2012 MFI Symposium Program - University of Ottawa Heart Institute
2012 MFI Symposium Program - University of Ottawa Heart Institute 2012 MFI Symposium Program - University of Ottawa Heart Institute
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INSIDE FRONT COVER
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
COVER PHOTO CREDITS:<br />
Joanne McBane<br />
Frank Prato<br />
Stephanie Thorn<br />
Elizabeth Orton<br />
Myra Cocker<br />
Concept: Kathie Drozd
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
WELCOME<br />
Dr. Rob Beanlands<br />
<strong>Program</strong> Director, <strong>MFI</strong> Director<br />
National Cardiac PET Centre and Chief<br />
Cardiac Imaging, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
This, the 5 th Annual Molecular Function and Imaging (<strong>MFI</strong>) <strong>Symposium</strong>,<br />
unique not only for its focus but also that it is <strong>of</strong> trainees, by trainees and for<br />
trainees - the backbone <strong>of</strong> the program itself. The <strong>MFI</strong> <strong>Program</strong> is supported<br />
by the <strong>Heart</strong> and Stroke Foundation as well as the <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong><br />
<strong>Institute</strong>, the <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>, Faculty <strong>of</strong> Medicine, and the Divisions <strong>of</strong><br />
Cardiology and Cardiac Surgery. This year the symposium highlights the<br />
translation <strong>of</strong> basic to clinical science through the application <strong>of</strong> imaging<br />
probes as tools for detection and prognostication or understanding disease and<br />
therapy. The vision <strong>of</strong> the <strong>MFI</strong> <strong>Program</strong> is to establish a focused research<br />
team through a unique integrated program with a primary emphasis on<br />
Molecular Function evaluation and translational research while also mentoring<br />
future scientific experts and leaders in the multiple disciplines <strong>of</strong> this field.<br />
We look forward to stimulating scientific interaction and the translation <strong>of</strong><br />
new knowledge forming the foundation for our future. Welcome to all<br />
participants and sponsors. Congratulations to the organizing committee <strong>of</strong><br />
trainees for this great achievement!<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
WELCOME cont.<br />
Elizabeth Orton<br />
Chair, <strong>MFI</strong> <strong>Symposium</strong> Organizing Committee<br />
PhD. Candidate, Carleton <strong>University</strong><br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
The trainee organizing committee extends a great big welcome to all speakers<br />
and attendees for the 5 th Annual <strong>MFI</strong> <strong>Symposium</strong>! This year, the diversity and<br />
the collaboration underlying the <strong>MFI</strong> program are reflected in the use <strong>of</strong><br />
separate sessions for each scientific field, while emphasizing the cooperative<br />
translation <strong>of</strong> research both as it is necessarily integrated between fields and as<br />
it progresses from basic science to clinical application. In addition, we have<br />
aimed to incorporate as much informal social interaction between attendees as<br />
possible by including: a wine & cheese poster program, a career and<br />
networking lunch and, to encourage those with competitive nature, a<br />
cardiovascular-oriented Jeopardy match to help you digest after our awards<br />
dinner. Many thanks to our sponsors & we hope you enjoy this learning<br />
opportunity!<br />
Dr. Robert Roberts<br />
President and Chief Executive Officer<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Every year, the Molecular Function and Imaging <strong>Symposium</strong> brings together<br />
individuals in different fields to advance molecular imaging, and therapy,<br />
research as applied to the cardiovascular system. What makes this symposium<br />
unique is that it is organized by trainees for trainees. As a result, the event<br />
<strong>of</strong>fers a remarkable opportunity for young scientists to share their work,<br />
receive feedback and establish a network <strong>of</strong> potential collaborators. This year,<br />
the <strong>MFI</strong> <strong>Symposium</strong> will highlight the efficient, cooperative translation <strong>of</strong><br />
molecular methods for imaging and treating cardiovascular disease, from basic<br />
research to clinical application. As the field <strong>of</strong> molecular imaging evolves,<br />
increasing the exciting possibilities for medicine and research, participants in<br />
this symposium should take great pride as their contributions will, without a<br />
doubt, have a major impact on helping us better manage heart disease.<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
ORGANISING COMMITTEE & CONTRIBUTORS<br />
ORGANISING COMMITTEE<br />
Elizabeth Orton (chair)<br />
Joanne McBane<br />
James Haley<br />
Kathie Drozd<br />
Brian McArdle<br />
Lyne Sleiman<br />
Myra Cocker<br />
Jared Strydhorst<br />
Stephanie Chaisson<br />
ORGANIZING COMMITTEE ADVISORS<br />
Dr. Robert Beanlands<br />
Linda Garrard<br />
SYMPOSIUM ORGANISING ASSISTANCE<br />
Linda Garrard<br />
Carrie Barlow<br />
Matt McDonald<br />
Etienne Croteau<br />
Dr. Erik Suuronen<br />
Barbara IanniLucio<br />
Alex Norgaard<br />
<strong>MFI</strong> PROGRAM PRINCIPAL INVESTIGATORS<br />
Dr. Rob Beanlands<br />
Dr. Robert deKemp<br />
Dr. Mary-Ellen Harper<br />
Dr. Erik Suuronen<br />
Dr. Michael Gollob<br />
Dr. Jean DaSilva<br />
Dr. Marc Ruel<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
JUDGES & REVIEWERS<br />
ORAL PRESENTATION JUDGES<br />
Dr. Carolyn Anderson<br />
Dr. Jean DaSilva<br />
Dr. Richard Laforest<br />
Dr. Robert deKemp<br />
Dr. Markus Schwaiger<br />
Dr. Charles Cunningham<br />
Dr. Ren-Ke Li<br />
Dr. Ilona Skerjanc<br />
POSTER PRESENTATION JUDGES<br />
Dr. Carolyn Anderson<br />
Dr. Len Luyt<br />
Dr. Richard Laforest<br />
Dr. Rebecca Thornhill<br />
Dr. Aaron So<br />
Dr. Markus Schwaiger<br />
Dr. Ren-Ke Li<br />
Dr. Rob Beanlands<br />
ABSTRACT REVIEWERS<br />
Etienne Croteau<br />
Taylor Dowsley<br />
Brian McArdle<br />
Joanne McBane<br />
Jennifer Renaud<br />
Jared Strydhorst<br />
Branka Vulesevic<br />
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FINANCIAL SPONSORS<br />
FUNDING AGENCIES<br />
The <strong>MFI</strong> <strong>Program</strong> and <strong>Symposium</strong> Organizing Committee would like to thank the Ontario<br />
Consortium in Imaging for Cardiovascular Therapeutics and Image <strong>Heart</strong> Failure for their<br />
support and contributions to this event. The involvement <strong>of</strong> ICT has facilitated the assembly <strong>of</strong><br />
national and international experts in transitioning advances in basic cardiovascular research all<br />
the way to clinical imaging. Their contributions also encourage collaboration building between<br />
groups from key centers across Canada.<br />
INDUSTRY SPONSORS<br />
