Raising the pulse of cardiovascular research In Spring 2008 King’s College London became one of the British Heart Foundation’s new flagship Centres of Research Excellence. The £9 million award over six years recognises King’s as a cornerstone of UK heart disease research. The BHF initiative will allow Kings’ researchers, as well as scientists at the other three Centres of Excellence, to translate research into benefits for the millions of people living with heart disease. The King’s award – the largest of its kind – will help its researchers jumpstart innovative research projects, train the very best young doctors and scientists to become the next generation of heart researchers, and foster pioneering partnerships between heart specialists and other experts such as engineers and physicists across the university. New projects will build on cutting-edge research already taking place at King’s and range from studying the minute components of heart cells to developing new ways of monitoring blood flow through the human heart and regenerating heart tissue. The award will also allow King’s successful multi-disciplinary and collaborative research approach to flourish; something that Drs Elisabeth Ehler and Manual Mayr in the Cardiovascular Division are certain is crucial for the success of their research. Cardiovascular Division The Cardiovascular Division pursues internationally leading translational research programmes that address fundamental molecular, cellular, and physiological mechanisms underlying normal and abnormal cardiovascular function with the aims of improving the prevention, diagnosis and treatment of human cardiovascular disease. Rat heart cell in culture stained by immunofluorescence for its beating structures, the myofibrils. 20 Milestones The division comprises 160 researchers (including 35 principal investigators 60 PhD/MD students) whose work is focused on the mechanisms and treatment of cardiovascular disease. The division has strong collaborations with groupings focussed on imaging, structural biology and genetics. Image: Dr Elisabeth Ehler profile Analysing the heart’s hardware Dr Elisabeth Ehler is fascinated by how heart muscle is built and uses cutting-edge microscopic techniques to study the minute detail of protein interactions within developing heart tissue. ‘I am interested in the ‘hardware’ of the heart cell and how it is built during embryonic development.’ She believes that understanding how the heart develops will allow researchers to identify changes to heart cells that coincide with heart disease. This might in future allow doctors to detect changes very early in the disease process and intervene to prevent long-term damage. Ehler is focussing on two major components of heart muscle cells; the contractile myofibril, and intercalated discs that facilitate communication between cells and help configure the heart tissue. At present the minute detail that Ehler is studying can only be visualised using electron microscopy which means treating the heart tissue in a way that destroys a lot of information. But as Ehler says, that’s where she comes in. She is looking for new ways to visualise cells and proteins in tissue samples from hearts at different stages of development or disease. Her team, in collaboration with scientists in the Randall Division of Cell and Molecular biophysics is developing and using exciting new imaging techniques that should push the resolution limit in light microscopy towards the one in electron microscopy. ‘We want to be able to look at specimens that are as close to their natural state as possible, and even at living cells.’ The new BHF award will help Ehler realise her vision by providing financial support for research students and staff, and enhancing collaborations across Divisions. Using mighty machines to study proteins and metabolism Like Ehler, Dr Manuel Mayr, Head of Proteomics at King’s is certain that understanding minute physical changes associated with heart disease will help us find ways to tackle the UK’s biggest killer. He is looking at changes to the body’s proteins and metabolism that should help us understand how the heart and blood vessels function and fail. In addition, he is exploring how stem cells differentiate into cardiovascular cells. Thanks to a unique proteomics facility established in 2007, Mayr and colleagues are exploiting state-of-the-art technologies to work out just which proteins and metabolites can be linked to heart disease. A third of patients undergoing heart bypass surgery and valve surgery develop complications including an irregular heart beat that hinders their return to health and can contribute to premature death. In an exciting new study1, Mayr has found that by analysing proteins and metabolites in human heart tissue at the time of surgery, changes in energy metabolism can be detected that correlate with the heart’s susceptibility to post-operative complications. But as Mayr explains, proteomics and metabolomics are emerging fields and new methods to analyse proteins and other metabolites in ever finer detail are still being developed. And, he says, this is what makes work at King’s unique: ‘At King’s the proteomics facility is devoted to cardiovascular research, it is not a core facility. The people who run the facility understand the machines as well as the biology of heart disease. This is crucial for successfully applying proteomic techniques to biomedical research.’ 1 M. Mayr et al. Journal of American College of Cardiology, 2008, 51:585-594 Milestones 21
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