Abstract:The heart is the first organ that starts to function in a developing embryo. It continues to undergo dramatic morphological changes while pumping blood to the rest of the body. Genetic regulation of heart development is partly governed by hemodynamics. Chick embryo is a major animal model that has been used extensively in cardiogenesis research. To reveal mechanosensitive pathways, a variety of surgical interferences and chemical treatments can be applied to the chick embryo to manipulate the blood flow. Such … Show more
“…Hemodynamics can alter heart development independent of genetic or toxic exposures. Blood flow affects the expression of mechanosensitive genes and regulation of proteins [22][23][24][25][26], leading to abnormal valve formation [27,28] and heart defects, including TOF [16]. Despite extensive ongoing studies, the molecular mechanisms behind mechanosensitivity and mechanotransduction are not yet fully understood, in part due to the complexity of the signaling networks involved.…”
Section: Early Perturbed Flow and Tofmentioning
confidence: 99%
“…VEGF receptor 2 (VEGFR2, also known as KDR) is broadly expressed in the vascular endothelium and blood islands and is critical for their development [21][22][23][24]. The global VEGFR2 knockout is embryonic lethal between embryonic days 8.5 and 9.5 due to failure to form the blood islands or blood vessels [42].…”
Section: Mutations Within the Vegf-a Pathway Are Associated With Tofmentioning
In congenital heart disease, the presence of structural defects affects blood flow in the heart and circulation. However, because the fetal circulation bypasses the lungs, fetuses with cyanotic heart defects can survive in utero but need prompt intervention to survive after birth. Tetralogy of Fallot and persistent truncus arteriosus are two of the most significant conotruncal heart defects. In both defects, blood access to the lungs is restricted or non-existent, and babies with these critical conditions need intervention right after birth. While there are known genetic mutations that lead to these critical heart defects, early perturbations in blood flow can independently lead to critical heart defects. In this paper, we start by comparing the fetal circulation with the neonatal and adult circulation, and reviewing how altered fetal blood flow can be used as a diagnostic tool to plan interventions. We then look at known factors that lead to tetralogy of Fallot and persistent truncus arteriosus: namely early perturbations in blood flow and mutations within VEGF-related pathways. The interplay between physical and genetic factors means that any one alteration can cause significant disruptions during development and underscore our need to better understand the effects of both blood flow and flow-responsive genes.
“…Hemodynamics can alter heart development independent of genetic or toxic exposures. Blood flow affects the expression of mechanosensitive genes and regulation of proteins [22][23][24][25][26], leading to abnormal valve formation [27,28] and heart defects, including TOF [16]. Despite extensive ongoing studies, the molecular mechanisms behind mechanosensitivity and mechanotransduction are not yet fully understood, in part due to the complexity of the signaling networks involved.…”
Section: Early Perturbed Flow and Tofmentioning
confidence: 99%
“…VEGF receptor 2 (VEGFR2, also known as KDR) is broadly expressed in the vascular endothelium and blood islands and is critical for their development [21][22][23][24]. The global VEGFR2 knockout is embryonic lethal between embryonic days 8.5 and 9.5 due to failure to form the blood islands or blood vessels [42].…”
Section: Mutations Within the Vegf-a Pathway Are Associated With Tofmentioning
In congenital heart disease, the presence of structural defects affects blood flow in the heart and circulation. However, because the fetal circulation bypasses the lungs, fetuses with cyanotic heart defects can survive in utero but need prompt intervention to survive after birth. Tetralogy of Fallot and persistent truncus arteriosus are two of the most significant conotruncal heart defects. In both defects, blood access to the lungs is restricted or non-existent, and babies with these critical conditions need intervention right after birth. While there are known genetic mutations that lead to these critical heart defects, early perturbations in blood flow can independently lead to critical heart defects. In this paper, we start by comparing the fetal circulation with the neonatal and adult circulation, and reviewing how altered fetal blood flow can be used as a diagnostic tool to plan interventions. We then look at known factors that lead to tetralogy of Fallot and persistent truncus arteriosus: namely early perturbations in blood flow and mutations within VEGF-related pathways. The interplay between physical and genetic factors means that any one alteration can cause significant disruptions during development and underscore our need to better understand the effects of both blood flow and flow-responsive genes.
“…Thus, the chick embryo's heart and vasculature are visible and accessible for experimentation by removing a small piece of eggshell (Figure 1). Due to these attributes and the accessibility of chicken eggs, it is not surprising that the chick embryo has become established as a premier developmental animal model for studying cardiovascular physiology 14 and an excellent platform to explore the influences of hemodynamic forces within the cardiovascular system 15‐17 …”
High resolution assessment of cardiac functional parameters is crucial in translational animal research. The chick embryo is a historically well‐used in vivo model for cardiovascular research due to its many practical advantages, and the conserved form and function of the chick and human cardiogenesis programs. This review aims to provide an overview of several different technical approaches for chick embryo cardiac assessment. Doppler echocardiography, optical coherence tomography, micromagnetic resonance imaging, microparticle image velocimetry, real‐time pressure monitoring, and associated issues with the techniques will be discussed. Alongside this discussion, we also highlight recent advances in cardiac function measurements in chick embryos.
“…At early stages, the easy optical access to avian tissues allows researchers to monitor the blood flow where a surgical alteration may develop similar disease phenotypes with the human fetus. Many studies highlighted the efficiency of chick embryos to investigate the influence of disturbed hemodynamics on heart development ( Yalcin et al, 2010 , 2011 ; Henning et al, 2011 ; Alser et al, 2021 ; Salman et al, 2021 ) since chicken share identical molecular and morphological cascades of heart development with human ( Groenendijk et al, 2007 ; Katritsis et al, 2007 ). Left atrial ligation (LAL) is a well-established surgical technique performed upon chick embryos.…”
Collectively known as congenital heart defects (CHDs), cardiac abnormalities at birth are the most common forms of neonatal defects. Being principally responsible for the heart‘s pumping power, ventricles are particularly affected by developmental abnormalities, such as flow disturbances or genomic defects. Hypoplastic Right Heart Syndrome (HRHS) is a rare disease where the right ventricle is underdeveloped. In this study, we introduce a surgical procedure performed on chick embryo, termed right atrial ligation (RAL) for disturbing hemodynamics within the right heart aiming in order to generate an animal model of HRHS. RAL is a new surgical manipulation, similar to the well-studied left atrial ligation (LAL) surgery but it induces the hemodynamic change into the right side of the heart. After inducing RAL, We utilized techniques such as Doppler ultrasound, x-ray micro-CT, histology, and computational fluid dynamics (CFD) analysis, for a comprehensive functional and structural analysis of a developing heart. Our results displayed that RAL does not induce severe flow disturbance and ventricular abnormalities consistent with clinical findings. This study allows us to better understand the hemodynamics-driven CHD development and sensitivities of ventricles under disturbed flows.
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