We are proud to have industry involvement in our symposium via financial support, attendance<br />
and participation in the program. Special thanks to our gold level sponsors (cumulative support<br />
2008 – <strong>2012</strong> > $5000): Jubilant DRAXIMAGE, Nordion, GE Healthcare, & Hermes Medical<br />
Imaging.<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
TABLE OF CONTENTS<br />
WELCOME<br />
i<br />
ORGANIZING COMMITTEE & CONTRIBUTORS iii<br />
JUDGES & REVIEWERS<br />
iv<br />
FINANCIAL SPONSORS<br />
v<br />
TABLE OF CONTENTS<br />
vi<br />
DETAILED SCHEDULE 1<br />
ORAL ABSTRACTS 10<br />
SESSION I: Novel Probe Development 11<br />
SESSION II: Functional Imaging Technology 17<br />
SESSION III: Translational Imaging <strong>of</strong> Cardiovascular Disease 23<br />
SESSION IV: Application <strong>of</strong> Regenerative Research to Therapy 30<br />
POSTER ABSTRACTS 37<br />
Poster Index 38<br />
SESSION I: Novel Probe Development 41<br />
SESSION II: Functional Imaging Technology 43<br />
SESSION III: Translational Imaging <strong>of</strong> Cardiovascular Disease 46<br />
SESSION IV: Application <strong>of</strong> Regenerative Research to Therapy 52<br />
SPEAKER BIOGRAPHIES 64<br />
Keynote Speakers 65<br />
Workshop Speakers 70<br />
SOCIAL EVENTS INFORMATION 85<br />
SITE MAPS 88<br />
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Coloured cardstock page<br />
DETAILED SCHEDULE<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
THURSDAY JUNE 21 ST , <strong>2012</strong><br />
WELCOME<br />
7:30 a.m. REGISTRATION, POSTER SET-UP & BREAKFAST<br />
8:00 a.m. OPENING REMARKS<br />
Dr. Rob<br />
Beanlands<br />
<strong>MFI</strong> <strong>Program</strong> Lead<br />
Investigator<br />
UOHI<br />
SESSION I: Novel probes<br />
<strong>MFI</strong> WORKSHOP I: NOVEL PROBE DEVELOPMENT AND APPLICATIONS<br />
8:20 a.m. The design <strong>of</strong> peptide-based<br />
molecular imaging agents<br />
Dr. Len Luyt<br />
London Health<br />
Sciences Centre<br />
Development <strong>of</strong> novel SPECT<br />
radiotracers for myocardial<br />
perfusion imaging<br />
Dr. Lihui Wei<br />
UOHI, Nordion<br />
The role <strong>of</strong> apoptosis in disease<br />
and the progress <strong>of</strong> apoptosis<br />
probes in molecular imaging<br />
applications<br />
Dr. Pasan<br />
Fernando<br />
UOHI, Nordion<br />
Moderator: Dr. Roberto Chica<br />
KEYNOTE LECTURE I<br />
9:30 a.m. Receptor-targeted imaging<br />
<strong>of</strong> cardiovascular disease<br />
Dr. Carolyn<br />
Anderson<br />
<strong>University</strong> <strong>of</strong><br />
Pittsburgh<br />
10:30 a.m. COFFEE BREAK<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
THURSDAY JUNE 21 ST , <strong>2012</strong> cont.<br />
ORAL ABSTRACT SESSION I<br />
Moderators: Dr. Carolyn Anderson, Dr. Jean DaSilva<br />
Trainee Co-Moderator: Dr Ilias Mylonas<br />
10:45 a.m. Abstract#1: ‘Generation <strong>of</strong> a<br />
Longer Emission Wavelength Red<br />
Fluorescent Proteins Using<br />
Computationally Designed<br />
Libraries<br />
Roberto Chica<br />
Dept. <strong>of</strong> Chemistry,<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong><br />
10:57 a.m. Abstract#2: Characterizing Rho<br />
kinase activity using N-[ 11 C]-<br />
methyl-hydroxyfasudil in<br />
hypertrophied cardiomyocytes<br />
Pasan Fernando<br />
UOHI; Nordion<br />
11:09 a.m. Abstract#3: Decreased betaadrenoreceptor<br />
binding in highfat<br />
diet low dose streptozotocin<br />
rats is restored with similar<br />
efficacy by 2 or 7 weeks <strong>of</strong><br />
insulin-induced euglycemia<br />
James Haley<br />
UOHI,<br />
MSc candidate,<br />
Dr. JN DaSilva<br />
11:21 a.m. Abstract#4: [ 11 C] Methyl-<br />
EXP3174 as a potential<br />
radioligand for imaging<br />
AT1Receptor with PET<br />
Basma Ismail<br />
UOHI,<br />
PhD candidate,<br />
Dr. JN DaSilva<br />
11:33 a.m. Abstract#5: Imaging <strong>of</strong><br />
atherosclerotic vascular lesions in<br />
ApoE-/- mice using [ 18 F]-PyKYNEc(RGDyK)<br />
and PET<br />
Lyne Sleiman<br />
UOHI, R.A.,<br />
Dr. JN DaSilva<br />
11:45 a.m. LUNCH & POSTER BROWSING<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
THURSDAY JUNE 21 ST , <strong>2012</strong> cont.<br />
SESSION II: Functional imaging technology<br />
<strong>MFI</strong> WORKSHOP II: PH-UNCTIONAL IMAGING PH-YSICS 101<br />
1:00 p.m. Magnetic resonance tools for<br />
the evaluation <strong>of</strong><br />
cardiovascular disease<br />
Dr. Rebecca<br />
Thornhill<br />
The <strong>Ottawa</strong> Hospital<br />
Fundamentals and advances<br />
<strong>of</strong> CT myocardial perfusion<br />
imaging<br />
Dr. Aaron So<br />
Robarts Research<br />
Centre<br />
Fundamentals <strong>of</strong> single photon<br />
emission tomography and<br />
technical advances<br />
Dr. R. Glenn Wells<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong><br />
<strong>Heart</strong> <strong>Institute</strong><br />
Fundamentals <strong>of</strong> positron<br />
emission tomography and<br />
advanced functional analysis<br />
Dr. Ran Klein<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong><br />
<strong>Heart</strong> <strong>Institute</strong><br />
Moderator: Dr. Robert<br />
deKemp<br />
2:15 p.m. AFTERNOON BREAK<br />
KEYNOTE LECTURE II<br />
2:30 p.m. Novel opportunities in<br />
imaging technology<br />
Dr. Richard<br />
Laforest<br />
<strong>University</strong> <strong>of</strong><br />
Washington in St.<br />
Louis<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
THURSDAY JUNE 21 ST , <strong>2012</strong> cont.<br />
ORAL ABSTRACT SESSION II<br />
Moderators: Dr. Richard Laforest, Dr. Robert deKemp<br />
Trainee Co-Moderator: Dr Taylor Dowsley<br />
3:30 p.m. Abstract#6: Tc-99m/Tl-201<br />
crosstalk correction on a<br />
dedicated cardiac CZT<br />
SPECTcamera<br />
3:42 p.m. Abstract#7: Test-retest<br />
repeatability <strong>of</strong> myocardial<br />
blood flow measurements<br />
using rubidium-82 PET<br />
imaging<br />
Stephanie<br />
Chiasson<br />
UOHI,<br />
MSc candidate,<br />
Dr. G Wells<br />
Matthew Efseaff<br />
UOHI,<br />
MSc candidate,<br />
Dr. RA deKemp<br />
3:54 p.m. Abstract#8: Quantitative<br />
reconstruction <strong>of</strong> microSPECT<br />
data<br />
4:06 p.m. Abstract#9: A spline model<br />
for sampling <strong>of</strong> the right<br />
ventricle myocardium from<br />
cardiac PET images<br />
4:18 p.m. Abstract#10: Cross-talk<br />
correction in dual isotope In-<br />
Tc-99m small animal cardiac<br />
SPECT imaging<br />
Jared Strydhorst<br />
UOHI,<br />
PhD candidate,<br />
Dr. G Wells<br />
Simisani Takobana<br />
UOHI,<br />
MSc candidate,<br />
Dr. R Klein<br />
Rachel Timmins<br />
UOHI,<br />
MSc candidate,<br />
Dr. G Wells<br />
4:30 p.m. POSTER PRESENTATIONS & JUDGING WITH WINE &<br />
CHEESE<br />
6:00 p.m. END; POSTERS TAKEN DOWN<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
FRIDAY JUNE 22 ND , <strong>2012</strong><br />
7:30 a.m. REGISTRATION & BREAKFAST<br />
SESSION III: Translational imaging <strong>of</strong> cardiovascular disease<br />
