Humans, like all mammals, possess limited natural ability to efficiently replace lost myocardium with new contractiletissue.Thisdeficiencycontributestoheartfailure,theleadingcauseofmorbidityandmortalityinthe United States. By contrast with mammals, teleost fish spontaneously and robustly regenerate new cardiac tissues after heart injury, representing a useful model for heart repair and regeneration. We are interested to understand how regenerative responses to injury have been optimized in non-mammalian vertebrates like zebrafish,todiscovernewtargetsthatunderlietheregenerativedeficienciesinmammals.Wehaveinvestigated theregenerativebiologyoftwomajoradultcardiactissues:themyocardiumandtheepicardium.Wefoundthat adultzebrafishcanfullyregeneratelostmyocardiumandreversethesignsofheartfailurewithinseveralweeks. Wealsofoundthattheepicardiumisrequiredformyocardialregenerationandvigorouslyregeneratesafter90% lossofitself,withabase-apexdirectionality,thatiscompletedin2weeks.Currently,wearedefiningtheroleof perivascularcellsandthemechanismofcoronaryrevascularizationduringheartregeneration.Themajorhurdle tostudythecoronaryvasculatureisthelackofgenetictoolstospecificallymarkandmanipulateitsmajorcellular components: perivascular cells and coronary endothelial cells. In preliminary studies, we employed deep sequencing,insituhybridizationandBACtransgenictechnologyinsearchfornovelgeneticmarkersspecificfor theseelusivecelltypesandcandidategenesup-regulatedafterheartinjury.Wehaveidentifiedanewtransgenic straintospecificallymarkperivascularcells,andanoveltransgenicstrainspecificallylabelscoronaryvessels. Withbunchofnewtoolsandnewly-modifiedexvivosystemforthisproposal,wefoundthatperivascularcells may provide cellular clues for growing vessels during initial formation of the coronary vascularization and that they rapidly accumulate in the sites of cardiac wounds prior to revascularization and regeneration. In this proposal, we will address central questions about the requirements of perivascular cells for myocardial regenerationandcoronaryrevascularization.Ouroverallhypothesisisthatavigorousperivascularcellresponse iscriticalformyocardialregenerationandcoronaryrevascularization.Totestthishypothesis,wewill:1)define the requirements of perivascular cells during heart regeneration with new methods of depleting perivascular cells,andcharacterizetheregenerativebiologyofperivascularcellswithlineage-tracingexperiments;?2)define the cardiac regenerative responses to the coronary damage with new genetic injury methods, and perform chemicalscreenstoidentifyregulatorsofcoronaryrevascularization;?and3)definetheroleofperivascularcells for guiding vessel growth in coronary revascularization during heart regeneration. Our work will generate paradigm-shifting discoveries in perivascular cell and coronary vascular biology. It will reveal the impact of perivascular cells on heart regeneration and key underlying regulators. These findings will inform approaches forcomprehendingandenhancingthelimitedregenerationdisplayedbyhumansaftermyocardialinfarction(MI).

Public Health Relevance

Wearedefiningrolesofperivascularcellsandmechanismsofcoronaryrevascularizationduringzebrafishheart regeneration,utilizingbunchofnovelgenetictoolsandliveimagingtechniques.Ourworkwillrevealtheimpact ofperivascularcellsonmyocardialregenerationandcoronaryrevascularization,andkeyunderlyingregulators of both processes. These findings will inform approaches for comprehending and enhancing the limited regenerationdisplayedbyhumansaftermyocardialinfarction(MI).

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
High Priority, Short Term Project Award (R56)
Project #
1R56HL142762-01
Application #
9769324
Study Section
Cardiovascular Differentiation and Development Study Section (CDD)
Program Officer
Tjurmina, Olga A
Project Start
2018-09-15
Project End
2019-08-31
Budget Start
2018-09-15
Budget End
2019-08-31
Support Year
1
Fiscal Year
2018
Total Cost
Indirect Cost
Name
Emory University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
066469933
City
Atlanta
State
GA
Country
United States
Zip Code
30322