Monday, August 19, 2019

This new molecule could help improve heart attack recovery

Researchers have developed a new molecule that could help preserve heart tissue during, and even after, a heart attack.

Cardiologists say that when a heart attack occurs, time is muscle, said a researcher.


Without oxygen supplied by blood flow, heart cells die- fast. But while a heart attack may only reduce blood and oxygen to an isolated section of heart cells- causing what's called hypoxic-ischemic injury- those dying cells send signals to their neighbours.


The problem is that the area of dying tissue is not quarantined. Damaged heart cells start to send out signals to otherwise healthy cells, and the injury becomes much bigger, said the researcher.


Scientists sometimes call this spread of injury signals to nearby healthy tissues a bystander effect. But what if there were a way to keep the injury localized to the group of cells that are directly affected by the hypoxic-ischemic injury while allowing the nearby muscle cells to remain intact.


Nearly a decade ago, a researcher stumbled across a promising discovery. The team discovered a compound that targets the activity of channels in cell membranes responsible for controlling key aspects of the bystander effect.


But the compound, called alphaCT1, also had other unexpected and beneficial effects, particularly in relation to skin wound healing.


We found that it helped reduce inflammation, helped heal chronic wounds such as diabetic foot ulcers, he said.


The group designed molecules with slight chemical differences from the parent molecule, which led to an unexpected discovery. One of the alphaCT1 variants- called alpha CT11- showed more potency than the parent molecule.


AlphaCT11 seems to be even more effective than the original peptide in protecting hearts from an ischemic injury similar to those occurring during a heart attack, he said.


The study revealed that alphaCT11 gives a robust injury-reducing effect, even when given 20 minutes after the loss of blood flow that causes ischemic injury. When put to the same test, the parent peptide did not appear to provide a heart-protective effect when administered after ischemic injury.


aplhaCT11 could provide the basis for a new way to treat heart attacks and prevent the spread of damage that occurs immediately after a heart attack, he said.


The researchers perfused isolated laboratory mouse hearts, keeping the organ alive and beating for a number of hours. Ongoing studies, through collaboration with others, will examine how alphaCT11 performs in live mice.


The researcher is also developing new methods for delivering alphaCT11 using naturally-derived tiny lipid droplets called exosomes. These newer experiments could provide a stepping stone toward clinical trials in patients who have suffered a heart attack.

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Thursday, March 19, 2015

New way to regenerate heart tissue found.

In a discovery that may pave the way for regeneration of damaged heart tissue, scientists have successfully stimulated the mouse heart to grow new cells.

Researchers have shown that a subset of RNA molecules, called microRNAs, is important for cardiomyocyte cell proliferation during development and is sufficient to induce proliferation in cardiomyocytes in the adult heart.

The team found that the loss of the microRNA cluster miR302-367 in mice led to decreased cardiomyocyte cell proliferation during development.

In contrast, increased expression of the microRNA cluster in adult hearts led to a reactivation of proliferation in the normally non-reproducing adult cardiomyocytes.

This reactivation occurred, in part, through repression of a pathway called Hippo that governs cell proliferation and organ size.

“The Hippo pathway normally represses cell proliferation when it is turned on,” said Ed Morrisey, from the University of Pennsylvania.

“The cluster miR302-367 targets three of the major kinase components in the Hippo pathway, reducing pathway activity, which allows cardiomyocytes to re-enter the cell cycle and begin to regrow heart muscle. This is a case of repressing a repressor,” he said.

In adult mice, re-expression of the microRNA cluster reactivated the cell cycle in cardiomyocytes, resulting in reduced scar formation after an experimental myocardial infarction injury was induced in the mice.

There was also an increase in the number of heart muscle cells in these same mice.

However, long-term expression of more than several months of the microRNA cluster caused heart muscle cells to de-differentiation and become less functional.

“This suggested to us that persistent reactivation of the cell cycle in adult cardiomyocytes could be harmful and causes the heart to fail,” he said.

The investigators surmised that cardiomyocytes likely need to de-differentiate to divide, but they may lose their ability to contract over time.

“We overcame this limitation by injecting synthetic microRNAs with a short half-life called mimics into the mice,” he says.

Mimic treatment for seven days after cardiac infarction led to the desired increase in cardiomyocyte proliferation and re-growth of new heart muscle, which resulted in decreased fibrosis and improved heart function after injury.

Importantly, the team found that the transient seven-day treatment did not lead to the progressive loss of cardiac function as seen in the genetic models of increased microRNA expression.

The findings appear in the journal Science Translational Medicine.

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