2008
DOI: 10.1016/j.jacc.2007.12.014
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Reversal of Cardiac Dysfunction After Long-Term Expression of SERCA2a by Gene Transfer in a Pre-Clinical Model of Heart Failure

Abstract: Using a large-animal, volume-overload model of HF, we report that long-term overexpression of SERCA2a by in vivo rAAV1-mediated intracoronary gene transfer preserved systolic function, potentially prevented diastolic dysfunction, and improved ventricular remodeling.

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Cited by 298 publications
(221 citation statements)
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“…Recent reports found that ANP expression is a more sensitive marker of volume overload than pressure overload [36]. In addition, long-term overexpression of SERCA2a in this animal model can preserve systolic function and potentially prevent diastolic dysfunction and LV remodeling [134].…”
Section: Volume-overload-induced Hfmentioning
confidence: 95%
“…Recent reports found that ANP expression is a more sensitive marker of volume overload than pressure overload [36]. In addition, long-term overexpression of SERCA2a in this animal model can preserve systolic function and potentially prevent diastolic dysfunction and LV remodeling [134].…”
Section: Volume-overload-induced Hfmentioning
confidence: 95%
“…Following proof‐of‐principal studies in rodents, preclinical investigation using adeno‐associated virus serotype 1 (AAV1)‐mediated SERCA2a gene transfer provided clear benefits in nonischemic HF secondary to either volume overloading in pigs3 or tachycardia pacing in sheep 4, 5. The utility of this therapy for reversing pre‐established cardiac dysfunction when delivered at an advanced stage of ischemic HF caused by chronic MI is unknown, as most studies focused on prevention rather than reversal of cardiac dysfunction.…”
Section: Introductionmentioning
confidence: 99%
“…Using a volume overload heart failure pig model, adeno-associated virus-mediated gene delivery of SERCA2a showed improvements in cardiac contractility and left ventricular remodeling for the first time in the large animals. 5 This beneficial effect was further confirmed in sheep 7,25 and dog 23 models of pacing-induced heart failure, chronic ischemia pig 79 and sheep model of myocardial infarction with mitral valve regurgitation model. 6 Consistent beneficial effects of SERCA2a gene transfer in different etiology of heart failure models support its significance in a failing heart.…”
Section: Calcium Cycling Proteinsmentioning
confidence: 78%
“…However, a pig model of mitral valve regurgitation is the only model so far used in large animal gene therapy evaluations. 5,9 In these studies, the chordae of mitral valve were percutaneously cut by biopsy catheter and resulted in left ventricular hypertrophy and dilatation, with the development of significant heart failure. A major limitation of this model is the relatively high mortality ranging from 35 to 50%, 5,34 reflecting the severity of the heart failure.…”
Section: Volume Overload Modelmentioning
confidence: 99%
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