<strong>MFI</strong> WORKSHOP III: TRANSLATIONAL IMAGING OF CLINICAL<br />
CARDIOVASCULAR DISEASE<br />
SPONSORED BY IMAGING HEART FAILURE<br />
8:15 a.m. <strong>Heart</strong> failure and advances in<br />
PET for pre-clinical and clinical<br />
studies<br />
Ischemic heart disease and<br />
current CT approaches for preclinical<br />
and clinical studies<br />
Advancements in metabolic MRI<br />
and prospective detection <strong>of</strong><br />
clinical anomalies<br />
Dr. Lisa Mielniczuk<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong><br />
<strong>Heart</strong> <strong>Institute</strong><br />
Dr. Girish Dwivedi<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong><br />
<strong>Heart</strong> <strong>Institute</strong><br />
Dr. Charles<br />
Cunningham<br />
<strong>University</strong> <strong>of</strong> Toronto<br />
Molecular cardiac imaging with<br />
PET/MR<br />
Moderators: Dr. Mary-Ellen<br />
Harper; Dr. Rob Beanlands<br />
Dr. Kimberley<br />
Blackwood<br />
Lawson Health<br />
Research <strong>Institute</strong><br />
9:30 a.m. COFFEE BREAK<br />
KEYNOTE LECTURE III<br />
9:45 a.m. Translational imaging <strong>of</strong><br />
clinical cardiovascular<br />
disease<br />
Dr. Markus<br />
Schwaiger<br />
Technical <strong>University</strong><br />
<strong>of</strong> Munich<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
FRIDAY JUNE 22 ND , <strong>2012</strong> cont.<br />
ORAL ABSTRACT SESSION III<br />
Moderators: Dr. Markus Schwaiger, Dr. Charles Cunningham<br />
Trainee Co-Moderator: Dr Mustafa Kazmi<br />
10:45 a.m. Abstract#11:<br />
Immunohistochemical Validation <strong>of</strong><br />
[18F]-fluorodeoxyglucose as a<br />
novel biomarker <strong>of</strong> inflamed<br />
vulnerable carotic plaque: A substudy<br />
<strong>of</strong> (CAIN)<br />
Myra Cocker<br />
UOHI, PDF,<br />
Dr. RS Beanlands<br />
10:57 a.m. Abstract#12: Sympathetic<br />
stimulation to evaluate coronary<br />
endothelial function in mice with<br />
11C-acetate positron emission<br />
tomography.<br />
11:09 a.m. Abstract#13: Integrin imaging <strong>of</strong><br />
hypertrophic cardiomyopathy<br />
identifies diffuse cardiac fibrosis:<br />
Direct comparison with<br />
cardiovascular magnetic resonance<br />
imaging-The SCAR Study<br />
11:21 a.m. Abstract#14: The prognostic<br />
value <strong>of</strong> change in RV function as<br />
measured on Radionuclide<br />
Ventriculography in patients with<br />
<strong>Heart</strong> Failure<br />
11:33 a.m. Abstract#15: Clinical trial<br />
standards and quality assurance<br />
for a low-dose 3D PET trial:<br />
Rubidium ARMI<br />
11:45 a.m. Abstract#16: Performance <strong>of</strong> CT<br />
coronary angiography in the<br />
elderly: does a life time <strong>of</strong><br />
exposure to cardiac risk factors<br />
preclude a diagnostic scan?<br />
Etienne Croteau<br />
UOHI, PDF,<br />
Dr. RA deKemp<br />
Myra Cocker<br />
UOHI, PDF,<br />
Dr. TD Ruddy<br />
Brian McArdle<br />
UOHI, Fellow,<br />
Dr. L Mielnizcuk<br />
Jennifer Renaud<br />
UOHI, RA,<br />
Dr. RA deKemp<br />
Gary Small<br />
UOHI, Fellow,<br />
Dr. B Chow<br />
12:00 p.m. SOCIAL LUNCH: CAREER DEVELOPMENT & NETWORKING<br />
Guest Speaker: Dr. R. Glenn Wells,<br />
Nuclear Cardiology, UOHI<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
FRIDAY JUNE 22 ND , <strong>2012</strong> cont.<br />
SESSION IV: Application <strong>of</strong> regenerative research to therapy<br />
<strong>MFI</strong> WORKSHOP IV: REGENERATIVE THERAPY FROM TISSUE<br />
ENGINEERING TO IMAGING OUTCOMES<br />
SPONSORED BY IMAGING FOR CARDIOVASCULAR THERAPEUTICS<br />
1:15 p.m. Cardiomyogenesis in embryonic<br />
stem cells<br />
Dr. Ilona Skerjanc<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong><br />
Cardiac cell/biopolymer<br />
therapy: understanding effects<br />
and mechanisms<br />
Developments in clinical<br />
assessment, treatment<br />
planning, and therapeutic<br />
guidance for ischemic heart<br />
disease using MRI<br />
Dr. Marc Ruel<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong><br />
<strong>Heart</strong> <strong>Institute</strong><br />
Dr. Graham Wright<br />
<strong>University</strong> <strong>of</strong> Toronto<br />
Moderator: Dr. Darryl Davis<br />
2:15 p.m. AFTERNOON BREAK<br />
KEYNOTE LECTURE IV<br />
2:30 p.m. Cardiac rejuvenation to<br />
prevent heart failure after<br />
myocardial infarction<br />
Dr. Ren-Ke Li<br />
Toronto General<br />
Research <strong>Institute</strong><br />
8
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
FRIDAY JUNE 22 ND , <strong>2012</strong> cont.<br />
ORAL ABSTRACT SESSION IV<br />
Moderators: Dr. Ren-Ke Li, Dr. Ilona Skerjanc<br />
Trainee Co-Moderator: Dr. Brian McArdle<br />
3:30 p.m.<br />
Abstract#17: Enchanced matrix<br />
for cardiomyogenesis and<br />
regeneration <strong>of</strong> infarcted hearts<br />
3:42 p.m. Abstract#18: Human cardiac<br />
stem cells and circulating<br />
angiogenic cells possess equivalent<br />
capacity to regenerate damaged<br />
myocardium<br />
3:54 p.m. Abstract#19: Translationally<br />
controlled tumor protein (TCTP)<br />
revealed by proteomic analysis <strong>of</strong><br />
patient-specific blood outgrowth<br />
endothelial cells in heritable<br />
pulmonary arterial hypertension<br />
4:06 p.m. Abstract#20: Co-culture <strong>of</strong><br />
endothelial progenitor cells and<br />
monocytes for seeding the surface<br />
<strong>of</strong> a degradable polyurethane<br />
vascular graft material<br />
4:18 p.m. Abstract#21: Collagen matrices<br />
enhance CD34+ circulating<br />
angiogenic cell function through<br />
the integrin receptors<br />
4:30 p.m. CLOSING REMARKS<br />
Nick Blackburn<br />
UOHI,<br />
MSc candidate,<br />
Dr. EJ Suuronen<br />
Nick Latham<br />
UOHI,<br />
MSc candidate,<br />
Dr. D Davis<br />
Jessie Lavoie<br />
OHRI, PhD candidate,<br />
Dr. DJ Stewart<br />
Eva Mathieu<br />
UOHI, PDF,<br />
Dr. EJ Suuronen<br />
Brian McNeill<br />
UOHI, PDF,<br />
Dr. EJ Suuronen<br />
Dr. Robert Roberts<br />
President and CEO<br />
UOHI<br />
7:30 p.m. DINNER, AWARDS AND JEOPARDY!<br />
9
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
Coloured cardstock page<br />
ORAL ABSTRACTS<br />
10
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
Coloured cardstock page back<br />
10
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
ORAL ABSTRACTS<br />
SESSION I: Novel Probe Development<br />
11
Oral Abstract#1<br />
Generation <strong>of</strong> longer emission wavelength Red Fluorescent Proteins using<br />
Computationally Designed Libraries<br />
Roberto A. Chica 1,2 , Matthew M. Moore 3 , Benjamin D. Allen 3 , and Stephen L. Mayo 2,3 .<br />
1 Department <strong>of</strong> Chemistry, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>; 2 Division <strong>of</strong> Biology, California <strong>Institute</strong> <strong>of</strong><br />
Technology; 3 Division <strong>of</strong> Chemistry and Chemical Engineering, California <strong>Institute</strong> <strong>of</strong> Technology.<br />
Background: The longer emission wavelengths <strong>of</strong> red fluorescent proteins (RFPs) make them<br />
