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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 />
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