Interaction Of Angiotensin II And PPARg In Aortic Aneurysm Formation
Funder
National Health and Medical Research Council
Funding Amount
$427,398.00
Summary
Between 5% to 10% of men and 1% of women over the age of 60 years develop weakening of their main abdominal artery leading to slow dilation of the vessel. If this process continues long term the artery can burst resulting in sudden death. At present the only treatment available for this problem is surgery, either open or minimally invasive. Both these forms of treatment are associated with significant complications and unsuitable for some patients. Thus the development of a drug treatment which ....Between 5% to 10% of men and 1% of women over the age of 60 years develop weakening of their main abdominal artery leading to slow dilation of the vessel. If this process continues long term the artery can burst resulting in sudden death. At present the only treatment available for this problem is surgery, either open or minimally invasive. Both these forms of treatment are associated with significant complications and unsuitable for some patients. Thus the development of a drug treatment which can slow or halt the weakening and dilation of the aorta would have great patient benefits. We have identified an important role for a newly discovered protein in weakening of the abdominal aorta. In this study we investigate the role of a pathway which appears to be fundamental in generating this protein. In particular we will assess the role of drug treatment in blocking this pathway as a basis for medical treatment for artery weakening.Read moreRead less
Role Of Osteoprotegerin In Protecting The Diabetic Aorta From Aneurysm Formation
Funder
National Health and Medical Research Council
Funding Amount
$299,250.00
Summary
Between 5% and 10% of men over the age of 60 years develop weakening of their main abdominal artery (aorta) leading to slow dilation of the vessel. If this process continues long term the artery can burst resulting in sudden death. At present the only treatment available for this problem is surgery, either open or minimally invasive. Both these forms of treatment are associated with significant complications and unsuitable for some patients. Thus the development of a drug treatment which can slo ....Between 5% and 10% of men over the age of 60 years develop weakening of their main abdominal artery (aorta) leading to slow dilation of the vessel. If this process continues long term the artery can burst resulting in sudden death. At present the only treatment available for this problem is surgery, either open or minimally invasive. Both these forms of treatment are associated with significant complications and unsuitable for some patients. Thus the development of a drug treatment which can slow or halt the weakening and dilation of the aorta would have great patient benefits'. Surprisingly patients with sugar diabetes are less likely to develop this form of artery weakening. This important negative association may form the basis of discovering a new medication to protect arteries from rupture. In this study we investigate the role of a recently discovered protein in protecting the main abdominal artery from weakening in diabetics. This protein is of particular interest for the following reasons: 1. It comes from a group of proteins believed to be important in artery calcium build-up. 2. Artery calcium is common in patients with diabetes who are relatively protected from aortic weakening. 3. It is being used for the treatment of bone weakening, appears to be safe in patients and therefore is a potential therapeutic agent. We believe this work is an important step towards the development of a successful medical treatment for artery weakening.Read moreRead less
Association Between Obesity, TGFb, Thrombospondin And Small Abdominal Aortic Aneurysm Progression.
Funder
National Health and Medical Research Council
Funding Amount
$514,777.00
Summary
Abdominal aortic aneurysm (AAA) is an important cause of mortality in middle aged and elderly Australians. The incidence of AAA continues to increase despite improvements in the medical management of atherosclerosis. We postulate that obesity is important in the progression of AAA. In a community screening study we found that waist-hip ratio was independently associated with AAA. In this project we investigate the mechanisms underlying this association between obesity and AAA.
Angiopoietin-2, Aortic Inflammation And Cardiovascular Events
Funder
National Health and Medical Research Council
Funding Amount
$332,161.00
Summary
Based on detailed preliminary data, we plan to investigate the importance of a novel protein (the cytokine angiopoietin-2) in cardiovascular disease. The results of this study will clarify the role of this cytokine in vascular pathology and may provide an important target for novel therapy and-or diagnostic markers for cardiovascular disease progression.