attractive for whole-body imaging because cells are more transparent to red light. Although several<br />
useful RFPs have been developed, the quest for further red-shifted and improved RFPs continues.<br />
Herein, we report a structure-based rational design approach to red shift the fluorescence emission <strong>of</strong><br />
RFPs.<br />
Methods/ Results: We applied a combined computational and experimental approach that uses<br />
computational protein design as an in silico pre-screen to generate focused combinatorial libraries <strong>of</strong><br />
mCherry mutants. The computational procedure helped us identify residues that could fulfill<br />
interactions hypothesized to cause red shifts without destabilizing the protein fold. These<br />
interactions include stabilization <strong>of</strong> the excited state through H-bonding to the acylimine oxygen<br />
atom, destabilization <strong>of</strong> the ground state by hydrophobic packing around the charged phenolate, and<br />
stabilization <strong>of</strong> the excited state by a p-stacking interaction. Our methodology allowed us to identify<br />
three mCherry mutants (mRojoA, mRojoB, and mRouge) that display emission wavelengths >630<br />
nm, representing red shifts <strong>of</strong> 20 to 26 nm. Moreover, our approach required the experimental<br />
screening <strong>of</strong> a total <strong>of</strong> 5000 clones, a number several orders <strong>of</strong> magnitude smaller than those<br />
previously used to achieve comparable red shifts. Additionally, crystal structures <strong>of</strong> mRojoA and<br />
mRouge allowed us to verify fulfillment <strong>of</strong> the interactions hypothesized to cause red shifts,<br />
supporting their contribution to the observed red shifts.<br />
Conclusion: These results suggest that this approach may be applicable to red-shift the emission<br />
wavelength <strong>of</strong> other RFPs. We expect that other useful properties, such as increased quantum yield<br />
and maturation rate, could also be improved using this method.<br />
I. Novel Probe Development – Oral Presentation<br />
12
Oral Abstract#2<br />
Characterizing Rho kinase activity using N-[ 11 C]-methyl-hydroxyfasudil in<br />
hypertrophied cardiomyocytes<br />
Steven Moreau 1,2,3 , A.C. Valdivia 2,3,5 , R.S.B. Beanlands 2,3,5 , T. Ruddy 3,5 , J.N. DaSilva 1,2,3,5 , Pasan<br />
Fernando 1,2,3,4<br />
1 Dept. <strong>of</strong> Cellular and Molecular Medicine, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>; 2 <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong><br />
<strong>Institute</strong> Molecular Function and Imaging Group; 3 <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong>; 4 Nordion;<br />
5 <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong> Cardiac PET<br />
Background: Cardiac hypertrophy is a compensatory response to increased work load or stress on<br />
the heart, but over time can lead to heart failure and death. The molecular mechanisms underlying<br />
this disease are still not completely understood, however the Rho/Rho kinase pathway has been<br />
shown to play a role.<br />
Methods/ Results: The PET tracer N-[ 11 C]-methyl-hydroxyfasudil is an analog <strong>of</strong> the ROCK<br />
inhibitor hydroxyfasudil expected to bind to active Rho kinase. Hypertrophy was induced in vitro<br />
using the ß-adrenergic receptor agonist isoproterenol to evaluate optimal Rho kinase activity. Rho<br />
kinase activity data was correlated to N-[ 11 C]-methyl-hydroxyfasudil binding. Cardiac hypertrophy<br />
was verified with an increase in nuclear size (1.74 fold) and cell size (~2 fold), activation <strong>of</strong><br />
hypertrophic signalling pathways involving in particular ERK1/2 and mTOR phosphorylation, and<br />
increased Rho kinase activity (1.64 fold). This correlated to a 10.3% increase in N-[ 11 C]-methylhydroxyfasudil<br />
binding which was brought down to control levels by blocking with unlabeled<br />
hydroxyfasudil indicating the tracer’s specificity for its target, Rho kinase.<br />
Conclusion: This result suggests that N-[ 11 C]-methyl-hydroxyfasudil may be useful as a radiotracer<br />
for detecting cardiac hypertrophy in vivo and possibly to guide therapies.<br />
I. Novel Probe Development – Oral Presentation<br />
13
Oral Abstract#3<br />
Decreased ß-adrenoceptor binding in high-fat diet low dose streptozotocin<br />
rats is restored with similar efficacy by 2 or 7 weeks <strong>of</strong> insulin-induced<br />
euglycemia<br />
James Haley, J.T. Thackeray, S.L. Thorn, M. Kolajova, R.S.B. Beanlands, and J.N. DaSilva<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong> Cardiac PET Center; Dept. <strong>of</strong> Cellular and Molecular<br />
Medicine, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>.<br />
Background: Abnormal myocardial sympathetic nervous system and ß-adrenoceptor (ß-AR)<br />
signaling has been described in diabetes and may contribute to an increased risk <strong>of</strong> cardiovascular<br />
disease. While an early reduction <strong>of</strong> blood glucose by insulin treatment has been shown to prevent<br />
altered sympathetic and ß-AR signaling, the timeframe <strong>of</strong> this effect is not well established.<br />
[ 3 H]CGP12177 is a nonselective, hydrophilic ß-AR antagonist that has been used previously to<br />
assess ß-AR levels in high-fat diet fed, low-dose streptozotocin (STZ) rats. The aim <strong>of</strong> this study<br />
was to identify if a short timeframe <strong>of</strong> insulin treatment can restore myocardial ß-AR expression in<br />
high-fat-fed STZ hyperglycemic rats.<br />
Methods/ Results: Male Sprague-Dawley rats were fed a high-fat diet (32% kcal) to induce insulin<br />
resistance and given a single low-dose intraperitoneal injection <strong>of</strong> STZ (45mg/kg) (n=11) or vehicle<br />
(n=8) to evoke hyperglycemia (blood glucose >11mM). Additionally, two groups <strong>of</strong> the high-fat diet<br />
STZ hyperglycemics were stratified to receive insulin (4 U/day, continuous sc.) to normalize blood<br />
glucose at 1 week post-STZ for 7 weeks (n=3) or 6 weeks post-STZ for 2 weeks (n=4). Ex vivo<br />
[ 3 H]CGP12177 biodistribution was performed 8 weeks post-STZ to measure ß-AR binding 30 min<br />
following tracer injection. STZ-induced hyperglycemia was rapidly reversed by treatment with<br />
insulin at both 1 and 6 weeks post-STZ. Total myocardial [ 3 H]CGP12177 binding at 8 weeks was<br />
significantly (p
Oral Abstract#4<br />
[ 11 C]Methyl-EXP3174 as a Potential Radioligand For Imaging<br />
AT1Receptor With PET<br />
Basma Ismail, J. Fabre, T. Hadizad, J.T. Thackeray, S.L. Thorn, R.A. deKemp, R.S.B.Beanlands,<br />
J.N. DaSilva<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong> Cardiac PET Center; Dept. <strong>of</strong> Cellular and Molecular<br />
Medicine, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>.<br />
Background: AT1 receptor (AT1R) expression is altered in cardiac and renal disorders. EXP 3174,<br />
