PT - JOURNAL ARTICLE AU - Archan Chakraborty AU - Nora G. Peterson AU - Juliet S. King AU - Ryan T. Gross AU - Michelle Mendiola Pla AU - Aatish Thennavan AU - Kevin C. Zhou AU - Sophia DeLuca AU - Nenad Bursac AU - Dawn E. Bowles AU - Matthew J. Wolf AU - Donald T. Fox TI - Conserved Chamber-Specific Polyploidy Maintains Heart Function in <em>Drosophila</em> AID - 10.1101/2023.02.10.528086 DP - 2023 Jan 01 TA - bioRxiv PG - 2023.02.10.528086 4099 - http://biorxiv.org/content/early/2023/02/12/2023.02.10.528086.short 4100 - http://biorxiv.org/content/early/2023/02/12/2023.02.10.528086.full AB - Developmentally programmed polyploidy (whole-genome-duplication) of cardiomyocytes is common across evolution. Functions of such polyploidy are essentially unknown. Here, we reveal roles for precise polyploidy levels in cardiac tissue. We highlight a conserved asymmetry in polyploidy level between cardiac chambers in Drosophila larvae and humans. In Drosophila, differential Insulin Receptor (InR) sensitivity leads the heart chamber to reach a higher ploidy/cell size relative to the aorta chamber. Cardiac ploidy-reduced animals exhibit reduced heart chamber size, stroke volume, cardiac output, and acceleration of circulating hemocytes. These Drosophila phenotypes mimic systemic human heart failure. Using human donor hearts, we reveal asymmetry in nuclear volume (ploidy) and insulin signaling between the left ventricle and atrium. Our results identify productive and likely conserved roles for polyploidy in cardiac chambers and suggest precise ploidy levels sculpt many developing tissues. These findings of productive cardiomyocyte polyploidy impact efforts to block developmental polyploidy to improve heart injury recovery.Competing Interest StatementThe authors have declared no competing interest.