2004
DOI: 10.1152/physiolgenomics.00004.2004
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Genomic profiling of the human heart before and after mechanical support with a ventricular assist device reveals alterations in vascular signaling networks

Abstract: Mechanical unloading of the heart with a left ventricular assist device (LVAD) significantly decreases mortality in patients with heart failure. Moreover, it provides a human model to define the critical regulatory genes governing myocardial remodeling in response to significant reductions in wall stress. Statistical analysis of a gene expression library of 19 paired human heart samples harvested at the time of LVAD implant and again at explant revealed a set of 22 genes that were downregulated and 85 genes th… Show more

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Cited by 118 publications
(73 citation statements)
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References 57 publications
(47 reference statements)
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“…66 This gene set included some of those involved in vascular signaling networks, such as neuropilin-1, FGF9, CXCL12 (SDF-1), and endomucin.…”
Section: Changes In the Gene Expression In The Failing Myocardium Aftmentioning
confidence: 99%
“…66 This gene set included some of those involved in vascular signaling networks, such as neuropilin-1, FGF9, CXCL12 (SDF-1), and endomucin.…”
Section: Changes In the Gene Expression In The Failing Myocardium Aftmentioning
confidence: 99%
“…Our siGata4 transgenic mice demonstrate that under normal conditions the depletion of up to 80% of Gata4 does not result in cardiac failure in a morphologically normal developed heart. These results may have high clinical impact, since GATA4 mRNA and protein levels vary by approximately twofold between normal and failing human hearts (Hall et al 2004), and doxorubicin, which is broadly used for cancer treatment, causes cardiotoxic heart failure due to GATA4 depletion in wild-type mice (Aries et al 2004). Of note, in models of pressure overload or exercise stimulation GATA4 depletion of about 70% (Gata4fl/ fl a-Mhc-Cre mice) results in cardiac decompensation and dilatation (Oka et al 2006).…”
Section: Reduction Of Gata4 Expression By 80% Does Not Impair the Funmentioning
confidence: 99%
“…When examined with this point in mind, the convergent and divergent findings in the two studies, summarized in Table 4, which is published as supporting information on the PNAS web site, suggest that Gata4 is permissive but not dose-limiting for some processes and permissive and dose-limiting for others. In human heart failure, Gata4 mRNA and protein levels vary by Ϸ2-fold between normal and failing human hearts (33,34). Thus, processes in which Gata4 is dose-limiting within the range interrogated by the G4D model are those most likely to be altered downstream of Gata4 in human heart failure.…”
Section: Importance Of Gata4 Gene Dosage In Cardiomyocyte Survival Andmentioning
confidence: 99%