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Auburn,
UAB to collaborate on $18 million heart study
Auburn
University will collaborate with the University of Alabama at Birmingham
as part of an $18 million National Institutes of Health grant for
research into what remains a stubborn, steady killer: congestive
heart failure.
UAB
was selected as one of five institutions nationwide to lead a national
research assault on congestive heart failure, the most unremitting
diagnosis in heart disease. A Specialized Center of Clinically Oriented
Research, or SCCOR, program will be funded over the next five years
to focus on heart failure research. UAB plans to immediately develop
a subcontract with Auburn University so that AU's successful research
in its Samuel Ginn College of Engineering and College of Veterinary
Medicine can be combined with UAB efforts.
For
veterinary medicine, this research has direct clinical implications
because mitral valve disease is more common than all other canine
heart diseases combined.
"Working
with UAB, we have developed new therapeutic strategies to immediately
improve the quality of life of dogs with heart disease," said
Dr. Ray Dillon, Jack Rash Professor of Medicine and the principle
investigator on the project in the AU College of Veterinary Medicine.
"When we started some of these projects 10 years ago, we had
to send the MRI data to an engineering group in New Zealand for
computer analysis."
Now,
Auburn University has developed the technology and expertise to
produce the images and analyze the data on its campus.
The
image data will be sent to Dr. Thomas S. Denney, professor of electrical
and computer engineering in AU 's Samuel Ginn College of Engineering,
for analysis. Denney has developed techniques for quantitatively
measuring how much the heart muscle contracts and other indicators
of cardiac health from cardiac MRI data. This analysis, combined
with serial MRI scans, is expected to revolutionize the understanding
of the heart's response to disease.
The
SCCOR research targets three types of heart failure: medication
resistant hypertension, diabetes and valvular heart disease. Preliminary
research has shown these three types of heart disease account for
more than 50 percent of patients with heart failure and are resistant
to standard medical treatment.
"Understanding
these mechanisms could lead to new treatments for those living with
chronic heart disease," said Dr. Louis J. Dell'Italia, UAB's
primary SCCOR program director, professor of medicine in cardiovascular
diseases and the department of physiology and biophysics, and Elmer
and Glenda Harris Endowed Chair holder.
"In
addition to consistency of data, the idea of the core set-up is
to get the best person for the job. It makes more sense for engineers
to study the geometry of the heart and for cardiologists to relate
these findings to patient symptoms and treatment," Dell'Italia
said. "We have pathologists studying tissues, basic scientists
studying cells in the lab and veterinarians treating and studying
dogs with heart failure.
"As
a bonus, an undertaking of this magnitude will also help sick animals
living with heart failure, like dogs particularly because of our
partnership with Auburn," he added.
Heart
failure affects more than 4.7 million people in the United States
and includes more than 500,000 new cases each year. Research investments
during the past 30 years have largely targeted deaths from ischemic
heart disease. As a result, survival rates after heart attacks due
to coronary artery disease have significantly improved. In 1963
there were 3,000 centenarians living in the United States and the
number has grown to 60,000 in 2004. However, as patients live longer,
doctors are now confronted with a new and more debilitating type
of heart diseaseheart muscle disease or heart failure. The
only known cure for this is heart transplantation, but because only
a limited number of donor hearts are available each year, heart
transplants cannot be the solution to the ever-increasing burden
presented by chronic heart failure.
The
Cleveland Clinic, Washington University, University of Cincinnati
and Columbia University are the other four designated heart failure
SCCOR centers.
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