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Molecular Biology Research Highlights

Dr. Y. Joseph Woo’s National Institutes of Health and American Heart Association funded laboratory is studying methods to harness endogenous myocardial repair systems to treat the injured heart. The following are among the novel myocardial repair strategies under active investigation in Dr. Woo’s laboratory:

Endothrlial Progenitor Stem Cell Mobilization
The laboratory is focusing on mobilizing endothelial progenitor stem cells to produce microvascular angiogenesis and restore blood flow to the heart. Figure 1 depicts microvascular angiograms from animal studies, including a control heart and a heart from an animal that received a bone marrow stimulant and an endothelial progenitor stem cell chemokine.

Figure 1
Figure 1


Figure 1 – Immunohistochemical labeling of newly formed blood vessels, demonstrating the angiogenic potential of enhanced endothelial progenitor cell migration to compromised, ischemic myocardium (J Thor Cardiovasc Surg 2005, 130:321-329)

The treatment heart subsequently developed robust microvasculature perfusion in the ischemic myocardium. In many respects, this novel technique functions as a “molecular coronary bypass graft.”

Cell-Cycle Regulator Protein Expression
Dr. Woo’s laboratory has developed another approach to repairing the injured heart based upon triggering heart cells to regenerate by expressing the cell-cycle regulator protein cyclin A2. Unique in its control at two major transitions of the cell cycle, A2 is the only cyclin that is completely silenced after birth in mice, rats and humans. Using cyclin A2 expression via gene transfer to induce cardiomyocyte cell cycle activation yields improved myocardial function.

This strategy essentially tricks the heart into regrowing itself. Figure 2 shows a cardiac cell stimulated to undergo mitosis and regenerate itself, a process normally occurring only during fetal development.

Figure 2
Figure 2

Figure 3a     Figure 3b
Figure 3a                                      Figure 3b


Figure 2 – Regenerating cardiac muscle cells

Figure 3 – Shows echocardiograms of rat hearts demonstrating improved function of the cyclin expression

A) Control heart in systole
B) Cyclin treated heart in systole demonstrating markedly improved cardiac function

 


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