Franz-Volhard-Klinik

Medizinische Fakultät der Humboldt-Universität zu Berlin
Campus Berlin-Buch

am Max-Delbrück-Centrum für Molekulare Medizin


Molecular Basis of Congestive Heart Failure
Structure of the group

 head:

Ruediger von Harsdorf, M.D.

 co-workers:

Rainer Dietz, M.D.

Ludger Hauck, Ph.D.

Peifeng Li, Ph.D.

Felix Mehrhof, M.D.

Joerg Mueller, Ph.D.

Martin Bergmann, M.D.

Mikael Skatchkov, Ph.D.

Jianping Gao, M.D.

Jincheng Li, M.D.

Felix Engel, Ph.D. student

Marlies Grieben, technical assistant

 contact:

phone: ++49 30 9406 3146

email: [email protected]


Background
The focus of our recent studies is the characterization of regulation of growth and death of cardiomyocytes. We hypothesize that activation of cell death signalling cascades not only may result in apoptosis, but may be integral part of the maladaptive process characterizing the phenotype of the failing myocardium. Likewise, maladaptive growth and/or apoptosis may involve the incomplete re-activation of postnatally silenced cell cycle activating cascades. Therefore, the understanding of the molecular basis of congestive heart failure necessitates the investigation of the mechanisms regulating hypertrophy and proliferation as well as death of cardiomyocytes, and in particular their intercalation.Furthermore, we hypothesize that oxidative stress plays a pivotal role in the development of the failing myocardium in part by activating pro-apoptotic signalling events in cardiomyocytes and proliferation of cardiac interstitial cells. Therefore, assessing the role of reactive oxygen species in control of growth and death of cardiomyocytes and the quantitative assessment of oxidative stress in heart failure patients is in the focus of our studies.
Results
We characterized in detail the intracellular signalling cascade involved in apoptosis of cardiomyocytes induced by oxidative stress (v. Harsdorf et al. 1999, Circulation 99: 2934-2941). Interestingly, the apoptotic stimulus of oxidative stress in cardiomyocytes is not shared by cardiac fibroblasts (Li et al. 1999, FEBS lett 448: 206-210). In comparison, the role of oxidative stress in cell death of vascular smooth muscle cells is even more complex (Li et al., 1997, FEBS lett 404: 249-252; Li et al., 1997, Circulation 96: 3602-3609) and appears to involve protein kinase C (Li et al. 1999, Circulation 100: 967-973). In general, the intracellular generation of reactive oxygen species may be integral part of apoptotic cell death (Li et al. 1999, EMBO Journal 18: 6027-6036). Apoptosis is the consequence after forced overexpression of the transcription factor E2F1- in cardiomyocytes (v. Harsdorf et al., 1999, Circ Res 85: 128-136) indicating an interaction between signals regulating apoptosis and proliferation in cardiomyocytes. Therefore, we developed a novel in vitro assay to study cell cycle and/or growth control in cardiomyocytes more systematically (Engel et al. 1999, Circ Res 85: 294-301).
Perspective
Our future studies are aimed at the identification of key players in cardiomyocytes controlling apoptosis and/or proliferation and their intercalation with one another and particularly with classical growth signalling cascades which could become specific targets for novel therapy regimens in congestive heart failure.
Funding
Our work is supported in part by the Deutsche Forschungsgemeinschaft (DFG), the Bundesministerium für Forschung und Technik (BMBF) and the Max-Delbrueck-Center for Molecular Medicine (MDC).
List of selected publications


Universitätsklinikum Charité - Medizinische Fakultät der Humboldt-Universität zu Berlin, Campus Berlin-Buch
Franz-Volhard-Klinik, Wiltbergstraße 50, D - 13125 Berlin - Tel.: +49 30 9417 2996 - Fax: +49 30 9497 074
Last Update: 20.06.2000 - © 2000 - webmaster