Targeting mTOR regulation of T-lymphocytes and fibroblasts in Laryngotracheal Stenosis
Targeting mTOR regulation of T-lymphocytes and fibroblasts in Laryngotracheal Stenosis
批准号:
10613459
负责人:
Alexander Hillel
金额:
$71.11万
依托单位:
依托单位国家:
美国
项目类别:
财政年份:
2020
资助国家:
美国
项目状态:
未结题
起止时间:
2020-05-01 至 2025-04-30
关键词:
Airway DiseaseAttenuatedAutologousBiocompatible MaterialsBiological ModelsBreathingCD4 Positive T LymphocytesCell CommunicationCellsChronic DiseaseChronic Obstructive Pulmonary DiseaseCicatrixClinical TrialsCoculture TechniquesCollaborationsCollagenCommunication DisabilityCoronaryDataDedicationsDevelopmentDiabetes MellitusDiseaseDysphoniaEngineeringFDA approvedFOXP3 geneFRAP1 geneFacultyFibroblastsFibrosisFlow CytometryFundingGene ExpressionHead and Neck SurgeryHistopathologyHomeostasisHumanIatrogenesisImmuneIn VitroIndividualIntubationLaboratoriesLaryngeal DiseasesLarynxMediatingMedicalMetabolicMetabolismMethodsMusNational Institute on Deafness and Other Communication DisordersOtolaryngologyPathogenesisPathologicPathologic ProcessesPatient ParticipationPatientsPersonsPharmaceutical PreparationsPhenotypePilot ProjectsPopulationProliferatingRegenerative MedicineRegulationRegulatory T-LymphocyteResearchResearch PersonnelResearch Project GrantsRoleScientistSirolimusSiteSortingSpecimenStenosisStentsSurgical ManagementT cell differentiationT-LymphocyteT-Lymphocyte SubsetsTechniquesTestingTherapeutic EffectTracheaTracheostomy procedureTubeValidationWorkairway obstructioncell growthclinical practicecostcytokinedesigndruggable targetefficacy evaluationimprovedin vivoin vivo ModelmTOR InhibitormTOR inhibitionmTOR proteinmedical schoolsmembermortalitymouse modelnovelnovel strategiesnovel therapeuticspre-clinicalpreventrestenosisside effectsingle cell mRNA sequencingsingle cell sequencingtranslation to humanswound healing
中文摘要
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英文摘要
Dr. Alexander Hillel is a faculty member in the Department of Otolaryngology-Head & Neck
Surgery at the Johns Hopkins School of Medicine where his clinical practice is dedicated to the
medical and surgical management of laryngotracheal stenosis. With the support of a R01
Research Project Grant, he seeks to better understand mechanisms of laryngotracheal stenosis
(LTS) and apply regenerative medicine techniques to its treatment. Specifically, Dr. Hillel will be
focusing on the mTOR mechanism and targeted inhibition of mTOR as a novel approach to
treating LTS in vitro on human LTS-scar fibroblasts and in vivo in a validated mouse model of
LTS. This proposal will study the mechanism of how mTOR suppression works on the
pathologic T-cell and fibroblast subsets that are critical to the development of iLTS. It also will
study how the dysregulated T-cell subsets interact with healthy and diseased fibroblasts to
understand the pathogenesis of this devastating disease. Finally, the proposal will test a novel
drug eluting stent to deliver mTOR suppression directly to the site of disease in the larynx and
trachea to target diseased T-cells and fibroblasts without side effects of systemic mTOR
inhibition. Through a combination of in vitro and in vivo modeling, participation from patients with
iLTS, and a novel biomaterials approach, the investigator team is uniquely poised to transform
our understanding and treatment of LTS. Preclinical validation of mTOR inhibition as a
treatment for LTS is a critical step prior to translation to human studies.
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依托单位:
海外基金