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MCARD-mediated gene transfer of GRK2 inhibitor in ovine model of acute myocardial infarction

  • Jabaris D. Swain
  • , Anthony S. Fargnoli
  • , Michael G. Katz
  • , Catherine E. Tomasulo
  • , Marina Sumaroka
  • , Kyle C. Richardville
  • , Walter J. Koch
  • , Joseph E. Rabinowitz
  • , Charles R. Bridges

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

β-Adrenergic receptor (βAR) dysfunction in acute myocardial infarction (MI) is associated with elevated levels of the G-protein-coupled receptor kinase-2 (GRK2), which plays a key role in heart failure progression. Inhibition of GRK2 via expression of a peptide βARKct transferred by molecular cardiac surgery with recirculating delivery (MCARD) may be a promising intervention. Five sheep underwent scAAV6-mediated MCARD delivery of βARKct, and five received no treatment (control). After a 3-week period, the branch of the circumflex artery (OM1) was ligated. Quantitative PCR data showed intense βARKct expression in the left ventricle (LV). Circumferential fractional shortening was 23.4 ± 7.1 % (baseline) vs. -2.9 ± 5.2 % (p < 0.05) in the control at 10 weeks. In the MCARD-βARKct group, this parameter was close to baseline. The same trend was observed with LV wall thickening. Cardiac index fully recovered in the MCARD-βARKct group. LV end-diastolic volume and LV end-diastolic pressure did not differ in both groups. MCARD-mediated βARKct gene expression results in preservation of regional and global systolic function after acute MI without arresting progressive ventricular remodeling.

Original languageEnglish
Pages (from-to)253-262
Number of pages10
JournalJournal of Cardiovascular Translational Research
Volume6
Issue number2
DOIs
StatePublished - Apr 2013
Externally publishedYes

Keywords

  • Acute myocardial infarction
  • Gene therapy
  • Molecular cardiac surgery
  • β-Adrenergic receptors

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