GILL QUARTERLY PUBLISHED BY UK GILL HEART & VASCULAR INSTITUTE - Summer 2021 - University of Kentucky

Page created by Greg Bowers
 
CONTINUE READING
GILL QUARTERLY PUBLISHED BY UK GILL HEART & VASCULAR INSTITUTE - Summer 2021 - University of Kentucky
GILL QUARTERLY
PUBLISHED BY UK GILL HEART & VASCULAR INSTITUTE
Summer 2021
GILL QUARTERLY PUBLISHED BY UK GILL HEART & VASCULAR INSTITUTE - Summer 2021 - University of Kentucky
GILL QUARTERLY
SUMMER 2021

TABLE OF CONTENTS

Clinical Trials | Page 3

Fellows News/Accomplishments | Page 6

Affiliate News | Page 12

Features | Page 14

CV-RPA | Page 24

Current Research Funding | Page 26

Publications | Page 31
GILL QUARTERLY PUBLISHED BY UK GILL HEART & VASCULAR INSTITUTE - Summer 2021 - University of Kentucky
3 | Gill Quarterly, Winter 2020

FEATURED                                                     Trial). REVERSE-IT is a multi-center, open-label,
                                                             prospective single-arm trial designed to study rever-
CLINICAL TRIAL                                               sal of the antiplatelet effects of ticagrelor with ben-
                                                             tracimab in patients who present with uncontrolled
REVERSE-IT: A Phase 3, Multicenter,                          major or life-threatening bleeding or who require
Open-Label, Single-Arm Study of PB2452 in                    urgent surgery or invasive procedure. Approximately
Ticagrelor-Treated Patients with Uncontrolled                200 patients are being targeted to be enrolled from
Major or Life-Threatening Bleeding or Requir-                major health centers worldwide. Patients with re-
ing Urgent Surgery or Invasive Procedure                     ported use of ticagrelor within the prior 3 days who
                                                             require urgent reversal due to uncontrolled major or
PI: Ahmed Abdel-Latif, MD, PhD                               life-threatening bleeding or because they need ticagre-
Sponsor: PhaseBio Pharmaceuticals Inc                        lor reversal will be eligible for enrollment.

Objective: To demonstrate reversal of the antiplate-         As of March 2021, the REVERSE-IT Phase 3 clinical
let effects of ticagrelor with IV infusion of PB2452 and     trial had enrolled 60 of the first approximately 100
to demonstrate the clinical efficacy of PB2452 by as-        patients needed to support a Biologics License Appli-
sessment of hemostasis in ticagrelor-treated patients        cation (BLA), nearly all of whom to date have required
with uncontrolled major or life-threatening bleeding         urgent surgery or an invasive procedure. PhaseBio is
or who are undergoing urgent surgery or invasive pro-        attempting to accelerate enrollment of patients with
cedure in a an open-label, single-cohort study.months,       uncontrolled major or life-threatening bleeding, in-
or an elevation in a certain blood test for HF, called       cluding by working to increase the number of enroll-
BNP or NT-pro-BNP.                                           ing clinical trial sites in the United States, Canada, and
                                                             the European Union as it is believed that a broader
For More information contact: Stephanie Mor-                 site footprint will increase the probability of enrolling
ris: stephanie.a.morris@uky.edu                              these patients. The trial is enrolling faster than Phase-
Phone: 859-323-5366                                          Bio originally projected, and PhaseBio now expects
                                                             to complete enrollment of the first 100 patients in
Trial Background: Bentracimab (previously                    mid-2021 and is targeting to submit a BLA for ben-
PB2452) has been studied in Phase 1 and Phase 2              tracimab in mid-2022, although those timelines could
clinical trials and has demonstrated the potential to        be impacted by the continued scope and duration of
bring life-saving therapeutic benefit through immedi-        the COVID-19 pandemic.
ate and sustained reversal of the antiplatelet activity of
ticagrelor, potentially mitigating concerns regarding
bleeding risks associated with the use of antiplatelet
drugs. Additionally, in a translational study, ben-          For additional trial information, please visit:
tracimab achieved equivalent reversal of branded             ClinicalTrials.gov
ticagrelor and multiple ticagrelor generics. The pivotal
Phase 3 clinical study is called REVERSE-IT (Rapid
and SustainEd ReVERSal of TicagrElor – Intervention
GILL QUARTERLY PUBLISHED BY UK GILL HEART & VASCULAR INSTITUTE - Summer 2021 - University of Kentucky
4 | UK Gill Heart & Vascular Institute

CURRENTLY ENROLLING
CLINICAL TRIALS
BIO LIBRA - AnaLysIs of Both Sex and Device               persistent AF subtypes implanted with a two-lead
Specific FactoRs on Outcomes in PAtients with             BIOTRONIK CRT-DX system.
Non-Ischemic Cardiomyopathy
                                                          LEADLESS-II - A safety and effectiveness trial
PI: Aaron Hesselson, MD 		                                for a leadless pacemaker system
Coordinator: Ben Rushing 859-323-5259
                                                          PI: Aaron Hesselson, MD
Objective: This study is designed to evaluate the com-    Coordinator: Jennifer Isaacs 859-323-4738
bined risk of all-cause mortality and treated ventric-
ular tachycardia (VT) or ventricular fibrillation (VF)    Objective: To confirm the safety and effectiveness of
events by subject sex and by implanted device type.       the Aveir device from implant through 6-weeks in a
All-cause mortality, VT or VF alone, risk of cardiac      subject population indicated for a VVI(R) pacemaker.
death, and sudden cardiac death will be analyzed for
the total cohort, as well as by subject sex and by the    General Cardiology:
implanted device type
                                                          EMPACT-MI – A study to test whether em-
OPTIMIZER SMART POST - APPROVAL                           pagliflozin can lower the risk of heart failure
STUDY                                                     and death in people who had a heart attack
                                                          (myocardial infarction)
PI: Aaron Hesselson, MD
Coordinator: Ben Rushing 859-323-5259                     PI: John Kotter, MD
                                                          Coordinator: Ben Rushing 859-323-5259
Objective: Post-approval study that evaluates data
such as cardiac outcomes, quality of life, mortality,     Objective: To demonstrate the superiority of empagli-
and functionality. Long-term data needed to assess        flozin 10 mg once daily versus placebo, in addition to
complication rates and potential interactions with oth-   standard of care, for the reduction of the composite
er implantable devices in the intended patient popula-    endpoint of time to first heart failure hospitalization
tion. The post-approval study (PAS) protocol designed     or all-cause mortality in high-risk patients hospital-
to address these concerns in a real-world setting.        ized for acute MI.

BIO-AffectDX- Atrial Fibrillation associated              RELIEVE-HF TRIAL: REducing Lung con-
with Heart Failure treated by BIOTRONIK’s                 gestIon symptoms using the v-wavE shunt in
CRT-DX System                                             adVancEd Heart Failure

PI: Aaron Hesselson, MD			                                PI: John Gurley, MD
Coordinator: Ben Rushing 859-323-5259                     Coordinator: Stephanie Morris     859-323-5366

Objective: To evaluate the percent of all subjects with   Objective: To provide reasonable assurance of safety
improvement from baseline in heart failure patients       and effectiveness of the V-Wave Interatrial Shunt Sys-
with paroxysmal, persistent, and long-standing            tem by improving meaningful clinical outcomes in
GILL QUARTERLY PUBLISHED BY UK GILL HEART & VASCULAR INSTITUTE - Summer 2021 - University of Kentucky
5 | Gill Quarterly, Summer 2021

CLINICAL TRIALS CONTINUED
patients with NYHA functional class II, class III or        Coordinator: Evan Cassity     859-218-6633
ambulatory class IV heart failure, irrespective of left
ventricular ejection fraction, who at baseline are treat-   Objective: To determine whether intensive medi-
ed with guideline-directed drug and device therapies.       cation treatment to modify risk factors and vascular
                                                            function in women patients with coronary arteries
REVERSE-IT: A Phase 3, Multicenter,                         showing no flow limit obstruction but with cardiac
Open-Label, Single-Arm Study of PB2452 in                   symptoms (i.e., chest pain, shortness of breath) will
Ticagrelor-Treated Patients with Uncontrolled               reduce the patient’s likelihood of dying, having a heart
Major or Life-Threatening Bleeding or Requir-               attack, stroke/TIA or being hospitalized for cardiac
ing Urgent Surgery or Invasive Procedure                    reasons.
PI: Ahmed Abdel- Latif, MD, PhD
Coordinator: Jennifer Isaacs 323-4738                       Clinical Research Team

