Angiogenesis, Cardiac Hypertrophy and Surgical Ischemia

血管生成、心脏肥大和手术缺血

• 批准号: 7226318
• 负责人: Pedro J. del Nido
• 金额: $ 36.05万
• 依托单位: BOSTON CHILDREN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-04-01 至 2009-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7226318
• 关键词: Address; Age; Blood Circulation; Blood capillaries; Calcium; Cardiac Surgery procedures; Cessation of life; Child; Chronic; Collagen; Common Ventricle; Complex; Condition; Congenital Heart Defects; Congestive Heart Failure; Deposition; Development; Dilatation - action; Equilibrium; Extracellular Matrix; Failure; Functional disorder; Growth; Heart Hypertrophy; Heart failure; Hypertrophy; Hypoxia; Hypoxia Inducible Factor; Infant; Intervention; Ischemia; Life; Methodology; Mitochondria; Modeling; Muscle Cells; Myocardial; Myocardial dysfunction; Myocardium; Neonatal; Numbers; Operative Surgical Procedures; Oryctolagus cuniculus; Pathological Dilatation; Pulmonary Circulation; Regulation; Research; Research Personnel; Risk; Role; Signal Transduction; Staging; Stimulus; Surgeon; Testing; Therapeutic; Therapeutic Effect; Tissues; Up-Regulation; Ventricular; Ventricular Function; Week; Workload; angiogenesis; base; capillary; day; density; improved; mitochondrial dysfunction; pressure; prevent; research study; response; technique development; ventricular hypertrophy

DESCRIPTION (provided by applicant): In infants and children with congenital heart defects, myocardial hypertrophy in response to chronic pressure or volume overload remains one of the most common causes of heart failure. Despite surgical advances, a chronic high workload state is a common problem seen in management of congenital heart defects and often results in contractile dysfunction and poor tolerance to ischemia imposed by cardiac surgery. To further investigate mechanisms responsible for progression of compensated hypertrophy to decompensated with ventricular dilatation and failure, we have developed a model of pressure-overload hypertrophy from aortic banding of rabbits at 10 days of age, where ventricular hypertrophy progresses from compensated to severe hypertrophy, followed by ventricular dilatation and failure over a 7-8 week period. Concomitant with these changes there is a decline in microvascular density in severe hypertrophy, with impaired substrate delivery and mitochondrial oxidative capacity. We hypothesize that in pressure-overload hypertrophy, the stimulus for myocyte hypertrophy does not result in a concomitant trigger for capillary growth leading to an imbalance of substrate demand to supply. Furthermore, we postulate that activity of hypoxia inducible factor (HIF), the main regulator of adaptive changes to hypoxia in tissues, decreases as hypertrophy progresses to failure. We also postulate that interventions that activate/upregulate HIF will promote capillary growth in pressure-overload hypertrophy and will maintain the normal balance between substrate supply and demand. To test this hypothesis we will pursue two interrelated aims: aim i. determine the activity/expression of hif-1 o_in hypertrophied heart and effects of therapeutic hif activation/upregulation on microvascular density. aim ii - determine the role of mitochondrial dysfunction in regulation of hif- 1a signaling in the hypertrophied myocardium. these studies will provide an improved understanding of the mechanism responsible for the development of heart failure in pressure-overload hypertrophy and will evaluate therapeutic strategies to prevent the onset of failure and improve tolerance to ischemia in hypertrophied myocardium.

描述（由申请人提供）：