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REVIEW article

Front. Cell Dev. Biol.

Sec. Molecular and Cellular Pathology

Volume 13 - 2025 | doi: 10.3389/fcell.2025.1655878

This article is part of the Research TopicElucidating the Role of Calcium Signaling in Cardiac DisordersView all 3 articles

Epicardium-Myocardium Crosstalk Orchestrates Heart Development

Provisionally accepted
Anika  NusratAnika NusratMingfu  WuMingfu Wu*
  • University of Houston, Houston, United States

The final, formatted version of the article will be published soon.

The epicardium is critical in heart development, functioning as a paracrine signaling hub and a source of progenitor cells. Bidirectional communication between the epicardium and myocardium, mediated by tightly regulated signaling networks, is essential for proper cardiac morphogenesis. This review presents a comprehensive overview of epicardium-myocardium crosstalk across species, emphasizing how this crosstalk influences epicardial epithelial-to-mesenchymal transition (EMT), fate specification of epicardium-derived cells (EPDCs), myocardial proliferation & growth, and coronary vasculature development. We critically assess decades of research elucidating key pathways—retinoic acid, fibroblast growth factor (Fgf), insulin-like growth factor (Igf), platelet-derived growth factor (Pdgf), transforming growth factor-β (Tgfβ), various transcriptional and epigenetic regulators, as well as calcium signaling mediated epicardial function—that coordinate these developmental processes. Additionally, we include detailed tables summarizing key experimental models and mechanistic insights that have shaped the field. This integrative analysis advances our current understanding of epicardial-myocardial crosstalk and highlights unresolved questions to guide future investigations into cardiac development and disease.

Keywords: Epicardium, Myocardium, crosstalk, Morphogenesis, development

Received: 28 Jun 2025; Accepted: 10 Sep 2025.

Copyright: © 2025 Nusrat and Wu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Mingfu Wu, University of Houston, Houston, United States

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