a major downstream metabolite <strong>of</strong> the clinically used drug Losartan, has 10 times the affinity for the<br />
AT1R as a reversible competitive antagonist than the parent compound. [11C]methyl-EXP3174 was<br />
evaluated as a potential radiotracer for quantifying AT1R.<br />
Methods/ Results: Male Sprague–Dawley rats (n=8) were administered i.v. [11C]methyl-EXP3174<br />
(0.5 – 1.5 mCi) and imaged for 60 min with the Siemens Inveon MicroPET camera to evaluate tracer<br />
pr<strong>of</strong>ile. Time activity curves were derived from the regions <strong>of</strong> interest (ROI) drawn from the<br />
reconstructed microPET images (Siemens IRW s<strong>of</strong>tware). Distribution volume (DV) was quantified<br />
using Logan slope graphical analysis with the left atrial cavity used to obtain the blood input<br />
function. Test-retest studies were conducted within 7 days to determine process reproducibility.<br />
Column switch HPLC with coincidence radioactivity detector was used to identify 11C- labeled<br />
metabolites in rat plasma and kidney at 10 minutes. Kidneys showed high tracer uptake with peak<br />
activity at 2 minutes and retained for 60 minutes. DV values were obtained from left kidney<br />
(2.5±0.64). Test-retest variability was found to be 21.7%. HPLC analysis revealed 13 - 25% <strong>of</strong> total<br />
radioactivity signal in plasma derived from hydrophilic labeled metabolites. Whereas these<br />
radiolabeled metabolites accounted for 52 - 86% <strong>of</strong> the total signal in kidney.<br />
Conclusion: In vivo studies support the use <strong>of</strong> [11C]methyl-EXP3174 as an imaging agent to assess<br />
AT1R in kidneys with good reproducibility. However, the presence <strong>of</strong> high proportion <strong>of</strong><br />
metabolites in the target tissue is a potential problem. Further studies to assess the specific binding<br />
<strong>of</strong> the tracer and labeled metabolites are warranted.<br />
I. Novel Probe Development – Oral Presentation<br />
15
Oral Abstract#5<br />
Imaging <strong>of</strong> atherosclerotic vascular lesions in ApoE-/- mice using [ 18 F]-<br />
PyKYNE-c(RGDyK) and PET<br />
A.C. Valdivia 1 , S.L. Thorn 1 , Lyne Sleiman 1 , R.S.B. Beanlands 1 and J.N. DaSilva 1<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Background: Development <strong>of</strong> atherosclerosis occurs when fat, cholesterol, and other substances<br />
accumulate in the luminal walls <strong>of</strong> arteries. This results in a progressive inflammatory response<br />
deposit <strong>of</strong> macrophages and cholesterol filled foam cells to form the plaque core. Subsequent<br />
rupture <strong>of</strong> atherosclerotic plaques is one the leading causes <strong>of</strong> myocardial infarction and sudden<br />
cardiac death. Atherosclerotic plaques develop microvascular networks proposed to be important in<br />
sustaining plaque growth. Non-invasive imaging <strong>of</strong> atherosclerotic lesions is a promising approach<br />
for the early detection <strong>of</strong> vulnerable plaque and monitoring <strong>of</strong> anti-atherosclerotic therapies. The<br />
integrin a vß 3 receptor is a cell adhesion protein prominently expressed in the atherosclerotic plaque.<br />
18 F labeled RGD peptides have been investigated for imaging the a vß 3 integrin receptor expression in<br />
tumour neovascularization, but only 18 F-galacto-RGD has been evaluated for molecular imaging <strong>of</strong><br />
plaque-associated angiogenesis. In the present work, we developed [ 18 F]-PyKYNE-c(RGDyK), a<br />
new 18 F labeled RGD peptide, with the aim <strong>of</strong> investigating atherosclerotic plaques using PET.<br />
Methods/Results: [ 18 F]-PyKYNE-c(RGDyK) was synthesized via “click chemistry” by reacting the<br />
commercially available azido-c(RGDyK) with [ 18 F]PyKYNE in presence <strong>of</strong> Cu (I). 500 uCi <strong>of</strong> [ 18 F]-<br />
PyKYNE-c(RGDyK) was injected in ApoE-/- mice. 60-min whole body dynamic scans were<br />
acquired using the Inveon small animal PET camera. Mice were euthanized by cervical dislocation<br />
with the aorta dissected out and placed on a glass slide for a further 30 min static acquisition in the<br />
MicroPET camera. Additional tissues were collected and counted in a gamma counter to obtain ex<br />
vivo % injected dose (ID)/g <strong>of</strong> tissue measurements.<br />
[ 18 F]-PyKYNE-c(RGDyK) was produced in high purity (>95%) and in 10-20% radiochemical yield.<br />
High uptake is observed in the liver with low retention in the heart (13% ID/g <strong>of</strong> tissue) at 60 min<br />
post-injection. High uptake was found in the aorta, and confirmed by ex vivo imaging and<br />
biodistribution (35% ID/g <strong>of</strong> tissue).<br />
Conclusion: High uptake <strong>of</strong> [ 18 F]-PyKYNE-c(RGDyK) in the plaque-rich aorta <strong>of</strong> atherosclerotic<br />
prone ApoE -/- mice was observed and warrants further evaluation <strong>of</strong> this non-invasive approach.<br />
Future studies will be conducted with serial PET imaging <strong>of</strong> ApoE -/- mice using CT contrast for colocalization<br />
<strong>of</strong> plaques in vivo, ex vivo autoradiography and histological assessment.<br />
I. Novel Probe Development – Oral Presentation<br />
16
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
ORAL ABSTRACTS<br />
SESSION II: Functional Imaging Technology<br />
17
Oral Abstract#6<br />
Tc-99m/Tl-201 crosstalk correction on a dedicated cardiac CZT SPECT<br />
camera<br />
Stéphanie Chiasson, T.D. Ruddy, R.G. Wells<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Background: Dual-isotope cardiac SPECT perfusion imaging <strong>of</strong>fers perfectly aligned rest/stress<br />
images and a greatly reduced imaging time. However, simultaneous imaging is hampered by high<br />
doses and crosstalk between the isotopes. Dedicated cardiac cameras based on solid-state (CZT)<br />
detectors have recently been introduced into the clinic, with improved energy resolution and greater<br />
sensitivity. Our study assesses the accuracy <strong>of</strong> using a modified Triple-Energy-Window (TEW)<br />
correction for Tl201/Tc99m-tetr<strong>of</strong>osmin dual-isotope imaging with a CZT-based dedicated cardiac<br />
SPECT camera. We are studying the correction accuracy using single-isotope clinical studies<br />
acquired on the camera at the <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong>.<br />
Methods/Results: The study includes 50 synthetic dual-isotope patients being corrected with a<br />
modified TEW correction with varying scatter window widths. Each patient consists <strong>of</strong> two singleisotope<br />
acquisitions, one <strong>of</strong> each Tc99m rest and Tl201 stress, matched by gender and BMI. For a<br />
first evaluation <strong>of</strong> the correction, it was originally done on the single isotope acquisitions to remove<br />
the residual scatter counts in the opposing primary energy window (i.e. remove Tc99m counts in the<br />
Tl201 window). The synthetic dual isotope patients were then created and the correction applied in<br />