Brief Summary:                                              John Kotter, MD
The study will demonstrate the reversal of the atiplate-    Director, Gill Heart & Vascular Institute Cardiology
let effects of ticagrelor with IV infusion of PB2452        Research Center
and the clinical efficacy of PB2452 by assessment of
hemostasis in ticagrelor-treated patients with uncon-       Jennifer Isaacs, MS, MS, CCRP
trolled major or life-threatening bleeding or who are       Clinical Research Administrative Director
undergoing urgent surgery or invasive procedure in a        Cardiovascular and Radiology Services
an open-label, single-cohort study.                         Gill Heart & Vascular Institute Clinical Research
                                                            859-323-4738
MK-5475-007: A Phase 2/3, Multicenter, Ran-                 Jennifer.isaacs@uky.edu
domized, Double-blind, Placebo-Controlled,
Adaptive Design Study to Evaluate the Efficacy              Stephanie Morris, CCRP
and Safety of MK-5475 in Adults with                        Clinical Research Operations Manager
Pulmonary Arterial Hypertension                             Cardiovascular and Radiology Services
                                                            Gill Heart & Vascular Institute Clinical Research
PI: David Booth, MD			                                      Phone: 859-323-5366
Coordinator: Stephanie Morris 859-323-5366                  Stephanie.A.Morris@uky.edu

Objective: Two cohorts to evaluate the effect of MK-        Research Coordinators
5475: 1) versus placebo on the pulmonary vascular
resistance (PVR) at Week 12, 2) versus placebo on           Ben Rushing, CCRC
6-minute walk distance (6MWD) at Week 12.                   859-323-5259
                                                            Ben.rushing@uky.edu
Women’s Cardiology:
                                                            Travis Sexton, PhD
Women’s IschemiA TRial to Reduce Events In                  859-323-1082
Non-ObstRuctive CAD (WARRIOR)                               trsext2@uky.edu

PI: Gretchen Wells, MD, PhD
GILL QUARTERLY PUBLISHED BY UK GILL HEART & VASCULAR INSTITUTE - Summer 2021 - University of Kentucky
6 | UK Gill Heart & Vascular Institute

         FELLOWS NEWS/ACCOMPLISHMENTS
         ACC.21 POSTERS & ABSTRACTS
GILL QUARTERLY PUBLISHED BY UK GILL HEART & VASCULAR INSTITUTE - Summer 2021 - University of Kentucky
GILL QUARTERLY PUBLISHED BY UK GILL HEART & VASCULAR INSTITUTE - Summer 2021 - University of Kentucky
8 | | UK Gill Heart & Vascular Institute

FELLOWS NEWS
ACC.21 ABSTRACTS
CORONARY ARTERY DIS-                       MANAGING TRICUSPID                   LONG TERM OUTCOMES
EASE PROGRESSION IN                        VALVE INFECTIVE ENDO-                IN CARDIAC RHYTHM
PATIENTS WITH END-STAGE                    CARDITIS IN INTRAVENOUS              MANAGEMENT DEVICE
LIVER DISEASE: FINDINGS                    DRUG USERS: IS IT TIME TO            PLACEMENT FOLLOWING
FROM CCTA MAY IMPACT                       ENDORSE THE CONSERVA-                INSIDE-OUT CENTRAL VE-
PREOPERATIVE CARDIAC                       TIVE APPROACH?                       NOUS ACCESS TECHNIQUE
TESTING RECOMMENDA-
TIONS                                      Rvan Ruhr, Talal Alnabelsi, Grego-   Ethan Fry, Gregory Sinner, Karam
                                           ry Sinner, Steve Leung               Ayoub, Aaron Hesselson
Zachary Neace, Caleb W. Phillips,
Gregory Sinner, Talal S. Alnabelsi,
Malay B. Shah, Roberto Gedaly, Ve-         IMPLANTABLE CARDIO-                  DETERMINATION OF LEFT
dant Gupta, Vincent Sorrell, Steve         VERTER DEFIBRILLATOR                 MAIN CORONARY ARTERY
Leung                                      THERAPY IN PATIENTS                  STENOSIS VIA NON-INVA-
                                           WITH END STAGE RENAL                 SIVE TESTING TO GUIDE
UNDERUTILIZATION OF STA-                   DISEASE RESULTS FROM                 REVASCULARIZATION IN
TIN THERAPY IN PATIENTS                    THE NATIONWIDE INPA-                 ISCHEMIC HEART DISEASE
WITH END-STAGE LIVER                       TIENT SAMPLE DATABASE
DISEASE AND CORONARY                                                            Thomas H. Wool, Vedant A. Gupta
ARTERY CALCIFICATION                       Karam Ayoub, Ethan Fry, Meera
                                           Marji, Ahmad Masri, Aaron Hes-
Gregory J. Sinner, Do Hyun Yun,            selson, Kristin Ellison
Mihir G. Shah, Vedant Gupta,
Malay B. Shah, Roberto Gedaly,             THE SAFETY OF PULMO-
Vincent Sorrell, Steve Leung               NARY VEIN ISOLATION
                                           IN PATIENTS WITH ATRI-
WOMEN BENEFIT FROM CRT                     AL FIBRILLATION AND
GREATER THAN MEN, AND                      CHRONIC THROMBOCYTO-
IT IS DUE TO MORE THAN                     PENIA-RESULTS FROM THE
JUST VENTRICULAR SIZE                      NATIONWIDE INPATIENT
                                           SAMPLE DATABASE
Josue Villegas-Galaviz, Mark
Kauth, Eric Robinson, Gregory              Karam Ayoub, Ethan Fry, Meera
Sinner, Tanyanan Tanawuttiwat,             Marji, Ahmad Masri, Kristin Elli-
Maya Guglin                                son, Aaron Hesselson
GILL QUARTERLY PUBLISHED BY UK GILL HEART & VASCULAR INSTITUTE - Summer 2021 - University of Kentucky
9 | Gill Quarterly, Spring 2021

FELLOWS NEWS
GRADUATION
                                             Advanced Cardiac Imaging
Cardiovascular Disease
                                                  Ahmed Noor
     Ashley Brunmeier
     Joshua Duchesne                              Gregory Sinner
     Joshua Eason
     Mary-Beth Fisher                        Electrophysiology
     Brian Kauh                                    Karam Ayoub
     Matthew Rafn
     Matthew Sousa                           Interventional Cardiology
                                                   Luai Alhazmi
Advanced Heart Failure                             Hussam Hawmdeh
     Jad Ballout
     Muhammad Nadeem

                                 Congratulations!

                        For more photos please use the link below:
                 https://markmahan.photoshelter.com/gallery/210606-
                 Gill-Heart/G00003XWJqbJPI9U/C0000C3hNi6d9fSQ
                                    Password: UK
GILL QUARTERLY PUBLISHED BY UK GILL HEART & VASCULAR INSTITUTE - Summer 2021 - University of Kentucky
10 | | UK Gill Heart & Vascular Institute

FELLOWS NEWS
AWARDS

                                            Michael G. Spain
                                            Award
                                            Given to faculty/staff for
                                            extraordinary contribu-
                                            tions toward the better-
                                            ment of the fellowship
                                            program–
                                            Dr. David Booth

                                            Borys Surawicz
                                            Award
                                            Given to a faculty mem-
                                            ber for excellence in
                                            teaching –
                                            Dr. Vedant Gupta
11 | Gill Quarterly, Summer 2021

David J. Moliterno
Award for Excellence in
Clinical Research –
Drs Gregory Sinner
and Karam Ayoub

Teresa Hignite Award
Given to a fellow who
exhibits exceptional pro-
fessionalism and a positive
attitude –
Dr. Ashley Brunmeier
12 | | UK Gill Heart & Vascular Institute

AFFILIATE NEWS
THE PULSE - NEXT WEBINAR
JULY 14
The Pulse is the Gill Affiliate             This CME-accredited webinar         For additional information about
Network’s official webinar series.          will feature heart failure cardi-   the webinar and to RSVP, please
Held bimonthly, these educa-                ologist, Dr. Gaurang Vaidya,        contact Rebecca Craft by phone
tional courses are accredited               who will present, Cardiac           at (859) 285-8083 or by email at
for multiple clinical personnel             Amyloidosis: ATTR-acting All        rebecca.craft@uky.edu.
and focused on a broad range of             Our Attention. Dr. Vaidya’s
topics relating to cardiovascular           presen-tation will focus on         Join us for future The Pulse we-
clinical care, program manage-              recognizing, diagnosing, and        binars:
ment, and administration.                   treating cardiac amyloidosis.
                                                                                Advanced Therapies for
The next, The Pulse webinar,                To connect remotely, please use     Heart Failure
is scheduled for Wednesday,                 the following link: https://uky.    Emma Birks, MD
July 14 from 12:00 – 1:00                   zoom.us/j/87434783148.              September 29, 2021/12-1PM EST
PM EST.
                                                                                Surgical Considerations in
                                                                                Heart Transplantation
                                                                                Mike Sekela, MD
                                                                                November 10, 2021/7-8 AM EST
2 | UK Gill Heart & Vascular Institute

