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<strong>EMBL</strong> Monterotondo<br />

Regenerative mechanisms in heart and skeletal<br />

muscle<br />

Previous and current research<br />

Our laboratory focuses on regenerative biology, which explores the processes that restore the architecture<br />

of damaged or degenerating tissues, often by recapitulating original embryonic development.<br />

We aim to reduce the impediments to effective regeneration by recapturing the<br />

remarkable regenerative capacity of lower vertebrates. Using the mouse to define the mechanisms<br />

involved in the mammalian response to injury, disease and ageing, we are identifying and modulating<br />

key signalling pathways that induce the recruitment of progenitor cells to sites of tissue damage<br />

and augment local repair mechanisms.<br />

We found that insulin-like growth factors attenuate muscle atrophy and improve repair in ageing,<br />

muscular dystrophy and cardiomyopathies. Delivery of an unprocessed IGF-1 isoform (mIGF-1)<br />

to various neuromuscular pathologies implicate this growth factor as a powerful enhancer of the<br />

regeneration response. Selective muscle fibre loss and fibrosis in ageing and diseased skeletal muscle<br />

can be blocked by transgenic or viral delivery of mIGF-1, which augments local repair mechanisms<br />

and promotes recruitment of stem cells to sites of injury. Supplemental mIGF-1 expression<br />

reduces specific inflammatory cytokines, suggesting that improvement both skeletal and cardiac<br />

regeneration operates in part by modulation of the inflammatory response. In collaboration with<br />

the Nerlov lab (page 113) we have explored the role of the innate immune system in the regeneration<br />

process, linking the pathways leading to macrophage polarisation and effective tissue repair.<br />

In the heart, supplemental mIGF-1 expression increases progenitor cell pools, induced new signalling pathways and results in complete cardiac<br />

repair after myocardial infarction with minimal scar formation. We are currently exploring the signals in the epicardium, the outer cell<br />

layer of the heart, which may contribute to improved regenerative response. More recently, we have extended our studies of regeneration to<br />

the skin, where supplemental mIGF-1 expression improves wound healing and accelerates hair<br />

follicle formation and cycling.<br />

Expression of IGF-1 isoforms in vivo has allowed us to assign specific functions of different peptide<br />

domains in muscle hypertrophy and regeneration. The different responses evoked by various<br />

IGF-1 isoforms suggest specific mechanisms through which combinations of supplemental<br />

growth factors can improve regeneration, providing new targets for clinical intervention. Further<br />

studies in skeletal and cardiac muscle have implicated NFκB, calcineurin and Notch-mediated<br />

signalling pathways in the intervention of tissue damage and disease.<br />

In a new project we have extended our studies of cell signalling in development to address the<br />

role of a Fibroblast Growth Factor decoy receptor FGFRL1 in embryonic patterning. FGFRL1<br />

null mice present multiple dysmorphologies reminiscent of human Wolf-Hirschhorn syndrome,<br />

implicating the decoy receptor in the etiology of this congenital disease.<br />

Nadia Rosenthal<br />

PhD 1981, Harvard Medical<br />

School.<br />

Postdoctoral research at the<br />

National Cancer Institute.<br />

Assistant Professor, Boston<br />

University Medical Center.<br />

Associate Professor, Mass.<br />

General Hospital, Harvard<br />

Medical School.<br />

Group leader and Head of<br />

<strong>EMBL</strong> Monterotondo since<br />

2001.<br />

Future projects and goals<br />

In our future research, we will harness conditional and inducible mouse genetics to characterise<br />

key mechanisms implicated in the regenerative response. We will characterise the molecular action<br />

of growth factors and their intracellular intermediates to identify further candidates for<br />

therapeutic application. Our studies are designed to define the common nodal points of signalling<br />

in mammalian regenerative processes as they relate to embryonic development. At the<br />

cellular level, we are particularly interested in the role played by myeloid cell lineages in controlling<br />

inflammation and promoting tissue repair. We hope to use this knowledge for developing<br />

clinically relevant interventions in ageing, injury and degenerative disease.<br />

Expression of Fibroblast Growth Factor<br />

Receptor-Like 1 (Fgfrl1) in the 11.5 day<br />

mouse embryo. Expression is prominent in<br />

the brain, cranial placodes, pharyngeal<br />

arches, somites and heart. Sections<br />

through the heart (top) show expression in<br />

the endocardial cushions of the<br />

atrioventricular canal and outflow tract.<br />

Selected references<br />

Klimanskaya, I., Rosenthal, N. & Lanza, R. (2008). Derive and<br />

conquer: sourcing and differentiating stem cells for therapeutic<br />

applications. Nat. Rev. Drug Discov., 7, 131-12<br />

Lara-Pezzi, E., Felkin, L.E., Sarathchandra, P., George, R., Hall, J.L.,<br />

Yacoub, M.H., Rosenthal, N., Birks, E.J. & Barton, P.J. (2008).<br />

Follistatin gene expression in heart failure and myocardial recovery<br />

following LVAD combination therapy. Journal of Heart and Lung<br />

Transplantation, 27, S220<br />

Mourkioti, F. & Rosenthal, N. (2008). NFκB signaling in skeletal<br />

muscle: prospects for intervention in muscle diseases. J. Mol. Med.,<br />

86, 77-59<br />

Semenova, E., Koegel, H., Hasse, S., Klatte, J.E., Slonimsky, E.,<br />

Bilbao, D., Paus, R., Werner, S. & Rosenthal, N. (2008).<br />

Overexpression of mIGF-1 in keratinocytes improves wound healing<br />

and accelerates hair follicle formation and cycling in mice. Am. J.<br />

Pathol., 173, 1295-310<br />

109

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