each primary window. For the correction <strong>of</strong> the uncontaminated data, the TEW correction removes<br />
135% <strong>of</strong> the Tl201 scatter in the Tc99m window using the smallest scatter window width while it<br />
succeeds to remove 137% <strong>of</strong> the scatter using the largest. In the Tl201 window, the 3keV scatter<br />
window removed 101% <strong>of</strong> the Tc99m counts while the 10keV window removed 95%. Comparing<br />
the corrected synthetic images to the single isotope acquisition, we find 0.101%-0.38% <strong>of</strong> the Tc99m<br />
signal in the Tc99m window and 1.32%-2.39% <strong>of</strong> the Tl201 signal in the Tl201 window.<br />
Conclusion: a modified TEW correction provides a simple effective way <strong>of</strong> correcting for cross-talk<br />
in Tl201/Tc99m dual-isotope cardiac SPECT imaging.<br />
II. Functional Imaging Technology – Oral Presentation<br />
18
Oral Abstract#7<br />
Test-retest repeatability <strong>of</strong> myocardial blood flow measurements using<br />
rubidium-82 PET imaging<br />
Matthew Efseaff 1,2 , R. Klein 2 , M.C. Ziadi 2 , R.S.B. Beanlands 2 , R.A. deKemp. 1,2<br />
1 Carleton <strong>University</strong>, 2 <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Background: 82 Rb PET imaging has been proposed for routine myocardial blood flow (MBF)<br />
quantification. However, few studies have investigated the test-retest repeatability <strong>of</strong> this method.<br />
The goal <strong>of</strong> this study was to optimize same-day repeatability <strong>of</strong> MBF imaging with a highly<br />
automated analysis program using image-derived input functions and dual spillover corrections<br />
(SOC).<br />
Methods/Results: Test-retest repeatability <strong>of</strong> resting left-ventricle (LV) MBF was measured in<br />
patients (n = 27) with suspected coronary artery disease (CAD) and healthy volunteers (n = 9). The<br />
effects <strong>of</strong> scan-time, reconstruction and quantification methods were assessed with correlation and<br />
Bland-Altman repeatability coefficients. Factors affecting rest MBF included gender, suspected<br />
CAD, and SOC (p < 0.001). Significant test-retest correlations were found using all analysis<br />
methods tested (r > 0.79). The best repeatability coefficient for same-day MBF was 0.20 mL/min/g<br />
using a 6 min scan-time, iterative reconstruction, SOC, resting rate-pressure product adjustment<br />
(RPP), and left atrium input function. This protocol was significantly less variable than standard<br />
protocols using FBP reconstruction, longer scan-time, no SOC, or LV input function.<br />
Conclusion: 82 Rb PET MBF can be measured reproducibly using a 6 min scan length, iterative<br />
reconstruction, SOC, RPP, and an image-derived input function in the left atrium cavity.<br />
II. Functional Imaging Technology – Oral Presentation<br />
19
Oral Abstract#8<br />
Quantitative reconstruction <strong>of</strong> microSPECT data<br />
Jared Strydhorst, R.G. Wells<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Background: Small animal microSPECT is an important pre-clinical imaging modality. However,<br />
quantitative accuracy is limited by photon attenuation in the subject and scatter in the subject and the<br />
collimator. In this study we investigate both scatter and attenuation correction in the reconstruction<br />
<strong>of</strong> a phantom.<br />
Method/ Results: Several phantoms consisting <strong>of</strong> a 9mm diameter cylinder <strong>of</strong> activity placed in the<br />
centre <strong>of</strong> progressively larger cylinders <strong>of</strong> water with (diameters: 23, 37, 49, and 52 mm), were<br />
scanned in a multiplexing multi-pinhole (MMP) SPECT scanner. Scan parameters were as follows: 9<br />
pinholes/detector, 2.5 mm diameter; 48 projections; helical scan; 3 minutes per projection.<br />
Projection data were recorded for two energy windows, one centered at the photopeak (140 keV) and<br />
a second window centered at 110 keV. The phantom was also scanned with a built-in CT scanner (45<br />
keV, cone beam). The SPECT data were reconstructed using an iterative ordered subsets expectation<br />
maximization algorithm with no correction, attenuation correction (AC) only, and AC and scatter<br />
correction (SC). Attenuation was estimated from the CT and incorporated into the system matrix as<br />
part <strong>of</strong> the reconstruction. Scatter was estimated using the dual energy window method to estimate<br />
the scattered photon distribution. The scatter projections were then smoothed and added to the<br />
forward projections during reconstruction. A point source with a known activity was used as a<br />
reference to convert the reconstructed data to absolute activity concentration.With neither<br />
attenuation nor scatter correction, the activity concentration measured using SPECT was 6 – 28%<br />
below the known activity. Attenuation correction alone resulted in measured activity concentrations<br />
4-8% above the true concentration. With both AC and SC, the measured activity concentration was<br />
within ±2% <strong>of</strong> the true value.<br />
Conclusion: With attenuation and scatter correction, tracer activity concentration can be<br />
quantitatively measured using multiplexed multi-pinhole microSPECT.<br />
II. Functional Imaging Technology – Oral Presentation<br />
20
Oral Abstract#9<br />
A Spline Model for Sampling <strong>of</strong> the Right Ventricle Myocardium from<br />
Cardiac PET Images<br />
Simisani Takobana 1,2 , A. Alder 1 , R.A. deKemp 2 , R. Klein 2<br />
1 Dept. <strong>of</strong> Systems and Computer Engineering, 2 Carleton <strong>University</strong>, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong><br />
<strong>Institute</strong><br />
Background: Conditions such as pulmonary hypertension usually alter right ventricular (RV)<br />
physiology and anatomy, in most cases making it hypertrophic and dysfunctional. Because <strong>of</strong> a wide<br />
range <strong>of</strong> RV anatomies among human and animals, with normal and hypertrophic hearts a spline<br />
model must be general. However, the model should minimize the number <strong>of</strong> control points as well as<br />
their degrees <strong>of</strong> freedom for computational efficiency and usability. The purpose <strong>of</strong> the study was to<br />
evaluate a proposed 12 spline points model with 13 degrees <strong>of</strong> freedom for sampling the RV in<br />
cardiac PET images.<br />
Methods/ Results: A sample set <strong>of</strong> 5 normal and 5 hypertrophic human, and 5 normal and 5<br />
hypertrophic rat hearts FDG PET images was used. The RV model was manually fit to each image,<br />
and the fit was evaluated. A pass was granted when the model was judged by the operator to<br />
sufficiently trace the RV mid-myocardium and appropriately intersect the LV. In normal rats, the<br />
RV was difficult to visualize due to its thinner wall, proximity to the thicker LV, and low image<br />