Above from L to R: Drs. Sharat Koul, Aslam Ahmad, Gary Grigsby Jr., Shawn Flynn, and Hussam Hamdalla

EPHRIAM MCDOWELL REGIONAL MED CENTER
RECEIVES NEW ACCREDITATION
Congratulations to Gill Affiliate          Ephraim McDowell Health.            Ephraim McDowell Heart &
Network member, Ephraim Mc-                “Our associates and physicians      Vascular Institute is located
Dowell Regional Medical Center             con-tinually work together to       at 216 West Walnut Street in
(EMRMC)!                                   pro-vide the best care possible     Danville, across from Ephraim
                                           for the patients we serve.”         McDowell Regional Medical
The American College of Car-                                                   Center. EMRMC physicians also
diology has recently recognized            Congratulations to Ephraim          see patients at these other loca-
Ephraim McDowell for its                   McDowell on this recognition.       tions in central Kentucky:
demonstrated expertise and                 Thank you for your continued
commitment in treating patients            focus on excellent cardiovascu-     Liberty – 511 Middleburg Street
with chest pain, and EMRMC                 lar care. We’re proud to have       Harrodsburg – 470 Linden Ave-
has been awarded Chest Pain                you in the Gill Affiliate family!   nue, Suite 7
Center Accreditation with
Primary PCI based on rigorous              To learn how the Gill Affiliate     Springfield – 280 Lincoln Drive
onsite evaluation of the staff’s           Network is working across the       Russell Springs – 92 Dr. Joe T.
ability to evaluate, diagnose and          Commonwealth to ensure ac-          Pettey Drive, Suite 600
treat patients who may be expe-            cess to high-quality care for all
                                           Kentuckians, visit:                 Monticello – One South Creek
riencing a heart attack.
                                                                               Drive, Suite 102
                                           https://ukhealthcare.uky.edu/
“By earning Chest Pain Center
                                           gill-heart-vascular-institute/
accreditation, it validates to our
                                           professionals/affiliates
communities that we are dedi-
cated to providing excellent care
for our chest pain patients,” says
Dan McKay, president and CEO,
14 | | UK Gill Heart & Vascular Institute

RESEARCH NEWS
NIGMS R35 GRANT
UK Professor Awarded $1.9M for Sepsis Research

A University of Kentucky College            Li studies how hormones called        given to patients without consid-
of Medicine professor has been              glucocorticoids regulate the          ering the status of adrenal insuf-
awarded a $1.9 million National             body’s immune system in re-           ficiency. Li proposes that before
Institutes of Health (NIH) grant            sponse to sepsis. Glucocorti-         giving glucocorticoids to septic
for his research on the body’s im-          coids are released by the adrenal     patients, a precision medicine
mune response to sepsis, which              glands and help to reduce certain     approach should be taken to
could potentially help to improve           aspects of immune function such       identify whether or not they have
therapies for the common dis-               as inflammation. They are often       an adrenal insufficiency.
ease.                                       supplemented as a therapy to
                                            treat sepsis and other diseases       “The mechanisms behind gluco-
Xiangan Li, a professor in the              caused by an overactive immune        corticoids and immune regula-
Department of Physiology and                system. However, not all sepsis       tion may be different than previ-
the Saha Cardiovascular Re-                 patients may benefit from addi-       ously understood,” Li said. “The
search Center, received the                 tional glucocorticoids, Li says.      ongoing research funded by this
prestigious R35 grant from the                                                    grant will answer questions that
NIH’s National Institute of Gen-            “Thirty to 60% of sepsis patients     we hope will improve the overall
eral Medical Sciences (NIGMS),              have an impaired adrenal stress       efficacy of sepsis therapy and
which will fund sepsis research in          response and cannot produce           save many lives.”
his lab over the next five years.           enough glucocorticoids,” said Li.
                                            “But for the others, supplement-
Sepsis is a life-threatening                ing glucocorticoids may not be        Research in Li’s lab will continue
condition that occurs when an               necessary or beneficial.”             to give scientists a better under-
infection triggers a chain reaction                                               standing of the role glucocorti-
throughout the body. Without                Research conducted in Li’s lab        coids play in immune function,
timely treatment, it can quick-             provides a proof of concept that it   which could ultimately lead to
ly lead to tissue damage, organ             could actually be harmful. Septic     improved patient outcomes for
failure and death. The Centers              mice were treated with glucocor-      sepsis.
for Disease Control and Preven-             ticoids and those with impaired
tion reports that nearly 270,000            adrenal stress responses had          “The mechanisms behind gluco-
Americans die as a result of sep-           better outcomes, but those with       corticoids and immune regula-
sis every year, and one in three            normal adrenal stress responses       tion may be different than previ-
patients who die in a hospital has          experienced increased mortality       ously understood,” Li said. “The
sepsis.                                     as a result of the therapy.           ongoing research funded by this
                                                                                  grant will answer questions that
                                            Li says the findings provide an       we hope will improve the overall
“Thirty to 60% of sepsis patients           explanation for why the current       efficacy of sepsis therapy and
have an impaired adrenal stress             glucocorticoid therapy for sepsis     save many lives.”
response and cannot produce                 is controversial, as the therapy is
enough glucocorticoids,” said Li.
2 | UK Gill Heart & Vascular Institute

The NIGMS aims to support                     Story from UK COM web page:     Recent publications:
basic research that increases the             https://research.med.uky.edu/   Ito, M.; Wang, Q.; Hao, D.;
understanding of biological pro-              news/uk-professor-award-        Sawada, H.; Huang, B.; Guo, L.;
cesses and lays the foundation                ed-19m-sepsis-research          Daugherty, A.; Li, XA “Ultrasound
for advances in disease diagno-                                               Monitoring of Thymus Involution
                                                                              in Septic Mice.” Ultrasound in
ses and prevention. The NIGMS’
                                                                              medicine & biology 47, 3 (2021):
R35 grant, also called the Max-               Lab Information                 769-776. [PubMed Link]
imizing Investigators Research
Award (MIRA), increases the                   Li Lab Members:                 Ito, M.; Ye, X.; Wang, Q.; Guo, L.;
efficiency of NIGMS funding                   Ling Guo, MD                    Hao, D.; Howatt, D.; Daugherty,
by providing researchers with                 Qian Wang, BS                   A.; Cai, L.; Temel, R.; Li, XA “SR-
greater stability and flexibility,            Dan Hao, MS                     BI (Scavenger Receptor BI), Not
thereby enhancing scientific                  Misa Ito, MD                    LDL (Low-Density Lipoprotein)
productivity and the chances for                                              Receptor, Mediates Adrenal Stress
                                              Dr. Li’s Website click here.    Response-Brief Report.” Arterio-
important breakthroughs.
                                                                              sclerosis, thrombosis, and vascular
                                                                              biology 40, 8 (2020): 1830-1837.
Research reported in this pub-                                                [PubMed Link]
lication was supported by the
National Institute of General                                                 Wu C, Lu W, Zhang Y, Zhang G, Shi
Medical Sciences of the Nation-                                               X, Hisada Y, Grover SP, Zhang X,
al Institutes of Health under                                                 Li L, Xiang B, Shi J, Li XA, Daugh-
Award Number R35GM141478.                                                     erty A, Smyth SS, Kirchhofer D,
The content is solely the re-                                                 Shiroishi T, Shao F, Mackman N,
sponsibility of the authors and                                               Wei Y, Li Z. Inflammasome Acti-
                                                                              vation Triggers Blood Clotting and
does not necessarily represent
                                                                              Host Death through Pyroptosis.
the official views of the National                                            Immunity. 2019 Jun18;50(6):1401-
Institutes of Health.                                                         1411.e4. [PubMedLink]
16 | | UK Gill Heart & Vascular Institute

