Heart disease is the number one cause of death in the world, surpassing all cancers combined. One of the major difficulties in coming up with new therapies lies in translating basic research findings, typically obtained with mice, into a treatment that works in humans. This gap can be filled by experimenting on pigs, whose hearts beat at a rhythm similar to that of humans and otherwise provide a faithful model – both size-wise and physiologically – of human cardiovascular function.
Weizmann Institute of Science researchers, in close collaboration with a team from the Technical University of Munich, have now shown that the protein Agrin, previously found to renew damaged heart tissue in mice, promotes heart repair in pigs. The researchers have also clarified Agrin’s mechanisms of action, which turned out to be similar in mice and pigs, indicating that it’s likely to work similarly in all mammals, including humans. These findings suggest that Agrin might serve as an effective therapy after heart attacks, promoting heart repair and helping to prevent chronic heart failure.
Agrin is naturally present in the supporting heart cells in mouse and human fetuses, and in the hearts of newborn mice. In previous research, a team headed by Prof. Eldad Tzahor of Weizmann’s Molecular Cell Biology Department had discovered that Agrin “unlocked” a renewal process in injured mouse hearts. To test whether this protein is likely to help heal human hearts, Tzahor established a collaboration with Prof. Christian Kupatt of the Technical University of Munich to study Agrin’s efficacy in pigs.
Senior intern Dr. Kfir Baruch Umansky led the study, in which the researchers administered a synthetic form of human Agrin protein to the hearts of pigs that had been exposed to an injury simulating a heart attack. Working with Kupatt’s team in a hospital setting – and using clinical protocols and tools relevant to treating human patients – Umansky and colleagues found that a single dose of Agrin reduced scarring and improved heart function after the injury.
Agrin’s effectiveness in such large animals as pigs, together with the ease of delivery, could pave the way to its use in human patients. Scarring and loss of heart function are prevalent after a heart attack, and the study’s findings suggest we may finally have a way to limit and possibly even reverse the damage.
“The road from basic research to the clinic is long and often bumpy, so our study in pigs provides a critical step in this direction,” Tzahor says. This study was made possible, in part, by a new program that aims to bridge the gap between promising basic science breakthroughs at the Institute and commercial application. Called IDEA (Innovation, Development, Enhancement, and Acceleration), it is an initiative of Yeda, Weizmann’s technology transfer arm.
Study participants included Dr. Elad Bassat, Dr. David Kain, and Renee Cohen-Rabi from Weizmann’s Molecular Cell Biology Department; Dr. Andrea Baehr, Victoria Jurisch, Dr. Katharina Klett, Dr. Tarik Bozoglu, Dr. Nadja Hornaschewitz, Prof. Karl Ludwig Laugwitz, and Dr. Rabea Hinkel from the Technical University of Munich; Dr. Olga Solyanik, Dr. Bartolo Ferrero, Dr. Clemens Cyran, and Prof.Oliver Soehnlein from the Ludwig Maximilian University of Munich; and Dr. Markus Krane from the German Heart Centre Munich.
