# Systems Mechanobiology Modeling for Patient-Specific Cardiac Fibrosis Predictions

> **NIH NIH R01** · CLEMSON UNIVERSITY · 2021 · $366,807

## Abstract

PROJECT SUMMARY
 Cardiac fibrosis is a major contributor to diastolic and systolic dysfunction for millions of heart failure
patients. Unfortunately, current prediction and control over cardiac fibrosis are lacking due in part to complexity
within collagen regulation networks, and in part to patient-to-patient variabilities in the biochemical and
mechanical cues that regulate collagen turnover. Our overarching hypothesis is that computationally integrating
multiple biochemical and mechanical signaling pathways (rather than a single biomarker) will enable
personalized fibrosis risk predictions and improved therapy selection. In preliminary work, we have developed
two unique, large-scale network models spanning critical collagen regulation processes: a cardiac fibroblast
intracellular signaling network and an extracellular collagen-MMP-TIMP interaction network. For the proposed
work, we will integrate the intracellular and extracellular network models with new cell culture experiments,
existing animal experiments, and existing patient datasets in order to test the model’s ability for predicting cardiac
fibrosis across patient-specific variabilities. We have assembled a team of investigators with expertise spanning
computational modeling, in vitro bioreactors, advanced microscopy, fibroblast and matrix biology, clinical
assessment and treatment of heart failure, and biostatistical analysis, in order to accomplish the following aims:
Aim 1A will test the model-predicted hypothesis that mechanical loading can sensitize, desensitize, and reverse
fibroblast signaling responses to biochemical cues; Aim 1B will test the hypothesis that mechanical loading can
increase and decrease MMP-mediated collagen degradation in an isoform-specific manner; Aim 2 will integrate
the intracellular and extracellular network models and test model-predicted matrix turnover dynamics against
cardiac fibrosis time-courses available in the literature; and Aim 3 will test model-based prognosis across patient-
specific chemo-mechano-contexts. Successful completion of this work will (1) uncover fundamental biological
understanding of chemo-mechano-interactions regulating collagen remodeling, and (2) produce a publicly
available computational model capable of predicting cardiac fibrosis given a personalized chemo-mechano-
context. Our follow-up work will utilize this model for computational drug screens to improve current therapy
selection for patient-specific conditions and to discover novel therapeutic targets for controlling tissue fibrosis.

## Key facts

- **NIH application ID:** 10078629
- **Project number:** 5R01HL144927-03
- **Recipient organization:** CLEMSON UNIVERSITY
- **Principal Investigator:** William James Richardson
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $366,807
- **Award type:** 5
- **Project period:** 2019-01-07 → 2023-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10078629

## Citation

> US National Institutes of Health, RePORTER application 10078629, Systems Mechanobiology Modeling for Patient-Specific Cardiac Fibrosis Predictions (5R01HL144927-03). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10078629. Licensed CC0.

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