RESEARCH NEWS
MYOCARDIAL RECOVERY ALLIANCE
MYRA: An Alliance Finding Innovative Approaches for Improved Cardiac Recovery
For many years, ventricular                 Emma Birks, MD, PhD, and Ken           tucky, having come from “one
assist devices (VADs) were con-             Campbell, PhD, are co-principal        U.K. to another.”
sidered a last resort for patients          investigators of the Myocardial
with serious heart failure. These           Recovery Alliance (MYRA), a            Dr. Birks is from England, where
mechanical pumps, which help                team established under the UK          she earned her training and
maintain blood circulation, were            College of Medicine’s Alliance         became a global leader in myo-
mainly used for patients awaiting           Research                               cardial recovery and the study
a heart transplant.                         Initiative. Together, with a team      of VADs. She has led numerous
                                            of highly qualified cardiovascu-       clinical trials and long studied
Recent studies conducted by                 lar experts and scientists across      molecular mechanisms impacting
University of Kentucky research-            campus, they’re leading revolu-        heart failure and recovery. She
ers suggest VADs actually could             tionary studies that could change      recently joined the University
be used to recover the hearts               standards of cardiac care in real      of Kentucky as section chief of
of patients with heart failure,             time.                                  advanced heart failure, mechani-
even those with advanced heart                                                     cal circulatory support, and heart
failure, possibly preventing                Cardiovascular disease is one of       transplantation after nearly a
their need for transplants in the           the Research Priority Areas from       decade at the University of Lou-
future.                                     the UK Office of the Vice Presi-       isville.
                                            dent for Research.
Holding this research at UK                                                        Dr. Birks and Dr. Campbell bring
could be groundbreaking for the             “In the early days, no one really      international experience to Ken-
state of Kentucky. UK Health-               wanted to be involved with VADs        tucky, having come from “one
Care performs more than 40                  because the outcomes weren’t           U.K. to another.”
heart transplants per year, or              good,” Dr. Birks said. “But we
one percent of heart transplants            found that by changing the pa-         Dr. Campbell, originally from
worldwide.                                  rameters on the pump, we can get       Scotland, is a professor of phys-
                                            patients to feel better. When you      iology with expertise in cardiac
                                            take a very sick young person and      contractility and mathematical
“In the early days, no one really           you get them to survive and live       modeling of cell and molecu-
wanted to be involved with VADs             with the pump, then go home and        lar-level contractile function. He
because the outcomes weren’t                have a good quality of life and        joined the University of Kentucky
good,” Dr. Birks said. “But we              then ultimately return the heart       in 1998 and now directs the Cen-
found that by changing the pa-              function to normal, it’s really very   ter for Clinical and Translational
rameters on the pump, we can                rewarding.”                            Science (CCTS) Biospecimens
get patients to feel better”.                                                      Core.
                                            Dr. Birks and Dr. Campbell bring
                                            international experience to Ken
2 | UK Gill Heart & Vascular Institute

The collaborative structure of             Meanwhile, the team benefits       beyond to better understand
the Alliance Research Initiative           greatly from Dr. Campbell’s        myocardial recovery while
has played a major role in bridg-          leadership of the CCTS Biospec-    allowing patients with serious
ing the connections between                imens Core and the Gill Cardio-    heart failure to live longer,
researchers and cardiologists,             vascular Biorepository. These      healthier lives.
which is not a simple task but             biobanks provide researchers
one that can make a huge differ-           and clinicians within MYRA         To learn more about MYRA and
ence in accelerating the research          samples of myocardium donat-       our other Alliance teams, click
process. Due to the nature of              ed by patients for research.       here: https://med.uky.edu/al-
the profession, clinicians invest                                             liance.
much of their time in practice. In         Collaborations across depart-
the MYRA Alliance Dr. Birks and            ments and colleges have al-        MYRA TEAM MEMBERS:
other cardiologists are invested           lowed the MYRA team to make        Ahmed Abdel-Latif, MD, PhD
in research, too.                          strides in research and clinical   Mark Ebbert, PhD
                                           developments. The team al-         Vedant Gupta, MD
“Before joining MYRA, I might              ready has developed computer
                                                                              Candice Harvey Falls, PhD
not have been able to connect              models of hearts that evolve
so easily with specialists in-             in response to pharmaceutical      Andrew Kolodziej, MD
volved in clinical care, but now           and genetic manipulation at the    Sarah Kosta, PhD
I have nearly 15 cardiologists in          molecular level. Clinicians and    John Kotter, MD
my phone contacts who I can                scientists will use knowledge
                                                                              Steve Leung, MD
reach out to, and sometimes get            gained from these models to
responses in 30 seconds,” Dr.              improve patient care and treat-    Bryana Levitan, RDCS
Campbell said. “These connec-              ment.                              Greg Milburn, MD/PhD Student
tions aren’t unheard of, but                                                  Vince Sorrell, MD
rare, and they are really crucial          With the right connections to      William Stoops, PhD
in making our research more                experts and resources, MYRA
efficient.”                                                                   Gaurang Vaidya, MD
                                           is poised to lead clinicians and
                                           researchers in Kentucky and        Jonathan Wenk, PhD
18 | UK Gill Heart & Vascular Institute

APRIL
SAHA AORTIC CENTER
A new research center focused on aortic disease          “Dr. Saha has devoted a lifetime of service to
has been established at the University of Kentucky       the health care needs of Kentucky. The gen-
thanks to a gift from the Saha Foundation.               erous gift attests to his and his family’s pas-
                                                         sion and dedication to our Commonwealth,”
Housed in the Biomedical Biological Science Re-          Minion said. “I am honored to be a part of this
search Building on the UK campus, the Saha Aortic        exciting initiative.”
Center will promote research and education to            Sheppard founded the UK Aortic Clinic and
advance clinical care for disease of the aorta. Aortic   performs NIH-funded research on Marfan
disease can cause the expansion and rupture of a         syndrome and genetically based aortic disease.
vessel wall in the chest or abdominal area, leading      She works closely with vascular surgeons to
to potentially deadly internal bleeding.                 provide a transdisciplinary team approach for
                                                         managing patient’s aortic disease.
Alan Daugherty, Ph.D., chair of the Department of
Physiology and director of the Saha Cardiovascular       “This donation from the Saha Foundation is a
Research Center in the UK College of Medicine,           tremendous gift to the people of Kentucky, as
will serve as director of the Saha Aortic Center.        they will not need to leave the state to access
                                                         the most cutting-edge care for aortic disease,”
“Aortic disease affects the major artery that car-       Sheppard said. “We have one of the largest
ries blood from the heart to the rest of the body,”      groups of basic scientists in the world who
Daugherty said. “Having this center that specifical-     do research on aortic disease. By facilitating
ly focuses on research and education in this field is    collaboration with our physicians, this gift
vital.”                                                  will position UK to be a premier center for
                                                         the treatment of people with aortic disease
David Minion, MD, program director and pro-              throughout the world.”
fessor of Vascular Surgery, and Mary Sheppard,
MD, assistant professor of Family and Community          The Saha Foundation was established in 1999
Medicine, Surgery and Physiology, will serve as          by Dr. Sibu and Becky Saha. Its mission is to
co-directors for the center.                             promote research and education of cardiovas-
                                                         cular disease in the Commonwealth of Ken-
                                                         tucky. The foundation offers many awards and
                                                         scholarships to scientists, medical students,
                                                         nurses and other health professionals.
“This donation from the Saha Foundation is a tre-
mendous gift to the people of Kentucky, as they will     The Saha’s have considered Lexington home
not need to leave the state to access the most cut-      for more than 40 years and remain steadfast
ting-edge care for aortic disease,” Sheppard said.       in their community involvement and generous
                                                         philanthropy. Following a distinguished career
                                                         in private practice, Dr. Saha joined the faculty
                                                         of the UK College of Medicine in 2002 as a
professor of surgery in the Division of Cardio-
thoracic Surgery. Becky is past president of       VACE Poster Pitch Winner!
Friends of the Arboretum. During her ten-
ure as president, Friends of the Arboretum
                                                  The Von Allmen Center for Entrepreneurship
launched a major campaign to establish the
                                                  (VACE) conducted its annual CCTS Poster Pitch
Kentucky Children’s Garden, which opened in
                                                  Competition. The top winners are:
2011.
                                                  Tharunika Venkatesan- 1st
The couple’s daughter, Rani Saha, became
                                                  Gaurang Vaidya- 2nd
president of the Saha Foundation in 2020.
                                                  Robert Anderson 3rd
Currently, she works in New York City as a
                                                  Natalie Jo Hawes - Director’s Award
motion graphics designer and artist alongside
many Fortune 500 companies, post-pro-
                                                  Dr Vaidya, pictured below, received second place
duction and design houses, as well as digital
                                                  for his research idea on using ultrasound for bed-
agencies.
                                                  side fluid status assessment. See the video here:
                                                  here: https://internalmedicine.med.uky.edu/im-

Figure above: The Saha Foundation was es-         news-1
tablished in 1999 by Dr. Sibu and Becky Saha.
Their daughter, Rani, became president of
the foundation in 2020. The Saha Foundation
promotes research and education of cardiovas-
cular disease. Mark Cornelison | UKPhoto
21 | UK Gill Heart & Vascular Institute

MAY
HEART WALK

                                          Thank you! Thank you! Thank you!

