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Role of adaptative immunity on the progress of ischemic heart disease after acute myocardial infarction

Grant number: 12/51692-7
Support type:Research Projects - Thematic Grants
Duration: January 01, 2014 - August 31, 2020
Field of knowledge:Health Sciences - Medicine
Principal Investigator:Francisco Antonio Helfenstein Fonseca
Grantee:Francisco Antonio Helfenstein Fonseca
Home Institution: Escola Paulista de Medicina (EPM). Universidade Federal de São Paulo (UNIFESP). Campus São Paulo. São Paulo , SP, Brazil
Co-Principal Investigators:Maria Cristina de Oliveira Izar
Associated scholarship(s):18/07683-0 - Analytical methodology optimization by LC-MS/MS for determination of cardiovascular disease potential biomarkers in human plasma, BP.IC
16/19045-2 - Determination of adenosine and differential protein after acute myocardial infartion, BP.IC

Abstract

The role of subtypes of lymphocytes in the progression of coronary heart disease may be a new strategic target in the therapy of myocardial infarction. The muscle loss following the coronary occlusion adds prognostic information and early reperfusion constitutes the key strategy for these patients. However, surrounding the necrotic core, an ischemic area is formed, that progresses to extension of the infarction or recovers, mainly during the first weeks after the ischemic insult. The determinants of cell viability are unknown, postulating that they arise from factors not only related to microcirculation or energy expenditure, but also to inflammatory and immune responses. Furthermore, the intense mobilization of progenitor cells secondary to myocardial infarction triggers large lymphocyte proliferation that colonizes plaques in development, contributing to recurrent ischemic outcomes. This project aims to better understanding of the immune and metabolic mechanisms involved. Specifically, we will study the adaptive immunity, with emphasis on lymphocytes subtypes involved in the early and late course of these subjects, including lipidomics and metabolomics, as well as the corresponding signaling pathways. Therapeutic pharmacological strategies and changes on intestine microflora will be evaluated up to 12 months. Finally, experimental study was designed to better understanding of the role of adaptive immunity on this scenario. (AU)

Scientific publications (4)
(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)
MARIA E. R. COSTE; CAROLINA N. FRANÇA; MARIA CRISTINA IZAR; DANIELA TEIXEIRA; MAYARI E. ISHIMURA; IEDA LONGO-MAUGERI; AMANDA S. BACCHIN; HENRIQUE TRIA BIANCO; FLAVIO T. MOREIRA; IBRAIM MASCIARELLI PINTO; GILBERTO SZARF; ADRIANO MENDES CAIXETA; OTAVIO BERWANGER; IRAN GONÇALVES JR; FRANCISCO A. H. FONSECA. Alterações Precoces nas Interleucinas Circulantes e no Risco Inflamatório Residual após Infarto Agudo do Miocárdio. Arquivos Brasileiros de Cardiologia, n. ahead, p. -, 2020.
CIESLAROVA, ZUZANA; MAGALDI, MARIANA; BARROS, LUCELIA ALCANTARA; DO LAGO, CLAUDIMIR LUCIO; OLIVEIRA, DANIEL ROSSADO; HELFENSTEIN FONSECA, FRANCISCO ANTONIO; IZAR, MARIA CRISTINA; LOPES, ALINE SORIANO; MAGGI TAVARES, MARINA FRANCO; KLASSEN, ALINE. Capillary electrophoresis with dual diode array detection and tandem mass spectrometry to access cardiovascular biomarkers candidates in human urine: Trimethylamine-N-Oxide and L-carnitine. Journal of Chromatography A, v. 1583, p. 136-142, JAN 4 2019. Web of Science Citations: 4.
GISELE A. B. CANUTO; JOSÉ LUIZ DA COSTA; PEDRO L. R. DA CRUZ; ANA ROSA L. DE SOUZA; ANDRÉA T. FACCIO; ALINE KLASSEN; KARINA T. RODRIGUES; MARINA F. M. TAVARES. METABOLÔMICA: DEFINIÇÕES, ESTADO-DA-ARTE E APLICAÇÕES REPRESENTATIVAS. Química Nova, v. 41, n. 1, p. -, Jan. 2018.
FONSECA, FRANCISCO A. H.; IZAR, MARIA CRISTINA; MAUGERI, IEDA M. L.; BERWANGER, OTAVIO; DAMIANI, LUCAS P.; PINTO, IBRAIM M.; SZARF, GILBERTO; FRANCA, CAROLINA N.; BIANCO, HENRIQUE T.; MOREIRA, FLAVIO T.; CAIXETA, ADRIANO; ALVES, CLAUDIA M. R.; LOPES, ALINE SORIANO; KLASSEN, ALINE; TAVARES, MARINA F. M.; FONSECA, HENRIQUE A.; CARVALHO, ANTONIO C. C.; INVESTIGATORS, BATTLE-AMI. Effects of four antiplatelet/statin combined strategies on immune and inflammatory responses in patients with acute myocardial infarction undergoing pharmacoinvasive strategy: Design and rationale of the B and T Types of Lymphocytes Evaluation in Acute Myocardial Infarction (BATTLE-AMI) study: study protocol for a randomized controlled trial. Trials, v. 18, DEC 19 2017. Web of Science Citations: 3.

Please report errors in scientific publications list by writing to: cdi@fapesp.br.