The Section of Cardiovascular Biology comprises four independent research groups focussed on mechanisms of cardiovascular disease in atherosclerosis, thrombosis and cardiac arrhythmias. The disease target of our group is atherosclerosis, in which the walls of the main coronary arteries develop lipid-filled lesions that may occlude the arteries and are liable to rupture, leading to thrombosis and myocardial infarction. We analysed mechanisms of disease in smooth muscle cells and endothelial cells prepared from rat arteries and subsequently from human arteries, using tissue provided by the heart transplant programme at Papworth Hospital. Based on these studies and on work using mice that were genetically modified in various ways to develop atherosclerotic lesions, we proposed that an endogenous cytokine, TGFb, has a major protective effect on the arterial wall. This hypothesis offered a potential therapeutic strategy and we showed that a class of drugs, the selective estrogen receptor modulators (SERMs), increased TGFb levels in mouse arteries and effectively blocked lesion formation in several different genetically modified mice.
In clinical studies we showed that SERMs had potentially beneficial effects on a spectrum of blood risk factors in men with advanced atherosclerosis, including lipoproteins and fibrinogen. We also showed that SERMs markedly improved the severely compromised physiological function of arterial endothelium in the same patients. An exclusive licence to our patents for the use of SERMs in stents for the treatment of coronary artery disease was granted to Boston Scientific in 2004.
Most recently we have been applying cDNA microarray, proteomic and metabolomic analyses to determine whether the presence of coronary artery disease can be diagnosed non-invasively.
Lab members
John Fletcher, Hatty Harris, Heide Kirschenlohr, Serena Scollen
References
Clarke, S.C., Schofield, P.M., Grace, A.A., Metcalfe, J.C. & Kirschenlohr, H.L. (2001) Tamoxifen effects on endothelial function and cardiovascular risk factors in men with advanced atherosclerosis. Circulation 103, 1497-1502.
Clark, K.J., Cary, N.R., Grace, A.A. & Metcalfe, J.C. (2001) Microsatellite mutation of type II transforming growth factor-beta receptor is rare in atherosclerotic plaques. Arterioscler Thromb. Vasc. Biol. 21, 555-559.
Dunning, A.M., Ellis, P.D., McBride, S., Kirschenlohr, H.L., Healey, C.S., Kemp, P.R., Luben, R.N., Chang-Claude, J., Mannermaa, A., Kataja, V., Pharoah, P.D., Easton, D.F., Ponder, B.A. & Metcalfe, J.C. (2003) A transforming growth factor beta1 signal peptide variant increases secretion in vitro and is associated with increased incidence of invasive breast cancer. Cancer Res. 63, 2610-2615.