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Rosenthal Group

Regenerative mechanisms in heart and skeletal muscle

FIg_for_RAAG Rosenthal 2009S

Expression of Fibroblast Growth Factor Receptor-Like 1 (Fgfrl1) in the 10.5 day mouse embryo. Expression is prominent in the brain, cranial placodes, pharyngeal arches, somites and heart. Sections through the heart (top) show expression in the endocardial cushions of the atrioventricular canal and outflow tract. 

Previous and current research

Our laboratory focuses on regenerative biology, which explores the processes that restore the architecture of damaged or degenerating tissues, often by recapitulating original embryonic development.We aim to reduce the impediments to effective regeneration by recapturing the remarkable regenerative capacity of lower vertebrates. Using the mouse to define the mechanisms involved in the mammalian response to injury, disease and ageing, we are identifying and modulating key signalling pathways that induce the recruitment of progenitor cells to sites of tissue damage and augment local repair mechanisms.

We found that insulin-like growth factors attenuate muscle atrophy and improve repair in ageing, muscular dystrophy and cardiomyopathies. Delivery of an unprocessed IGF-1 isoform (mIGF-1)to various neuromuscular pathologies implicate this growth factor as a powerful enhancer of there generation response. Selective muscle fibre loss and fibrosis in ageing and diseased skeletal musclecan be blocked by transgenic or viral delivery of mIGF-1, which augments local repair mechanisms and promotes recruitment of stemcells to sites of injury. Supplemental mIGF-1 expression reduces specific inflammatory cytokines, suggesting that improvement both skeletal and cardiac regeneration operates in part by modulation of the inflammatory response. In collaboration with the Nerlov lab (page 113) we have explored the role of the innate immune system in the regeneration process, linking the pathways leading tomacrophage polarisation and effective tissue repair.

In the heart, supplemental mIGF-1 expression increases progenitor cell pools, induced new signalling pathways and results in complete cardiacrepair after myocardial infarction with minimal scar formation.We are currently exploring the signals in the epicardium, the outer celllayer of the heart, which may contribute to improved regenerative response. More recently, we have extended our studies of regeneration to the skin, where supplemental mIGF-1 expression improves wound healing and accelerates hairfollicle formation and cycling.

Expression of IGF-1 isoforms in vivo has allowed us to assign specific functions of different peptide domains in muscle hypertrophy and regeneration. The different responses evoked by various IGF-1 isoforms suggest specific mechanisms through which combinations of supplemental growth factors can improve regeneration, providing new targets for clinical intervention. Further studies in skeletal and cardiac muscle have implicated NFκB, calcineurin and Notch-mediated signalling pathways in the intervention of tissue damage and disease.

In a new project we have extended our studies of cell signalling in development to address the role of a Fibroblast Growth Factor decoy receptor FGFRL1 in embryonic patterning. FGFRL1null mice present multiple dysmorphologies reminiscent of humanWolf-Hirschhorn syndrome, implicating the decoy receptor in the etiology of this congenital disease.

Future projects and goals

In our future research, we will harness conditional and inducible mouse genetics to characterise key mechanisms implicated in the regenerative response.We will characterise the molecular action of growth factors and their intracellular intermediates to identify further candidates for therapeutic application. Our studies are designed to define the common nodal points of signallingin mammalian regenerative processes as they relate to embryonic development. At the cellular level, we are particularly interested in the role played by myeloid cell lineages in controlling inflammation and promoting tissue repair.We hope to use this knowledge for developingclinically relevant interventions in ageing, injury and degenerative disease.