+) cardiac myocyte-like cells. However, the reappearance of nestin(+) cardiac myocyte-like cells may not represent a direct effect but was apparently secondary to cardiac myocyte necrosis mediated by isoproterenol. Lastly, we identified a subpopulation of nestin-immunoreactive cells in the normal rat heart that coexpressed cardiac progenitor cell markers Nkx-2.5 and GATA-4. This subpopulation of nestin/Nkx-2.5/GATA-4 cells may represent the progenitor pool that differentiates to a nestin(+) cardiac myocyte-like cell following an ischemic insult. Key words: nestin, isoproterenol, cardiac myocyte, cardiac progenitor, necrosis