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Page A.W. Anderson, M.D.

Professor,
Department of Pediatrics
Assistant Professor,
Department of Cell Biology

Programs: Institutional Cardiovascular Research Training Faculty, Medical Scientist Training Program


Email ander005@mc.duke.edu

Research Park Building II
Box 3218
Duke University Medical Center
Durham, NC 27710

Phone 919-684-6027
Fax 919-684-4609

   The laboratory research focuses on the heart. The research examines: the functional consequences of the sequence differences among the isoforms of cardiac troponin T, a think filament regulatory protein essential for myofilament response to calcium; the role of the complement cascade in the altered vascular permeability that follows cardiopulmonary bypass; and the regulation of stem cell engraftment and differentiation in cardiac myocytes in the heart in vivo.
   1. We have identified the molecular basis of the cardiac troponin T isoforms and have demonstrated correlations between the level of expression of individual isoforms and myofibrillar ATPase activity, the sensitivity of the myofilaments to calcium, development, and heart failure. We express recombinant troponin T in Sf9 cells. The purified recombinant isoforms are used to replace endogenous cardiac troponin T in chemically skinned cardiac preparations and to form the troponin complex in solution. The troponin complex is reconstituted with recombinant cardiac troponin I and cardiac troponin C. These intact troponin complexes are used to assess isoform dependent modulation of calcium binding to troponin and cross-bridge formation and kinetics in force generating myofilaments. The effects of post-translational modifications of these proteins are examined using these systems. A corollary of these studies uses transgenic mice overexpressing specific isoforms. The isoform dependent effects on isolated myocardium and the in vivo heart are assessed. To examine the relevance of the troponin T isoforms to function in the failing heart and as a potential approach for modifying heart failure, cross-breeding experiments make use of inherited cardiomyopathies in the mouse.
   2. We have demonstrated that blocking the complement cascades at the level of the C3 convertase decreases the severity of altered vascular permeability that follows cardiopulmonary bypass. No specific therapy is available for the multi-organ damage that results from the inflammation and abnormal vascular permeability in the infant following cardiopulmonary bypass. The experimental protocols make use of an intact piglet model, recombinant proteins, replacement of endogenous myofilament proteins, assessment of calcium regulation in isolated myocytes, and ventricular and pulmonary function.
   3. Our most recently developed project is a collaboration with Dr. Nadia Malouf with the University of North Carolina at Chapel Hill. These studies are based on our finding that adult-derived clonal stem cells differentiate into endothelial and cardiac myocytes in the mouse and rat heart in vivo. Our studies are focusing on the biology of engraftment and differentiation and the consequences of these processes on organ function in the normal animal and organ dysfunction in animal models of human diseases in vivo.

Selected Publications
Anderson PAW, Grieg A, Mark TM, Malouf NN, Oakeley AE, Ungerleider RM, Allen PD, Kay BK. Molecular basis of human cardiac troponin T isoforms expressed in the developing, adult, and failing heart. Circ Res 1995;76:681-686.

Chai PJ, Nassar R, Oakeley AE, Craig DM, Quick G, Jaggers JM, Sanders SP, Ungerleider RM, Anderson PAW. Soluble complement receptor-1 protects heart, lung, and cardiac myofilament function from cardiopulmonary damage. Circulation 2000;101:541-546.

Malouf NN, Coleman WB, Grisham JW, Lininger RA, Madden VJ, Sproul M, Anderson PAW. Adult-derived stem cells from the liver become myocytes in the heart in vivo. Am J Pathol 2001. In press.

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