resolution. In all human and hypertrophic rat hearts the model was sufficient for tracing the RV.<br />
Conclusion: The proposed model is sufficiently flexible to describe normal and hypertrophic hearts<br />
in human and rat populations. It is possible that a simpler model, with fewer degrees <strong>of</strong> freedom may<br />
be sufficient, while further reducing the model complexity.<br />
II. Functional Imaging Technology – Oral Presentation<br />
21
Oral Abstract#10<br />
Cross-talk correction in dual isotope 111 In/ 99m Tc small animal cardiac<br />
SPECT imaging<br />
Rachel Timmins 1,2 , R.G. Wells 1,2<br />
1<br />
Dept. <strong>of</strong> Physics, Carleton <strong>University</strong>; 2 <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Background: Dual-isotope imaging via energy discrimination is a major strength <strong>of</strong> SPECT<br />
imaging but image quality is degraded by cross-talk interference. Cross-talk correction techniques<br />
have been developed for clinical SPECT however application to small-animal imaging is not ideal.<br />
The reduced subject size & variability in small-animal imaging may allow simpler cross-talk<br />
correction methods to provide adequate quantification accuracy. The objective <strong>of</strong> this study is to<br />
evaluate the accuracy <strong>of</strong> three simple cross-talk correction methods for small-animal 111In/99mTc<br />
imaging.<br />
Methods/Results: We compared triple energy window (TEW), applied in both projection and image<br />
space, and convolution subtraction. Each was evaluated using a phantom consisting <strong>of</strong> 3 5ml<br />
syringes filled with Tc-99m, In-111 and a mixture <strong>of</strong> Tc-99m and In-111 respectively. Five ratios <strong>of</strong><br />
Tc-99m:In-111 activity concentrations were used in the mixture: 4.5:1, 3:1, 1:1,1:4, 1:8. Data were<br />
acquired on a 4-head NanoSPECT/CT small-animal camera (9x2mm pinholes/head) and<br />
reconstructed using OSEM with attenuation correction. Total counts in the uncorrected projection<br />
data were 61 and 96 M counts for the Tc99m (129-150keV) and In111 (158-185keV + 225-265keV)<br />
windows respectively. The corrected images were assessed visually and quantitatively as the percent<br />
reduction <strong>of</strong> the In-111 activity in the Tc-99m image and the accuracy <strong>of</strong> recovering the correct<br />
activity ratio in the mixed syringes. TEW applied in projection space gave the best reduction <strong>of</strong> In-<br />
111 cross-talk. It reduced the false Tc-99m image <strong>of</strong> the In-111 phantom by 96% and provided the<br />
best visual removal. TEW applied in image space and convolution subtraction reduced the In-111<br />
interference by 95% and 87% respectively and visual evaluation <strong>of</strong> the images showed greater<br />
residual signal. The concentration <strong>of</strong> Tc-99m in the mixed syringe was recovered to within 5% or<br />
less <strong>of</strong> the true value over the range evaluated.<br />
Conclusion: TEW applied in projection space was the most accurate cross-talk correction method in<br />
In-111/Tc-99m dual-isotope small-animal cardiac SPECT imaging and was able to achieve an<br />
accuracy <strong>of</strong> 4±1%.<br />
II. Functional Imaging Technology – Oral Presentation<br />
22
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
ORAL ABSTRACTS<br />
SESSION III: Translational Imaging <strong>of</strong> Cardiovascular<br />
Disease<br />
23
Oral Abstract#11<br />
Immunohistochemical Validation <strong>of</strong> [18F]-fluorodeoxyglucose as a Novel<br />
Biomarker <strong>of</strong> Inflamed Vulnerable Carotid Plaque: A Sub-study <strong>of</strong> the<br />
Canadian Atherosclerosis Imaging Network (CAIN)<br />
Myra Cocker, B. McArdle, R.A. deKemp, C. Lum, G. Youssef, R. Hammond, Y. Yer<strong>of</strong>eyeva, T.<br />
Karavardanyan, A. Adeeko, A. Hill, G. Stotts, M. Sharma, J.M. Renaud, J. Brennan, M. Alturkustani,<br />
L. Hammond, J.N. DaSilva, J.C. Tardif, J. David Spence, R.S.B. Beanlands<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Background: Atherosclerosis is a leading cause <strong>of</strong> morbidity and mortality within Canada.<br />
‘Vulnerable’ rupture prone plaque is associated with pronounced inflammatory activity and<br />
increased density <strong>of</strong> macrophage cells. Macrophages have increased metabolic rates and require<br />
high-levels <strong>of</strong> energy for phagocytic activity. Therefore, the uptake <strong>of</strong> radiolabelled glucose or<br />
[18F]-fluorodeoxyglucose (18FDG) imaged with hybrid positron emission tomography (PET) and<br />
computed tomography (CT) may serve as a surrogate marker <strong>of</strong> inflammatory activity within plaque.<br />
We hypothesized that metabolic activity within carotid plaques, as determined by 18FDG studies<br />
with PET/CT, is associated with intraplaque inflammatory burden or macrophage expression using<br />
macrophage-specific CD68 staining immunohistology.<br />
Methods/Results: Twenty-two patients (mean age: 51±11 years, 18 male) scheduled for carotid<br />
endarterectomy within two weeks were prospectively recruited. Patients underwent PET-FDG and<br />
CT angiography <strong>of</strong> carotid vasculature but patients with baseline GFR 6 months or asymptomatic (n=16 plaques in 8 patients). Carotid<br />
18FDG uptake in recently symptomatic patients was greater (3.3±1.3 TBR n=28) than previously<br />
symptomatic or asymptomatic patients (2.6±1.0 TBR n=16) (p=0.044).<br />
Conclusion: The uptake <strong>of</strong> 18FDG in carotid vasculature is related to inflammatory burden within<br />
plaque, as evaluated by immunohistochemistry. 18FDG may serve as a non-invasive biomarker <strong>of</strong><br />
patients with plaque inflammation and macrophage activity, which may enable identification <strong>of</strong><br />
those at risk for events.<br />
III. Translational Imaging <strong>of</strong> Cardiovascular Disease –<br />
Oral Presentation<br />
24
Oral Abstract#12<br />
Sympathetic Stimulation to Evaluate Coronary Endothelial Function in<br />
Mice with 11 C-Acetate Positron Emission Tomography<br />
Etienne Croteau, M. Kordos, J.M. Renaud, R. Klein, J.N. DaSilva, R.S.B. Beanlands, R.A. deKemp.<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Background: Endothelial dysfunction (ED) is a common early symptom <strong>of</strong> hypertension, diabetes<br />
and atherosclerosis. The main function <strong>of</strong> the endothelium is to regulate the microvascular blood<br />
supply according to local changes in demand. We propose a hyperemic stress protocol with<br />
norepinephrine (NE) to derive the endothelial-specific myocardial flow reserve (EFR).<br />
Methods/Results: N=5 mice were used to evaluate the stepwise response <strong>of</strong> norepinephrine (NE).<br />
Peripheral blood pressure (BP) was measured in the carotid artery using optical fiber sensor (SAII).<br />
The validity <strong>of</strong> using the image derive input function (IDIF) was experimentally confirmed by<br />
