When Stiffness Matters: Mechanosensing in Heart Development and Disease
During embryonic morphogenesis, the heart undergoes a complex series of cellular phenotypic maturations (e.g. transition of myocytes from proliferative to quiescent or maturation of the contractile apparatus), and this involves stiffening of the extracellular matrix acting in concert with morphogenetic signals. The maladaptive remodelling of the myocardium, one of the processes involved in determination of heart failure, also involve mechanical cues, with a progressive stiffening of the tissue that produces cellular mechanical damage, inflammation and ultimately myocardial fibrosis.