Screening For Abdominal Aortic Aneurysms: Long-term Outcome And Role Of Circulating Markers Of Glycation
Funder
National Health and Medical Research Council
Funding Amount
$140,497.00
Summary
The abdominal aorta may undergo dilatation resulting an aneurysm. Some aneurysms may rupture causing death. The risk of rupture increases once the diameter exceeds 5cm. The management is detection and surgery for large aneurysms. As most aneurysms are asymptomatic prior to rupture screening of men using ultrasound may save lives. The aims of this study are to assess the role of screening on mortality from aneurysms and to assess a new blood test which may help monitor aneurysms.
Role Of The Tissue Kallikrein-kinin System In Abdominal Aortic Aneurysm Formation And Progression
Funder
National Health and Medical Research Council
Funding Amount
$457,779.00
Summary
Up to 5% of people over 60 years develop weakening of their aorta leading to slow dilation of the vessel, which may burst resulting in sudden death. The only treatment is surgery, which has complications and is unsuitable for some patients. Drugs which slow the disease would be invaluable. We have identified a role for kinins in aneurysms. We will investigate how these molecules contribute to aortic disease and if blocking them can be used as a basis for medical treatment of artery weakening.
Prospective Evaluation Of A Model To Predict Outcomes Following Endovascular Aortic Aneurysm Repair
Funder
National Health and Medical Research Council
Funding Amount
$1,098,901.00
Summary
Once present, abdominal aortic aneurysms tend to enlarge over time resulting in an increased risk of death if they rupture. Endovascular aneurysm repair may be used to fix the aneurysm but this procedure can result in complications over time. We developed a model that uses pre-operative information to predict the chance of an individual having poor results.This study aims to assess whether the model is a good predictor of outcomes and whether extra information will improve its accuracy.
Molecular And Genotypic Risk Factors For Abdominal Aortic Aneurysms
Funder
National Health and Medical Research Council
Funding Amount
$221,750.00
Summary
An Abdominal Aortic Aneurysms (AAA) is a dilatation of the main abdominal artery. This is an asymptomatic condition which may cause sudden death due to rupture of the AAA once it reaches a certain size (usually over 5cm in diameter) Between 1996 and 1998, 12,000 men aged 65-79 attended the Western Australian Abdominal Aortic Aneurysm screening study. The main aim of the study is to assess the influence of screening on mortality from AAA. Since 1997, approximately 90 men with large AAA have had e ....An Abdominal Aortic Aneurysms (AAA) is a dilatation of the main abdominal artery. This is an asymptomatic condition which may cause sudden death due to rupture of the AAA once it reaches a certain size (usually over 5cm in diameter) Between 1996 and 1998, 12,000 men aged 65-79 attended the Western Australian Abdominal Aortic Aneurysm screening study. The main aim of the study is to assess the influence of screening on mortality from AAA. Since 1997, approximately 90 men with large AAA have had elective surgical repair of AAA and 700 men with small AAA (aortic diameter 3-5 cm) have participated in the follow-up study involving 6-12 monthly ultrasound scans. The aim of the follow-up study is to assess rates of and risk factors for expansion of screen-detected AAA. The cause of AAA is unclear but appears to be due to a combination of environmental (eg smoking) and genetic influences. It is unknowm which genes might be involved. The current grant application seeks funding to initiate the study of possible genes associated with AAA . Blood samples from which DNA (genetic material) can be extracted have already been obtained from 650 men with AAA. Men without AAA are currently being reviewed as part of another study and it will be possible to obtain similar DNA samples these men. Patterns of gene polymorphisms (common minor mutations) in men with AAA will be compared with those without AAA.Read moreRead less
Regulation Of The Cardiovascular Disease-Associated Protease Inhibitor Cystatin C For Therapeutic Application
Funder
National Health and Medical Research Council
Funding Amount
$498,505.00
Summary
Proteases can contribute to atherosclerosis, so they are normally controlled by the endogenous inhibitor, Cystatin C (Cst C). Some conditions cause reduction in Cst C levels and hence disease. On the other hand, excess Cst C can form toxic aggregates. In this project, we will identify mechanisms controlling Cst C expression and aggregation to find therapeutic strategies to treat cardiovascular diseases associated with Cst C.