                           Because of your hard work, UK HealthCare raised over $22,000!

                            Gill Teams                  Coach                 Raised
                            Clotters			                 Jeremy Wood			        $1,045.16
                            Pumped-Up Hearts		          Jacob Stone			        $5,057.79
                            UK Cardiovascular ICU       Gregory Kempf		       $51.03
                            UKHC Gill Heart Institute
                            Administration		            Amy Iwahara			        $3,700.67
                            UKHC Pharmacy		             Ashley Schenk			      $2,337.76
21 | Gill Quarterly, Summer 2021

CARDIO-ONCOLOGY
SUBSPECIALTY & SYMPOSIUM
Many cancer therapies may have         Medicine Residency at Northeast       Cancer and cardiovascular disease
harmful side-effects on the heart      Ohio Medical University. Arbune       are the top two causes of death in
during or after cancer treatment.      completed his Cardiovascular          Kentucky and the United States.
Cardio-oncology is dedicated to        Disease Fellowship at Case West-      Please join us on October 16 for
the early detection and treat-         ern Reserve University, where         the Inaugural Matthew Szabunio
ment of heart damage from those        he served as chief fellow, and an     Symposium on Cardio-oncology.
therapies. It also incorporates risk   Advanced Cardiovascular Imag-         The purpose of the Cardio-oncol-
stratification of patients –partic-    ing Fellowship at Yale University     ogy. This symposium will provide
ularly those with previous cardiac     – New Haven Medical Center in         state-of-the art best practice infor-
conditions or other risk factors       New Haven, CT.                        mation regarding the continuum
– prior to undergoing surgery or                                             of cardiac care for the oncology
cardio-toxic chemotherapies or the     Arbune has extensive experi-          patient. For more details and to
newer immunotherapies.                 ence in general cardiology, and       register see: https://www.cecen-
                                       advanced cardiovascular imag-         tral.com/live/20738
For those at risk, cardio-oncology     ing. Having clinical and research
teams include both cardiologists       experience in cardio-oncology
and oncologists working together       at Yale University, he has a keen
to coordinate the best care. This      interest in cardiac care for cancer
provider collaboration works to        patients. Arbune has participated     Who to refer:
protect your heart health while        in numerous clinical research         • Cardiac patients with diagnosis
also providing the most effective      projects and presented at many        of cancer.
cancer treatment.                      national conferences.                 • Cancer patients with established
                                                                             cardiotoxicity from cancer thera-
Amit Arbune, MD, MHA, FACC,            “I am focused on protecting your      pies.
is a cardiologist with a special       patients’ hearts from the side        • Cancer patients undergoing
interest in cardiac care for cancer    effects of cancer treatments and      therapies that may affect the heart
patients. Dr. Arbune received his      keeping them strong to receive        (including radiation).
medical degree from MGM Med-           the best available cancer treat-      • Cancer survivors (especially
ical College in India. He holds a      ments. My team and I provide a        childhood survivors).
master’s in healthcare administra-     collaborative care plan tailored
tion from the University of Ken-       for these patients.”                  To refer a patient, call 800-888-
tucky and completed his Internal       – Amit Arbune, MD, MHA,               5533.
JUNE
AORTIC ANEURYSM R35
Thanks to a $5.6 million grant     Understanding why the aorta’s         Daugherty received a seven-year
from the National Institutes of    tissue lends itself to thoracic       $5.6 million R35 grant from the
Health (NIH), a University of      aortic aneurysms and dissec-          NIH’s National Heart, Lung,
Kentucky College of Medicine       tion (TAAD) could translate           and Blood Institute (NHLBI) to
team will study the culprit        into treatments for the dis-          study the tissues of the aorta and
behind thoracic aortic aneu-       ease, says Alan Daugherty,            provide insight into how and
rysms, which could lead to a       Ph.D., chair of the UK Depart-        why TAAD occurs.
treatment for the potentially      ment of Physiology, Gill Foun-
deadly disease.                    dation Chair in Preventative          “We hope this research program
                                   Cardiology, and director of the       will contribute to providing new
A thoracic aortic aneurysm is      Saha Cardiovascular Research          medical options so that watch-
a weakened area in the aorta,      Center and the Saha Aortic            ing and waiting won’t be the
the main artery that carries       Center in the UK College of           only option for these patients,”
blood away from the heart to       Medicine.                             Daugherty said. “This grant
the body. The condition puts                                             gives us an opportunity to find
people at risk for a dissection,   There are currently no medica-        pathways for a drug therapy to
the rupturing of the aorta that    tions to directly treat the condi-    stop the aneurysm from growing
can cause life-threatening         tion or prevent an aneurysm from      so patients can avoid surgical
bleeding or sudden death.          growing. Patients typically take      intervention.”
                                   a “watchful waiting” approach,
                                   where the aneurysm is scanned
                                   regularly to see if it grows enough
                                   to require surgical repair.
23 | Gill Quarterly, Summer 2021

While thoracic aortic aneu-         “The tissue throughout the         As the NHLBI R35 grant is in-
rysms can happen sponta-            aorta is apparently similar.       tended to give scientists more
neously and without a known         If you looked at different         freedom to conduct ground-
cause, they are also associated     samples under a microscope,        breaking research, it will
with a wide range of both ge-       you probably wouldn’t see          also give Daugherty’s lab the
netic and non-genetic diseases      any obvious differences. But       flexibility to pursue potential
or syndromes. In these cases,       because the locations of aneu-     contributions of other tissues
aneurysms tend to occur in          rysms associated with diseases     and organs to TAAD, as well as
very specific parts of the aorta.   are so specific, that may not      TAAD’s effects on them.
                                    be the case,” Daugherty said.
“We hope this research pro-         “So what is it about this tissue   The program will also build
gram will contribute to pro-        that makes it quite different      upon his lab’s ongoing re-
viding new medical options          depending on where it is? And      search to expand the under-
so that watching and waiting        why is it that certain diseas-     standing of how the aorta
won’t be the only option for        es affect certain parts of the     develops. His team has already
these patients,” Daugherty          aorta and leave the rest totally   identified unique mechanisms
said. “This grant gives us an       untouched?”                        in the way that the aorta grows
opportunity to find pathways                                           that could provide more in-
for a drug therapy to stop the      The key may be in a material       sight for potential drug devel-
aneurysm from growing so            called extracellular matrix,       opment.
patients can avoid surgical         which binds aortic tissue to-
intervention.”                      gether. The extracellular ma-      Two other researchers in the
                                    trix is what degrades to weak-     Saha Cardiovascular Research
                                    en the tissue in an aneurysm,      Center – Xiangan Li and
For example, Daugherty says
                                    and researchers currently have     Sidney Whiteheart – recent-
that men in their 60s who have
                                    little understanding about         ly received NIH R35 grants.
smoked tend to have an an-                                             Daugherty says it’s significant
                                    what makes that happen.
eurysm in the lower portion                                            that UK has this number of
of the aorta. For people with       Using state-of-the-art tools       the prestigious awards with-
Marfan syndrome, an inherited       including ultrasonography,         in the area of cardiovascular
disorder that affects connective    MRI and micro-computed             research.
tissue, aneurysms commonly          tomography, Daugherty’s lab
occur in the section of the aor-    will seek to define how the        “The R35 is unique in that it
ta that connects to the heart.      extracellular matrix fibers are    really focuses on the individ-
His research program seeks to       laid down and what makes           ual and their research track
                                    them either stable or unstable.    record rather than the specif-
understand what causes the
                                    Their findings in mouse mod-       ics of a project,” Daugherty
differences, and the findings
                                    els will be validated in human     said. “These awards recognize
could provide a target for drug                                        a chronic level of achievement
                                    TAAD samples from a tissue
development.                                                           and are a testament to the
                                    bank at the Baylor College of
                                    Medicine.                          strength of cardiovascular re-
                                                                       search across this campus.”

