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Faculty Nilanjana Maulik
Professor of Surgery
nmaulik@neuron.uchc.edu
Areas of Interests:
Molecular and Cellular signaling during
myocardial ischemia and reperfusion
(a) A remodeling process is well known to occur after
myocardial infarction (MI) in experimental animals. Post-infarct
remodeling denotes both favorable and unfavorable changes in the tissue.
Favorable remodeling enhances recovery of regional myocardial function
in the weeks after infarction in the adapted heart. Occlusion of a main
coronary depletes the blood supply to the myocardium and subsequently
reduces cardiac function, which ultimately leads to heart failure.
Progressive, chronic coronary artery occlusion has been shown to induce
development of collateral arteries to re-establish and maintain blood
flow to the myocardium at risk via the growth of new capillary vessels
or angiogenesis. Studies from my laboratory as well as from others have
already confirmed the protective role of collaterals against myocardial
ischemia and cell death. Angiogenesis is a physiologically potent
process involved in growth and development and that may one day
translate into a first-line approach for the treatment of chronic
ischemic heart disease. The use of gene therapy and growth factors is a
more natural way of inducing angiogenesis. Further understanding of the
underlying biology of revascularization is needed to determine the
ability of growth factors to induce functionally significant
angiogenesis in patients with atherosclerotic, diabetic disease and
related conditions including endothelial dysfunction, which may inhibit
vessel growth.
Current research is focused on the investigation of basic molecular
mechanism of myocardial angiogenesis in the ischemic heart. To develop
better and more effective therapeutic strategies using the powerful
concept of inducing new vessel growth by employing vascular growth
factors, it is essential to further our understanding of the molecular
mechanisms and chain of events underlying the fascinating process of
angiogenesis. Our angiogenesis work is directed toward understanding the
program for the expression of various survival and growth factors
involved in coronary arteriogenesis and angiogenesis.
My laboratory is involved in studying myocardial angiogenesis and/or
arteriogenesis at four different levels:
- In vitro study using human coronary arteriolar endothelial cells
and cardiomyocytes
- Laboratory designed permanent LAD occlusion (survival) model in
rat/mice
- At the molecular level in transgenic/knock-out mice
- At the pre-clinical level testing the ability of gene delivery and
growth factor administration to ameliorate myocardial ischemia in
animal models
(b) Another ongoing area of research in which I am involved
and very much interested is studying the mechanism of pharmacological as
well as ischemic preconditioning of the heart. During last 14 years of
study, we documented the involvement of several signal transduction
pathways as well as several multiple kinases including MAP kinases and
protein kinase C (PKC). We also demonstrated the role of several redox-sensitive
transcription factors and genes such as NFB, AP-1 and Bcl-2 in the
regulation of ischemic preconditioning in ex-vivo rat/mouse models. Our
laboratory was the first to show that preconditioning reduces
cardiomyocyte apoptosis through the modulation of MAP kinase signaling
and NFB plays an essential role in this signaling process. Our lab
demonstrated that reactive oxygen species function as messenger
molecules during the preconditioning. While preconditioning has now been
considered as a state-of-the-art tool for myocardial protection, the
application of preconditioning has been mostly limited to healthy heart
model. Unfortunately, only a few studies have focused on the effect of
preconditioning in the hearts with concurrent abnormalities relevant to
coronary artery disease in humans. Clinical studies clearly identify a
number of pathological conditions that increase mortality due to
myocardial infarction and more likely to undergo open-heart surgery.
These include aging, diabetes, hypertension, atherosclerosis and
congestive heart failure. A very limited study has been performed on
pathologic hearts, and most of the studies have shown that these hearts
are difficult, if not impossible, to be preconditioned. However, none of
these studies attempted to examine the mechanism(s) of protection in
these hearts. We recognize that this is an important issue, and it is
likely that the mechanism(s) of signal transduction process is quite
different from that which is known to occur in the hearts during
preconditioning. Once, the mechanism is known, we then can pinpoint the
reason for failure of preconditioning these pathologic hearts.
This involves extensive investigation. Therefore we use several
animal models to study this clinical aspect such as:
- We use diabetic, hypertensive and atherosclerotic rats as well as
mice for experimental purpose. In ex-vivo model, hearts are subjected
to ischemia (no-flow) followed by reperfusion (flow). Both Langendorff
as well as working mode of heart preparation are used depending upon
the parameters involved.
