# Cardiac Mesenchymal Stem Cells and Myocardial Fibrosis: Role of Platelet Derived Growth Factor Receptor  Signaling

> **NIH NIH R01** · UNIVERSITY OF ALABAMA AT BIRMINGHAM · 2020 · $371,250

## Abstract

The central objective of this project is to evaluate how PDGF/PDGFR signaling, inflammatory signaling
responses modulate the functional outcomes of resident cardiac mesenchymal stem cells (cMSCs) in failing
hearts. Ischemic myocardial injury initiates a cascade of two self-amplifying events that intend to promote
tissue repair. The initial events are mediated by the concerted action of infiltrating pro-inflammatory immune
cells. Although, reparative initially, prolonged infiltration of activated monocyte/macrophage populations within
the injured myocardium further exaggerate inflammatory responses and delay the manifestation of wound
healing. Chronically these processes induce extracellular-matrix (ECM) remodeling by activating proliferation of
collagen producing myofibroblasts. Although multipotent in nature, MSCs often differentiate into myofibroblasts
in vivo in a number of pathologies, suggesting that tissue microenvironment influences are paramount in
guiding MSC fate. The precise role of cMSCs in the etiology and progression of ischemic HF is unknown.
More importantly, factors regulating cMSC function and differentiation in the failing hearts are not clearly
understood. During both acute myocardial infarction (MI) and chronic heart failure (HF), there is increased
abundance of pro-inflammatory cardiac macrophages. More importantly, macrophage expansion in chronic HF
is accompanied by sustained activation of myofibroblasts that promote cardiac fibrosis. Platelet derived growth
factor (PDGF) is a well-recognized mediator of tissue fibrosis and angiogenesis. Like macrophages, MSCs
secrete PDGF and express PDGF receptors (PDGFRs), resulting in a PDGF-rich and PDGF-responsive
microenvironment in the failing heart. Importantly, however, whether cMSC-localized PDGF signaling, in
response to such factors as chronic inflammation and macrophage infiltration, regulates cMSC fate and
responses in HF is unknown. In this proposal we will test the hypothesis that augmented cMSC-localized
PDGF signaling preferentially channels cMSCs toward a myofibroblast fate (and away from an endothelial cell
fate) in the failing heart, thereby augmenting fibrosis and reducing angiogenesis and repair. Three aims are
being proposed. Aim 1 will define the role of PDGFR signaling and macrophage interactions on the in vitro
differentiation fate of cMSCs derived from normal and failing hearts. Aim 2 will determine the in vivo role of
cMSC-localized PDGFRs on LV remodeling and function during ischemic HF. These studies will use
transgenic mice with inducible and cMSC-specific ablation of PDGFRs. Aim 3 will establish the therapeutic
efficacy of cMSC cell therapy after reperfused-MI when used in combination with PDGFR inhibition in vivo.
These studies will use the clinically approved PDGFR inhibitor imatinib mesylate (Gleevac®). Collectively the
proposed studies will answer critical questions relevant to HF related to both the pathophysiological import of
altered cMSC fate in my...

## Key facts

- **NIH application ID:** 9838786
- **Project number:** 5R01HL137046-03
- **Recipient organization:** UNIVERSITY OF ALABAMA AT BIRMINGHAM
- **Principal Investigator:** Tariq Hamid
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $371,250
- **Award type:** 5
- **Project period:** 2017-12-06 → 2021-11-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9838786

## Citation

> US National Institutes of Health, RePORTER application 9838786, Cardiac Mesenchymal Stem Cells and Myocardial Fibrosis: Role of Platelet Derived Growth Factor Receptor  Signaling (5R01HL137046-03). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/9838786. Licensed CC0.

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