                                                                       Adapted from UKNow.
24 | UK Gill Heart & Vascular Institute

CV-RPA NEWS
VITAL
Beth Garvy, PhD, and Sidney White-        Dr. Garvy and Dr. Whiteheart de-          examining COVID-19-associated
heart, PhD, originally planned to         scribe their Alliance team’s work as      coagulopathies. The core team was
study blood clotting in HIV-positive      “building an airplane while it’s still    originally composed of basic re-
patients when they first approached       flying.” Their team is conducting         searchers, including Jeremy Wood,
one another to establish a unified        research and clinical trials, and the     PhD, division of cardiology, who
research team. Then COVID-19              infrastructure is growing and im-         studies coagulation factors and is
emerged, and their focus shifted          proving day by day, but there are still   working to include more clinical
on the disease that started a global      some tasks left to officially establish   faculty in their infectious disease
pandemic.                                 a system that works like a well-oiled     division who deal with monitoring
                                          machine. Based on their current           coagulation therapies. VITAL recent-
Dr. Garvy and Dr. Whiteheart now          trajectory, that goal is attainable.      ly added Muhammad Gul, MD, and
lead what is called the Virus-In-                                                   Brittany Bissell, MD, two new faculty
duced Thrombosis Alliance (VITAL),        “Had this infrastructure been there       members with experience treating
a team supported by the University        from the beginning, we might not          COVID-19 patients. The project has
of Kentucky College of Medicine’s         have ever had to backtrack,” Dr.          the framework to allow for expan-
Alliance Research Initiative that is      Garvy said. “But the good thing is        sion into studies of other viruses
working to bridge the gap between         that we’re now getting to the point       such as influenza and hepatitis C,
infectious diseases and cardiovas-        where we can bring other people           another major disease in Kentucky.
cular diseases, one of the Research       on, and we can help them get what
Priority Areas from the UK Office of      they need because we have now built       Dr. Garvy and Dr. Whiteheart are
the Vice President for Research. Dr.      the airplane, and it can fly, and we      excited to get wheels back on the
Garvy is associate dean for biomed-       are actually getting the workings to      ground in Africa after COVID-19
ical education and professor in the       be a better resource for the rest of      restrictions are lifted. They are also
department of microbiology, im-           campus.”                                  hopeful that the “airplane” they have
munology, and molecular genetics,                                                   built will be useful for the next round
while Dr. Whiteheart is a professor       VITAL began with a search for an-         of researchers.
of molecular and cellular biochem-        swers on why HIV-positive patients
istry.                                    had an increased risk of blood clots.     “I hope that what we have been able
                                          The team has studied populations          to build, will be maintained over a
The short game of VITAL is to gen-        in Kentucky, and was beginning to         prolonged period of time, that this
erate publications and collaborate        examine HIV-positive patients in          will just be the beginning for our
on grants that fund critical research     Durban, South Africa, through a col-      junior faculty, for fellows, for the
projects. The long game is a much         laboration with the African Health        students who are coming in, that
greater goal – establishing a re-         Research Institute led by VITAL           they’ll be able to use the infrastruc-
search infrastructure that will make      team member Zach Porterfield, MD,         ture that we’re going to need for that
studying infectious diseases a much       PhD, assistant professor of microbi-      and build it to a greater degree,” Dr.
smoother, more efficient process          ology, immunology, and molecular          Whiteheart said. “There’s still more
for clinicians and scientists so when     genetics.                                 that needs to be done, but I feel like
new viruses inevitably appear, as         In response to the global pandem-         it’s moving and it’s growing. And
COVID-19 did, UK will be even more        ic, VITAL translated its research to      then infectious disease research at
prepared for tackling related issues.     COVID-19, which has a different           the University of Kentucky will have
                                          immune response than seen in HIV.         a great future because of this infra-
                                          The Alliance has developed a project      structure.”

                                                                                    Adapted from In the Loop.
25 | Gill Quarterly, Summer 2021

RESEARCH FEATURE
PRORENIN RECEPTOR

The Prorenin Receptor and its Soluble Form Contrib-           What they found: The deletion of PRR in liver
ute to Lipid Homeostasis. Eva Gatineau, Gertrude              induced hepatomegaly, hypercholesterolemia, liver
Arthur, Audrey Poupeau, Kellea Nichols, Brett T.              inflammation and injury, and disrupted hepatic lipid
Spear, Nathan R. Shelman, Gregory Graf, Ryan                  homeostasis causing an increase in hepatic cholester-
Temel, Frédérique Yiannikouris. Am J Physiol                  ol and a decrease in hepatic triglycerides contents. In
Endocrinol Metab. 2021 Mar 1;320(3):E609-E618.                addition, the deletion of hepatic PRR lowered hepatic
doi: 10.1152/ajpendo.00135.2020. https://pubmed.              LDLR and SORT1 proteins but stimulated hepat-
ncbi.nlm.nih.gov/33459178/                                    ic cholesterol synthesis (up-regulation of hepatic
                                                              SREBP2 and HMG CoA-R genes) suggesting that he-
Obesity is associated with several deleterious chang-         patocyte sensed a shortage in cholesterol uptake and,
es in lipid metabolism and alterations in hepatic             to compensate, increased cholesterol synthesis. The
lipid metabolism. Hyperlipidemia is a risk factor for         measurement of total sPRR contents in fat indicated
cardiovascular disease and is estimated to be respon-         that the increase in circulating sPRR, observed in Liv-
sible for more than half of cardiovascular mortality.         er PRR KO mice, originated from the adipose tissue.
We previously identified the prorenin receptor (PRR)          Mechanistic studies performed in vitro indicated that
as a potential contributor to liver steatosis.                PRR contributed to triglycerides homeostasis through
                                                              a PRR-PPARγ dependent mechanism whereas both
What they did: In this study, we investigated the             PRR and sPRR contributed to hepatic cholesterol
contribution of PRR and its soluble form, sPRR,               homeostasis.
to lipid homeostasis. PRR-floxed male mice were
treated with an adeno-associated virus with thyrox-           Why it matters: The remarkable phenotype demon-
ine-binding globulin promoter driven Cre to delete            strated the importance of liver PRR and sPRR in
PRR in the liver (Liver PRR KO mice).                         lipid homeostasis and highlighted a new paradigm of
                                                              crosstalk between the liver and the adipose tissue.

                     Visit : https://www.research.uky.edu/research-priorities-initiative-cardio-
                     vascular-diseases/cardiovascular-diseases for more information.

                     Please visit: https://redcap.uky.edu/redcap/surveys/?s=W4WY8DEHEH
                     to join the CV-RPA.
Ahmed Abdel-Latif                    Length-Dependent Activation in     Lisa Cassis
Lysophosphatidic Acid Mediates       Human Myocardium                   Center of Research in Obesity and
Cardiac Inflammation After Acute     National Heart Lung and Blood      Cardiovascular Disease COBRE
Infarction                           Institute                          Core A: Admin
National Heart Lung and Blood        09/15/20- 07/31/24                 Core National Institute of General
Institute                                                               Medical Sciences
08/01/17-07/31/22                    Dual Filament Control of Myocar-   09/08/08-07/31/23
                                     dial Power and Hemodynamics
Doug Andres                          University of Missouri             Supplemental Environmental Proj-
RIT1-Mediated Protection Fol-        08/25/20- 07/31/24                 ect Compliance Assistance Tools
lowing Traumatic Brain Injury                                           and Services
National Institute of Neurological   Computer Modeling of Myosin        KY Department of Environmental
Disorders & Stroke                   Binding Protein C and its Effect   Protection
02/15/2018-01/31/23                  on Cardiac Contraction             07/01/07-12/31/21
                                     Case Western Reserve
RIT1 as Novel Driver Oncogene in     04/01/19-03/31/23                  EPSCoR Administrative
Lung Adenocarcinoma                                                     KY Economic Development Cab
KY Lung Cancer Research Fund         Thick-Filament Regulation In       02/01/19-06/30/22
07/01/16-06/30/21                    Human Heart Failure
                                     Washington State University        Healthy Kentucky Research Build-
An Innovative Therapeutic Ap-        07/01/19-06/30/22                  ing Fit-up for Vascular Research
proach to Treat Cardiomyopathy                                          Office of the Director
Army Medical Research and Ma-        CRCNS: Multi-Scale Models of       09/23/19-10/31/21
teriel Command                       Proprioceptive Encoding for Sen-
07/01/20-06/30/23                    sorimotor Control                  Sex Differences in Angiotensin-In-
                                     Emory University                   duced Vascular Diseases
Ken Campbell                         09/16/16-05/31/2022                National Heart Lung and Blood
Multiscale Modeling of Inherited                                        Institute
Cardiomyopathies and Therapeu-       Awards for members of Gill Heart   03/21/12-05/31/22
tic Interventions                    & Vascular Institute total over
National Heart Lung and Blood        $33 Mil per year!
Institute
08/03/17-07/31/22
27 | Gill Quarterly, Summer 2021

