Growing arteries could lead to ‘biological bypass’
March 9th, 2010 - 2:48 pm ICT by IANSWashington, March 9 (IANS) A new method of growing arteries could lead to a “biological bypass” or a non-invasive way to treat coronary artery disease, says a new report.
Coronary arteries can become blocked with plaque, leading to a decrease in the supply of blood and oxygen to the heart.
Over time this blockage can lead to debilitating chest pain or heart attack. Severe blockages in multiple major vessels may require coronary artery bypass graft surgery, a major invasive surgery.
“Successfully growing new arteries could provide a biological option for patients facing bypass surgery,” said Michael Simons, chief of cardiology at Yale School of Medicine, who led the study.
In the past, researchers used growth factors - proteins that stimulate the growth of cells - to grow new arteries, but this method was unsuccessful.
Simons and his team studied mice and zebrafish to see if they could simulate arterial formation by switching on and off two signalling pathways - ERK1/2 and P13K.
“We found that there is a cross-talk between the two signalling pathways. One-half of the signalling pathway inhibits the other. When we inhibit this mechanism, we are able to grow arteries,” said Simons.
“Instead of using growth factors, we stopped the inhibitor mechanism by using a drug that targets a particular enzyme called P13-kinase inhibitor.”
“Because we’ve located this inhibitory pathway, it opens the possibility of developing a new class of medication to grow new arteries,” Simons added, according to an Yale release.
“The next step is to test this finding in a human clinical trial.”
These findings are slated for publication in the April issue of Journal of Clinical Investigation.
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Tags: artery bypass graft surgery, blockages, bypass graft surgery, bypass surgery, chest pain, coronary arteries, coronary artery bypass, coronary artery bypass graft, coronary artery bypass graft surgery, coronary artery disease, cross talk, growth factors, heart attack, human clinical trial, invasive surgery, journal of clinical investigation, school of medicine, simons, yale school of medicine, zebrafish