10th Anniversary of JCDD—Basic and Translational Cardiovascular Research

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Guest Editor
Group Cardio-Embryology, Institute of Anatomy and Cell Biology, UMG, Georg-August-University Goettingen, D-37075 Goettingen, Germany
Interests: cardiovascular development; cardiac looping; visceral left-right asymmetry; biomechanics; pumping mechanism of valveless heart tubes; form–function relationships; in vivo imaging; proepicardial development; congenital heart defects
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Special Issue Information

Dear Colleagues,

In the last 10 years, major advances have been made in our understanding of the basic biology of the cardiovascular system, and attempts have been made to translate these findings into clinics by identifying potential therapeutic strategies to treat heart disease. For example, human-induced pluripotential stem cells (iPSCs) are routinely utilized to model heart disease in a culture dish. Patient-specific iPSCs are differentiated into cardiomyocytes to identify pathogenic mechanisms. Two-dimensional cultures have their limitations; however, three-dimensional culture models, which have been termed cardiac organoids, have recently emerged. These self-organizing structures are composed of multiple cardiac cell types and can develop into chamber-like structures. Region-specific differentiation protocols allow for the production of pacemaker tissue, as well as structures that resemble heart-like chambers. These culture models may provide novel insight into normal human heart development and result in a better understanding of congenital malformations. Single-cell sequencing has provided evidence for multiple cell lineages present in the heart. This technology identifies cell lineages preferentially targeted in heart disease and might help in the development of drugs to revert these pathological processes. High-throughput sequencing technologies have aided in gaining deeper insights into the genetic basis of inherited and acquired heart disease. The application of sequencing technologies in signaling pathways and transcriptional wiring involved in cardiovascular development should still be explored.

Advances have been made not only in our understanding of the basic cellular and molecular biology of the cardiovascular system but also in our understanding of the relationships between hemodynamics and cardiovascular biology in physiological as well as pathophysiological processes. In vivo studies on vertebrate embryos, for example, have shown that blood flow plays an eminent role in cardiac morphogenesis, especially in the development of the cardiac valves, heart chambers, and aortic arch arteries. Moreover, it has been found that alterations in placental and fetal body circulation can lead to congenital heart defects. This knowledge forms the basis for therapeutic strategies aimed at preventing congenital heart disease. Studies on postnatal circulation led to the discovery of helical blood flow patterns that seem to suppress the development of vascular pathologies. The insights gained from the combination of in vivo blood flow imaging with flow simulation studies led to the development of new designs for blood vessel bypasses and stents, thereby finding their way into clinical medicine. New insights into the complex biology, biomechanics, and hemodynamics of the developing and mature heart valves form the basis for the development of tissue-engineered heart valves.

This Special Issue looks to review the current state of the art of basic and translational cardiovascular research. Acceptable formats for this Special Issue include manuscripts reporting on original research, short communications, up-to-date review articles, and commentaries on any topics within the remit of basic cardiovascular research defining cardiac biology in health and disease.

Prof. Dr. Thomas Brand
Prof. Dr. Jörg Männer
Guest Editors

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Keywords

  • heart disease
  • cardiac organoids
  • single-cell sequencing
  • novel technologies
  • hemodynamics and CV-biology
  • tissue engineering

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Published Papers (1 paper)

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Research

14 pages, 948 KiB  
Article
Identification and Evaluation of Angiogenesis-Related Proteins That Predict Major Adverse Cardiovascular Events in Patients with Peripheral Artery Disease
by Ben Li, Farah Shaikh, Houssam Younes, Batool Abuhalimeh, Jason Chin, Khurram Rasheed, Abdelrahman Zamzam, Rawand Abdin and Mohammad Qadura
J. Cardiovasc. Dev. Dis. 2024, 11(12), 402; https://doi.org/10.3390/jcdd11120402 - 13 Dec 2024
Viewed by 953
Abstract
Background: The most common cause of death in patients with peripheral artery disease (PAD) are major adverse cardiovascular events (MACEs), including myocardial infarction (MI) and stroke. However, data on biomarkers that could be used to help predict MACEs in patients with PAD to [...] Read more.
Background: The most common cause of death in patients with peripheral artery disease (PAD) are major adverse cardiovascular events (MACEs), including myocardial infarction (MI) and stroke. However, data on biomarkers that could be used to help predict MACEs in patients with PAD to guide clinical decision making is limited. Angiogenesis-related proteins have been demonstrated to play an important role in systemic atherosclerosis and may act as prognostic biomarkers for MACEs in patients with PAD. In this study, we evaluated a large panel of angiogenesis-related proteins and identified specific biomarkers associated with MACEs in patients with PAD. Methods: We conducted a prognostic study using a prospectively recruited cohort of 406 patients (254 with PAD and 152 without PAD). Plasma concentrations of 22 circulating angiogenesis-related proteins were measured at baseline, and the cohort was followed for 2 years. The primary outcome was 2-year MACEs (composite of MI, stroke, or death). Plasma protein concentrations were compared between PAD patients with and without 2-year MACEs using Mann–Whitney U tests. Differentially expressed proteins were further investigated in terms of their prognostic potential. Specifically, Cox proportional hazards analysis was performed to determine the independent association between differentially expressed proteins and 2-year MACEs, controlling for all baseline demographic and clinical characteristics, including existing coronary artery disease and cerebrovascular disease. Kaplan–Meier analysis was conducted to assess 2-year freedom from MACEs in patients with low vs. high levels of the differentially expressed proteins based on median plasma concentrations. Results: The mean age of the cohort was 68.8 (SD 11.1), and 134 (33%) patients were female. Two-year MACEs occurred in 63 (16%) individuals. The following proteins were significantly elevated in PAD patients with 2-year MACEs compared to those without 2-year MACEs: endostatin (69.15 [SD 58.15] vs. 51.34 [SD 29.07] pg/mL, p < 0.001), angiopoietin-like protein 4 (ANGPTL4) (0.20 [SD 0.09] vs. 0.12 [SD 0.04] pg/mL, p < 0.001), and ANGPTL3 (51.57 [SD 21.92] vs. 45.16 [SD 21.90] pg/mL, p = 0.001). Cox proportional hazards analysis demonstrated that these three proteins were independently associated with 2-year MACEs after adjusting for all baseline demographic and clinical characteristics: endostatin (HR 1.39 [95% CI 1.12–1.71] p < 0.001), ANGPTL4 (HR 1.35 [95% CI 1.08–1.68], p < 0.001), and ANGPTL3 (HR 1.35 [95% CI 1.12–1.63], p < 0.001). Over a 2-year follow-up period, patients with higher levels of endostatin, ANGPTL4, and ANGPTL3 had a lower freedom from MACEs. Supplementary analysis demonstrated that these three proteins were not significantly associated with 2-year MACEs in patients without PAD. Conclusions: Among a panel of 22 angiogenesis-related proteins, endostatin, ANGPTL4, and ANGPTL3 were identified to be independently and specifically associated with 2-year MACEs in patients with PAD. Measurement of plasma concentrations of these proteins can support MACE risk stratification in patients with PAD, thereby informing clinical decisions on multidisciplinary referrals to cardiologists, neurologists, and vascular medicine specialists and guiding aggressiveness of medical treatment, thereby improving cardiovascular outcomes in patients with PAD. Full article
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