- We use both transgenic and knock out animals
- Survival as well as non-survival procedure is involved
- In-vitro studies are involved
Techniques Involved in our research projects:
(1) Cell culture: endothelial cells, cardiomyocytes (isolated from
adult and neonatal rats and mice); (2) Ex-vivo heart model both
Langendorff and working heart; (3) Survival surgery (LAD occlusion) both
in rat and mouse; (4) Measurement of in vivo Hemodynamic parameter
including blood flow by neutron microsphere technique; (5) RNA, DNA and
Protein isolation; (6) Northern blot analysis, cloning, RNA protection
assay; (7) RT-PCR, Real Time RT-PCR; (8) Western blot analysis; (9)
Differential gene analysis; (10) DNA-Microarray; (11) Protein/DNA Array;
(12)Bio-informatics; (13) Proteomic analysis : 2-D gel electrophoresis
and Antibody Array; (14) Immuno-histochemistry; (15) Spectrophotometric
analysis; (16) Enzymatic analysis; (17) HPLC Analysis;and (18) ELISA
Selected Publications:
Thirunavukkarasu M, Addya S, Juhasz B, Pant R, Zhan L, Surrey S,
Maulik G, Menon VP, Maulik N. Heterozygous Disruption Of Flk-1 Receptor
Leads To Myocardial Ischemia Reperfusion Injury In Mice: Application Of
Affymetrix Gene Chip Analysis. J Cell Mol Med. 2008 Feb 8;
Penumathsa SV, Thirunavukkarasu M, Zhan L, Maulik G, Menon VP, Bagchi
D,Maulik N. Resveratrol enhances GLUT-4 translocation to the caveolar
lipid raft fractions through AMPK/AKT/eNOS signaling pathway in diabetic
myocardium. J Cell Mol Med. 2008 Feb 4; [Epub ahead of print]
Maulik N, Thirunavukkarasu M. Growth factor/s and cell therapy in
myocardial regeneration. J Mol Cell Cardiol. 2007 Dec 7; [Epub ahead of
print]
Juhasz B, Thirunavukkarasu M, Pant R, Zhan L, Penumathsa S, Secor
ER,Srivastava S, Raychaudhuri U, Menon VP, Otani H, Thrall RS, Maulik N.
Bromelain induces cardioprotection against ischemia reperfusion injury
through Akt/Foxo pathway in rat myocardium. Am J Physiol Heart Circ
Physiol. 2008 Jan 11; [Epub ahead of print]
Penumathsa SV, Koneru S, Zhan L, John S, Menon VP, Prasad K, Maulik
N. Secoisolariciresinol diglucoside induces neovascularization-mediated
cardioprotection against ischemia-reperfusion injury in
hypercholesterolemic myocardium. J Mol Cell Cardiol. 2008 Jan;
44(1):170-179. Epub 2007 Oct 4.
Thirunavukkarasu M, Penumathsa SV, Koneru S, Juhasz B, Zhan L, Otani
H, Bagchi D, Das DK, Maulik N. Resveratrol alleviates cardiac
dysfunction in streptozotocin-induced diabetes: Role of nitric oxide,
thioredoxin, and heme oxygenase. Free Radic Biol Med. 2007 Sep 1;
43(5):720-9. Epub 2007 May 10.
Thirunavukkarasu M, Juhasz B, Zhan L, Menon VP, Tosaki A, Otani H,
Maulik N. VEGFR1 (Flt-1+/-) gene knockout leads to the disruption of
VEGF-mediated signaling through the nitric oxide/heme oxygenase pathway
in ischemic preconditioned myocardium. Free Radic Biol Med. 2007 May
15;42(10):1487-95. Epub 2007 Feb 20.
Koneru S, Penumathsa SV, Thirunavukkarasu M, Samuel SM, Zhan L, Han
Z, Maulik G, Das DK, Maulik N. Redox regulation of ischemic
preconditioning is mediated by the differential activation of caveolins
and their association with eNOS and GLUT-4. Am J Physiol Heart Circ
Physiol. 2007 May;292(5):H2060-72. Epub 2007 Feb 2.
Penumathsa SV, Thirunavukkarasu M, Koneru S, Juhasz B, Zhan L, Pant
R, Menon VP, Otani H, Maulik N. Statin and resveratrol in combination
induces cardioprotection against myocardialinfarction in
hypercholesterolemic rat. J Mol Cell Cardiol. 2007 Mar;42(3):508-16.