Alan Daugherty                       Toward Early Diagnosis of Long QT       Scott Gordon
University of Kentucky- Baylor       Syndrome Using Machine Learning         The Role of High Density Lipopro-
College of Medicine Aortopathy Re-   and Molecular Dynamics Simulation       tein Associated Protease Inhibitor
search Center                        of KCNH2                                Activity in Protection Against Ath-
American Heart Association           Loyola University                       erosclerosis.
04/01/18-03/31/22                    01/01/21- 12/31/21                      National Heart Lung and Blood
                                                                             Institute
JMJD3 Regulates Abdominal Aortic     Florin Despa                            08/20/18-07/31/21
Aneurysm Expansion                   The Amylin Dyshomeostasis Hy-
University of Michigan               pothesis of Vascular Contributions to   Protease Activity in Atherosclerotic
04/01/21-06/30/21                    Cognitive Impairment and Dementia       Plaque Formation and Protection
                                     (VCID)                                  by Novel HDL-targeting Protease
A Mechanistic Study to Elucidate     National Institute of Neurological      Inhibitors
the Role of Protein S in Elevating   Disorders & Stroke                      Medical Foundation
the Risk of Thrombosis in Obese,     04/01/20-03/31/25                       12/01/18-11/30/21
Pre-menopausal Women
Louisiana State University Health    Role of Systemic Amylin Dysho-          Gregory Graf
Sciences Center- New Orleans         meostasis in Alzheimer’s Disease        Contributions of hepatic and
01/15/21- 12/31/24                   National Institute on Aging             intestinal pathways to cholesterol
                                     09/15/16- 05/31/21                      excretion
Determinants of Aorta Heterogene-                                            National Institute Diabetes &
ity                                  Ming Gong                               Digestive & Kidney
National Heart Lung and Blood        Targeting Timing of Food Intake         09/13/17-07/31/22
Institute                            as a Novel Strategy against Disrup-
06/01/21-05/31/28                    tion of Blood Pressure Circadian        The Don S. Fredrickson Lipid
                                     Rhythm in Diabetes                      Research Conference
Macrophage Migration Inhibitory      National Heart Lung and Blood           National Heart Lung and Blood
Factor and Urinary Pain              Institute                               Institute
Lexington Biomedical Research        01/15/19-10/31/22                       09/01/20-08/31/21
Institute
07/01/19-06/30/23                    A Novel Mechanism by which              Brian Jackson
                                     Smooth Muscle BMAL1 Regulates           Graduate Research Fellowship Pro-
Brian Delisle                        IL-6 and Sexual Dimorphism of           gram
Transcriptional Regulation of        Abdominal                               National Science Foundation
KCNH2                                Aortic Aneurysm                         08/01/18-07/31/23
National Heart Lung and Blood        National Heart Lung and Blood
Institute                            Institute                               Jing Li
03/08/19-02/28/23                    08/20/18-07/31/22                       Project MISSION: Developing a mul-
                                                                             ticomponent, Multilevel Implemen-
Circadian Clock Regulation of Myo-                                           tation Strategy for Syncope OptImal-
cardial Ion Channel Expression and   Internal Medicine is currently the      Care thrOugh eNgagement
Function                             highest funded division in the Col-     National Heart Lung and Blood
University of Florida                lege of Medicine. .                     Institute
09/01/20- 05/31/21                                                           08/01/2017-07/31/21
28 | UK Gill Heart & Vascular Institute

RESEARCH FUNDING
CONTINUED
Xiangan Li                                Fat Nerve Recording in Mice          Gia Mudd-Martin
Relative Adrenal Insufficiency is a       American Physiological Society       Corazón de la Familia (Heart of the
Risk Factor and an Endotype for           10/01/19-07/31/21                    Family)
Sepsis                                                                         National Institute of Nursing Re-
National Institute of General Medical     Hong Lu                              search
Sciences                                  Atherosclerosis Mechanisms: Angio-   03/02/17-01/31/22
05/01/21- 04/30/26                        tensin II Production and Action
                                          National Heart Lung and Blood        Heart of the Family: A Cardiovas-
Mechanism of Adrenal Insufficiency        Institute                            cular Disease and Type 2 Diabetes
as A Risk Factor for Sepsis               05/01/18-03/31/22                    Risk Reduction Intervention in
National Institute of General Medical                                          High-Risk Rural Families
Sciences                                  Andrew Morris                        National Institute of Nursing Re-
09/01/17-08/31/21                         Define the Twist-ATX-LPAR1           search
                                          Signaling Axis in Promoting Obe-     09/07/20- 06/30/25
Synthetic HDL a Potential Sepsis          sity-Associated Triple Negative
Therapy                                   Breast                               Timothy Mullett
National Institute of General Medical     Cancer Army Medical Research and     Using Biomarkers and Imaging in
Sciences                                  Materiel Command                     Fungal Regions to Improve Lung
11/01/15-11/30/21                         04/15/16-04/14/21                    Cancer
                                                                               Diagnosis Vanderbilt University
Zhenyu Li                                 Anniston Community Health Sur-       04/01/19-03/31/22
Inflammasome Activation Triggers          vey: Follow-up Study and Dioxin
Systemic Coagulation in Sepsis            Analyses                             Kentucky Lung Cancer Survivorship
National Heart Lung and Blood             National Cancer Institute            Program
Institute                                 05/01/19-04/30/21                    Bristol Myers Squibb Foundation
05/15/19-04/30/23
                                                                               Incorporated
                                          Debra Moser                          09/01/14- 12/31/21
A Novel Mechanism of Immuno-              Rural Intervention for Caregivers’
suppression in Sepsis: Depletion of       Heart Health (RICHH)                 Mariana Nikolova-Karakashian
Monocytes and Macrophages                 National Institute of Nursing Re-    Ceramide and Acute Phase Proteins
National Institute of General Medi-       search                               Elevation During Aging
cal Sciences                              09/26/16-06/30/21                    National Institute on Aging
09/20/19-06/30/23
                                                                               08/01/02-05/31/23
                                          Online Cognitive Behavioral
Heart-Platelet Crosstalk: JNK, AFib,      Therapy for Depressive Symptoms      Jonathan Satin
and Thrombogenesis                        in Rural Coronary Heart Disease      Monomeric G-Proteins and Cardio-
Rush University Medical Center            Patients                             protection from Heart Failure
05/15/19-02/28/23                         Patient Centered Outcomes Re-        National Heart Lung and Blood
                                          search Institute                     Institute
Analia Loria                              10/01/2020 to 09/30/2024             09/01/17- 08/31/21
Effect of Early Life Stress on Obesi-
ty-Induced Hypertension in Mice
National Heart Lung and Blood
Institute
12/01/17-11/30/22
29 | Gill Quarterly, Summer 2021

RESEARCH FUNDING
CONTINUED
An Innovative Therapeutic Approach      Therapeutic Targeting of Metabolic     Regulation and Function of IL33
to Treat Cardiomyopathy                 microRNAs as a New Treatment           During Neonatal RSV Infection
Army Medical Research and Materiel      Paradigm for NASH                      Louisiana
Command                                 Aalborg University                     State University
07/01/20- 6/30/23                       01/01/19-12/31/24                      05/05/18-07/31/21

