Doctor of Philosophy, The Ohio State University, 2013, Biophysics
Myocardial infarction (MI), pulmonary hypertension (PH), and cardiomyopathy belong to a class of diseases collectively described as cardiovascular disease, the leading cause of death worldwide. Assessment of the left and right ventricular (LV, RV) structural and functional changes concomitant with the aforementioned pathologies is vital, particularly when evaluating the efficacy of a potential cardiac therapy. High-field in vivo cardiac magnetic resonance imaging (CMRI) provides high-resolution anatomical images without use of ionizing radiation and is thus uniquely suited to accurately assess the LV and RV. This dissertation reports the use of CMRI at 9.4T in precisely monitoring the LV and RV structural and functional adaptations in murine models of heart disease, specifically, MI, PH, and diabetic cardiomyopathy.
As the first application, CMRI was utilized to quantify LV structure and function in an ischemia-reperfusion (IR) model of rat MI following treatment with mesenchymal stem cells (MSC) and hyperbaric oxygen (Ox). MRI results were compared to data acquired using histology and echocardiography. Although echocardiography was able to establish significant improvements in cardiac structure and function following MSC, Ox, and MSC+Ox therapies, CMRI revealed little improvement in LV structure or function, relative to MI animals.
CMRI was also used to assess the LV in rat model of MI following human induced pluripotent stem (hiPS) cell-derived cardiomyocyte therapy, in direct comparison to human MSC (hMSC) therapy. MI was induced by permanent ligation of the left anterior descending (LAD) coronary artery. CMRI structural and functional data were compared to echocardiographic findings. While CMRI revealed significant improvements, relative to MI, in LV structure and function for the hiPS group, but not the hMSC group, echocardiography revealed little difference between the cell-treated groups.
The effects of hypoxia-induced pulmonary hypertension (PH) on LV (open full item for complete abstract)
Committee: Periannan Kuppusamy Ph.D., M.D. (h.c.), D. Litt. (Advisor); Govindasamy Ilangovan Ph.D. (Committee Member); Kimerly Powell Ph.D. (Committee Member); Mahmood Khan Ph.D. (Committee Member)
Subjects: Biophysics