Epub 2006 Dec 26.
Penumathsa SV, Koneru S, Thirunavukkarasu M, Zhan L, Prasad K, Maulik
N. Secoisolariciresinol diglucoside: relevance to angiogenesis and
cardioprotection against ischemia-reperfusion injury. J Pharmacol Exp
Ther. 2007 Feb;320(2):951-9. Epub 2006 Nov 28.
Maulik N. Reactive oxygen species drives myocardial angiogenesis?
Antioxid Redox Signal. 2006 Nov-Dec;8(11-12):2161-8. Review.
Thirunavukkarasu M, Penumathsa SV, Juhasz B, Zhan L, Cordis G, Altaf
E, Bagchi M, Bagchi D, Maulik N. Niacin-bound chromium enhances
myocardial protection from ischemia-reperfusion injury. Am J Physiol
Heart Circ Physiol. 2006 Aug;291(2):H820-6.
Vidavalur R, Penumathsa SV, Zhan L, Thirunavukkarasu M, Maulik N.
Sildenafil induces angiogenic response in human coronary arteriolar
endothelial cells through the expression of thioredoxin, hemeoxygenase
and vascular endothelial growth factor. Vascul Pharmacol. 2006
Aug;45(2):91-5. Epub 2006.
Fukuda S, Kaga S, Zhan L, Bagchi D, Das DK, Bertelli A, Maulik N.
Resveratrol ameliorates myocardial damage by inducing vascular
endothelial growth factor-angiogenesis and tyrosine kinase receptor
Flk-1. Cell Biochem Biophys. 2006;44(1):43-9.
Kaga S, Zhan L, Altaf E, Maulik N. Glycogen synthase
kinase-3beta/beta-catenin promotes angiogenic and anti-apoptotic
signaling through the induction of VEGF, Bcl-2 and surviving expression
in rat ischemic preconditioned myocardium. J Mol Cell Cardiol. 2006
Jan;40(1):138-47. Epub 2005.
Maulik N. Effect of p38 MAP kinase on cellular events during ischemia
and reperfusion possible therapy. Am J Physiol Heart Circ Physiol. 2005
Dec;289(6):H2302-3.
Kaga S, Zhan L, Matsumoto M, Maulik N. Resveratrol enhances
neovascularization in the infarcted rat myocardium through the induction
of thioredoxin-1, heme oxygenase-1 and vascular endothelial growth
factor. J Mol Cell Cardiol. 2005 Nov;39(5):813-22. Epub 2005.
Addya S, Shiroto K, Turoczi T, Zhan L, Kaga S, Fukuda S, Surrey S,
Duan LJ, Fong GH, Yamamoto F, Maulik N. Ischemic
preconditioning-mediated cardioprotection is disrupted in heterozygous
Flt-1 (VEGFR-1) knockout mice. J Mol Cell Cardiol. 2005
Feb;38(2):345-51. Epub 2005.
Mathur P, Kaga S, Zhan L, Das DK, Maulik N. Potential candidates for
ischemic preconditioning-associated vascular growth pathways revealed by
antibody array. Am J Physiol Heart Circ Physiol. 2005
Jun;288(6):H3006-10. Epub 2005.
Mathur P, Kaga S, Zhan L, Das DK, Maulik N. Antibody-array technique
reveals overexpression of important DNA-repair proteins during cardiac
ischemic preconditioning. J Mol Cell Cardiol. 2005 ;38(1):99-102.
Fukuda S, Yoshii S, Kaga S, Matsumoto M, Kugiyama K, Maulik N.
Angiogenic strategy for human ischemic heart disease: brief overview.Mol
Cell Biochem. 2004 Sep;264(1-2):143-9.
Maulik N. Angiogenic signal during cardiac repair.Mol Cell Biochem.
2004 Sep;264(1-2):13-23, Review
Fukuda S, Kaga S, Sasaki H, Zhan L, Zhu L, Otani H, Kalfin R, Das DK,
Maulik N. Angiogenic signal triggered by ischemic stress induces
myocardial repair in rat during chronic infarction. J Mol Cell Cardiol.
2004 Apr;36(4):547-59.
Maulik N. Ischemic preconditioning mediated angiogenic response in
the heart. Antioxid Redox Signal. 2004 Apr;6(2):413-21, Review.
Maulik N. Redox control of cardiac preconditioning. Antioxid Redox
Signal. 2004 Apr;6(2):321-3.
rev. 2-08
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