Nancy Schoenberg                        Dongfang Wang                          Nancy Webb
Community to Clinic Navigation to       Development of a Paracorporeal         Serum Amyloid A, Inflammasome
Improve Diabetes Outcomes               Pump-Integrated Artificial Lung for    Activation, and Abdominal Aortic
National Institute Diabetes & Diges-    Transport of Warfighters with Acute    Aneurysms
tive & Kidney                           Respiratory Distress Syndrome          National Heart Lung and Blood
08/01/17-07/31/22                       (ARDS)                                 Institute
                                        Army Medical Research and Materiel     01/01/17-12/31/21
Implementing an Evidence-Based          Command
mHealth Diet and Activity Interven-     08/15/19 -08/14/22                     NRSA T32: Pharmacology and Nu-
tion: Make Better Choices 2 for Rural                                          tritional Sciences:
Appalachians                            SBIR: Development of a TransApical     National Institute Diabetes & Diges-
National Heart Lung and Blood           to Aorta Double Lumen Cannula for      tive & Kidney
Institute                               a Neonate LVAD                         08/15/00-07/31/21
08/01/20- 04/30/25                      W-Z Biotech LLC
                                        04/01/19-07/31/21                      Jonathan Wenk
Venkateswaran Subramanian                                                      Force Validated Heart Valve Surgical
Calpains and Abdominal Aortic           Shuxia Wang                            Planning Tool
Aneurysms                               Thrombospondin 1 in obesity associ-    University of Arkansas
National Heart Lung and Blood           ated inflammation and insulin resis-   09/01/19-08/31/22
Institute                               tance National Institute Diabetes
08/10/17-07/31/21                       & Digestive & Kidney                   Sidney Whiteheart
                                        08/20/17-05/31/21                      Platelet Exocytosis and Endocytosis
Ryan Temel                                                                     in Thrombosis and Immunity
TRAF6 Nanoimmunotherapy to              Christopher Mark Waters                National Heart Lung and Blood
Resolve Plaque Inflammation             Biophysical Mechanisms of Hyper-       Institute
Mount Sinai                             oxia-Induced Lung injury               04/01/20-03/31/28
08/15/18-06/30/21                       National Heart Lung and Blood
                                        Institute                              Regulatory Mechanisms of Glycopro-
Targeting MicroRNA-33 To Reduce         04/15/20- 03/31/24                     tein Sialylation
Intracranial Atherosclerosis and                                               Case Western Reserve
Other Neurovascular Hallmarks of        ASK1 and Ventilator-Induced Lung       01/01/21- 11/30/24
Vascular Cognitive Impairment and       Injury
Dementia                                National Heart Lung and Blood          Jeremy Wood
National Institute of Neurological      Institute                              Protein S Anticoagulant Activity:
Disorders & Stroke                      12/15/16-11/30/21                      Biochemical Mechanisms and Struc-
04/01/19-03/31/21                                                              tural Studies National Heart Lung
                                                                               and Blood Institute
                                                                               09/15/15-03/31/21
30 | UK Gill Heart & Vascular Institute

SEMINARS AND
JOURNAL CLUBS
* Please note if these seminars are still occurring, they will be online only. Check website for details.

Cardiovascular Seminar Series
Fridays at 8:00 am
This forum brings to campus prominent external speakers and provides presentations by UK faculty to ensure their
research expertise is widely known.
https://cvrc.med.uky.edu/cvrc-current-seminar-schedule

Cardiovascular Journal Club
Tuesdays at 8:00 am
Presenters in this forum discuss specific citations including basis for this publication's selection, strengths and
weaknesses, from the perspective as if he/she were the original reviewer. For more information contact:
Greg Graf, Ph.D. or Ryan Temel, Ph.D.
https://cvrc.med.uky.edu/cvrc-current-journal-club-schedule

Blood Cell Journal Club
4th Friday of each month at 4:00 pm
The journal club was started a number of years ago in an effort to provide a focal point for the hemostasis community
at UK. The focus is usually on platelets but they also discuss papers on Coagulation and Immune responses.
https://cvrc.med.uky.edu/cvrc-blood-cell-journal-club-2018
31 | Gill Quarterly, Summer 2021

PUBLICATIONS
APRIL-JUNE
Ai AL, Smyth SS. Depression After      Arthur G, Osborn JL, Yiannikouris         Beavers CJ, Effoe SA, Dobesh PP.
Open Heart Surgery: Influences of      FB. (Pro)renin receptor in the kid-       Selatogrel: A Novel Subcutaneous
Optimism, Sex, and Event-Related       ney: function and significance. Am J      P2Y12 Inhibitor. J Cardiovasc Phar-
Medical Factors. J Nerv Ment Dis.      Physiol Regul Integr Comp Physiol.        macol. 2021 Jun 8. doi: 10.1097/
2021 Mar 1;209(3):212-217. doi:        2021 Apr 1;320(4):R377-R383. doi:         FJC.0000000000001079.
10.1097/NMD.0000000000001285.          10.1152/ajpregu.00259.2020.
                                                                                 Beavers CJ, Jennings DL. Use of
Ahmed T, Grigorian AY, Messerli        Aru RG, Tyagi SC, Minion DJ,              Glycoprotein IIb/IIIa Inhibitors
AW. Management of Acute Coro-          Orr NT, Bounds MC. Carotid-Ca-            in the Modern Era of Acute Cor-
nary Syndrome in Patients with Liver   rotid Transposition for Zone 1 Tho-       onary Syndrome Management:
Cirrhosis. Am J Cardiovasc Drugs.      racic Endovascular Aortic Repair.         A Survey of Cardiovascular Clin-
2021 May 29. doi: 10.1007/s40256-      Ann Vasc Surg. 2021 May 2:S0890-          ical Pharmacists. J Pharm Pract.
021-00478-6.                           5096(21)00376-9. doi: 10.1016/j.          2021 Jun;34(3):372-377. doi:
                                       avsg.2021.04.025.                         10.1177/0897190019872386.
Ahmed T, Lodhi SH, Anstead MI,
Messerli AW. Cerebral paradox-         Backer CL. Regionalization Equals         Browder KL, Ather A, Pandya KA.
ical embolisation in a patient with    Excellence in Pediatric Tracheal Sur-     The effects of propofol on extracor-
cystic fibrosis with patent foramen    gery. Ann Thorac Surg. 2021 May           poreal membrane oxygenation oxy-
ovale: a comparative review of         20:S0003-4975(21)00867-5. doi:            genator exchange. Int J Artif Organs.
literature. BMJ Case Rep. 2021 May     10.1016/j.athoracsur.2021.04.087.         2021 May 13:3913988211016007.
24;14(5):e242302. doi: 10.1136/bcr-                                              doi: 10.1177/03913988211016007.
2021-242302.                           Ballout JA, Ahmed T, Kolodziej
                                       AR. COVID-19 and Heart Trans-             Chanzu H, Lykins J, Wigna-Kumar
Ahn S, Esquivel JH, Davis EM, Lo-      plant: A Case Series and Review of        S, Joshi S, Pokrovskaya I, Storrie
gan JG, Chung ML. Cardiovascular       the Literature. Transplant Proc.          B, Pejler G, Wood JP, White-
Disease Incidence and Risk in Family   2021 Feb 25:S0041-1345(21)00137-          heart SW. Platelet α-granule cargo
Caregivers of Adults With Chronic      8. doi: 10.1016/j.transpro-               packaging and release are affected
Conditions: A Systematic Review. J     ceed.2021.02.015.                         by the luminal proteoglycan, ser-
Cardiovasc Nurs. 2021 Apr 30. doi:                                               glycin. J Thromb Haemost. 2021
10.1097/JCN.0000000000000816.          Baroumand AG, Arbune AA,                  Apr;19(4):1082-1095. doi: 10.1111/
                                       Strobbe G, Keereman V, Pinborg LH,        jth.15243.
AlSiraj Y, Thatcher SE, Liang CL,      Fabricius M, Rubboli G, et al. Auto-
Ali H, Ensor M, Cassis LA. Thera-      mated ictal EEG source imaging: A         Clouser JM, Sirrine M, McMullen
peutic Assessment of Combination       retrospective, blinded clinical valida-   CA, Cowley AM, Smyth SS, Gupta
Therapy with a Neprilysin Inhibitor    tion study. Clin Neurophysiol. 2021       V, Williams MV, Li J. “Passing Out
and Angiotensin Type 1 Receptor        Apr 27:S1388-2457(21)00530-7. doi:        is a Serious Thing”: Patient Expec-
Antagonist on Angiotensin II-In-       10.1016/j.clinph.2021.03.040.             tations for Syncope Evaluation and
duced Atherosclerosis, Abdominal                                                 Management. Patient Prefer Adher-
Aortic Aneurysms, and Hyperten-        Bazan VM, Taylor EM, Gunn TM,             ence. 2021 Jun 4;15:1213-1223. doi:
sion. J Pharmacol Exp Ther. 2021       Zwischenberger JB. Overview               10.2147/PPA.S307186.
Jun;377(3):326-335. doi: 10.1124/      of the bicaval dual lumen cannula.
jpet.121.000525.                       Indian J Thorac Cardiovasc Surg.
                                       2021 Apr;37(Suppl 2):232-240. doi:
                                       10.1007/s12055-020-00932-1.
You can also read