simultaneous blood sampling from the carotid during 11 C-acetate imaging. NE-Stress PET imaging<br />
(Siemens Inveon DPET) was conducted using an optimized radiotracer injection at 5 min post start<br />
<strong>of</strong> infusion. L-NAME (endothelial nitric oxide synthase inhibitor (eNOS)) pre-treated mice (drinking<br />
water 0.25mg/L for 1 week) and transgenic eNOS knockout mice were used to block the eNOSspecific<br />
vasodilatation <strong>of</strong> the coronary vessels. Rest/NE-stress protocol on C57BL mice (28 ± 1g)<br />
with I.V. injection <strong>of</strong> 34 ± 16 MBq 11 C-acetate was used to measure myocardial blood flow (MBF)<br />
at baseline and after NE-stress to evaluate EFR. IDIF is adequate in the kinetic analysis <strong>of</strong> 11 C-<br />
acetate. A steady state BP response was typically reached after 2 min <strong>of</strong> NE infusion, and was<br />
sustained in both healthy controls and pre-treated mice. Dosage in control groups has no significant<br />
effect on rate pressure product (RPP) [heart-rate × systolic blood pressure] ratio (NEstress:baseline).<br />
L-NAME pre-treatment showed a significant decrease <strong>of</strong> the RPP ratio to 1.07 ±<br />
0.03 (N=5) compared to the selected dose 3.2µg/Kg/min (Medium) with 1.23 ± 0.09 RPP (Unpaired<br />
t-test p
Oral Abstract#13<br />
Integrin Imaging <strong>of</strong> Hypertrophic Cardiomyopathy Identifies Diffuse<br />
Cardiac Fibrosis: Direct Comparison with Cardiovascular Magnetic<br />
Resonance Imaging<br />
The SCAR Study<br />
Myra Cocker*, G. Dwivedi*, B. Marvin, M. Poirier, C. Dennie, G. Wells, R. Roberts, A. Dick, K.<br />
Ascah, T.D. Ruddy (*Equal contributors.)<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> Instiute<br />
Background: Patients with hypertrophic cardiomyopathy (HCM) are at risk <strong>of</strong> developing heart<br />
failure secondary to the release <strong>of</strong> stress-responsive trophic factors. The disease process in HCM<br />
promotes diffuse myocardial collagen synthesis, disarray and hypertrophy. Cardiovascular magnetic<br />
resonance (CMR) imaging using T1-weighted late gadolinium enhancement (LGE) can be utilized to<br />
detect the extent <strong>of</strong> focal fibrosis in HCM. However, although the disease process in HCM is<br />
actually global, such diffuse injury cannot be visualized with LGE.<br />
avß3 is a unique vitronectin integrin receptor that is activated in infarcted tissue; is associated with<br />
fibroblasts as well as collagen synthesis. A novel 99 Technetium compound ( 99m Tc-NC100692, GE<br />
healthcare) that binds with high affinity to avß3 has been developed.<br />
99m Tc-NC100692 could be<br />
utilized to detect the extent <strong>of</strong> both focal and diffuse myocardial fibrosis in patients with HCM.<br />
Methods/Results:5 patients (mean age: 62±11 years, 1 female) with an established diagnosis <strong>of</strong><br />
HCM based upon findings from echocardiography were prospectively recruited. Patients underwent<br />
SPECT 99m Tc-NC100692 and CMR LGE imaging. Using the American <strong>Heart</strong> Association 17-<br />
segment model, 99m Tc-NC100692 images were visually assessed for the presence or absence <strong>of</strong><br />
myocardial uptake using a three-point scale. Similarly, LGE were also assessed for the presence or<br />
absence <strong>of</strong> enhancement using the 17-segment model. 85 left ventricular segments were assessed in<br />
5 patients. All 85 segments had some degree <strong>of</strong> evidence for 99m Tc-NC100692 uptake. 3 patients had<br />
CMR-based evidence for focal LGE present in 9 segments. Of these 9 segments, 5 had matched<br />
high-grade 99m Tc-NC100692 uptake. One patient had strong apical 99m Tc-NC100692 uptake without<br />
any evidence <strong>of</strong> hypertrophy nor LGE. The remaining 79 segments had low-grade 99m Tc-NC100692<br />
uptake with lack <strong>of</strong> evidence for LGE.<br />
Conclusion: There is evidence for diffuse low-grade left ventricular 99m Tc-NC100692 uptake,<br />
suggestive <strong>of</strong> fibrosis in patients with hypertrophic cardiomyopathy. In regions with CMR-based<br />
evidence for focal fibrosis, greater uptake <strong>of</strong> 99m Tc-NC100692 is noted. 99m Tc-NC10069 may be a<br />
marker <strong>of</strong> diffuse myocellular disarray and fibrosis that underlies the development <strong>of</strong> hypertrophic<br />
cardiomyopathy. Further studies are required in healthy subjects to determine the specificity <strong>of</strong><br />
99m Tc-NC100692.<br />
III. Translational Imaging <strong>of</strong> Cardiovascular Disease –<br />
Oral Presentation<br />
26
Oral Abstract#14<br />
The prognostic value <strong>of</strong> change in RV function as measured on<br />
Radionuclide Ventriculography in patients with <strong>Heart</strong> Failure<br />
Brian McArdle, M. Chiu, R. Ohle, H. Haddad, R.S.B. Beanlands, R. Davies,<br />
L. Mielniczuk<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Background: Right Ventricular Function has been shown to have prognostic value in patients with<br />
heart failure but accurate estimation <strong>of</strong> RV Ejection Fraction (RVEF) with standard imaging<br />
techniques such as 2-D ECHO is difficult. RVEF as measured on Radionuclide Ventriculography<br />
(RNV) has recently been shown to have prognostic value independent <strong>of</strong> LV function. We aimed to<br />
evaluate the additional value <strong>of</strong> change in RV function over serial scans as measured on RNV in<br />
patients with heart failure.<br />
Methods/Results: We retrospectively analyzed the clinical records <strong>of</strong> patients with new- onset<br />
heart failure that attended our heart Function Clinic since January 2007 and included all patients who<br />
had undergone at least two RNV scans during the follow up period. Information on subsequent<br />
clinical events was obtained from patient records over the follow-up period. RV and LV EF were<br />
measured semi-quantitatively on planar gated equilibrium RNV and change in both RV (? RVEF)<br />
and LV (? LVEF) function was measured as: [R/LVEF1-R/LVEF2]/100. Using a Pearson’s test we<br />
correlated ? RVEF with ? LVEF and also evaluated the prognostic value <strong>of</strong> ? RVEF using a logistic<br />
regression model for the composite outcome <strong>of</strong> all cause mortality, heart transplant, or heart failure<br />
hospitalization. We included 118 patients for analysis (75% male, mean age 59 +/-27 years, 50%<br />
ischemic cardiomyopathy, mean follow-up 3.37 +/- 2.1 years, mean LVEF 31% +/-20, mean RVEF<br />
30%+/-22). During the follow up period there were 22 events (6 deaths, 3 transplants and 13 heart<br />
failure admissions). There was a statistically significant correlation between ? RVEF and ? LVEF (r=<br />
0.49 p
Oral Abstract#15<br />
Clinical trial standards and quality assurance for a low-dose 3D PET trial:<br />
Rubidium ARMI (Alternative Radiopharmaceutical for Myocardial<br />
Imaging)<br />
Jennifer M. Renaud 1 ; I. Mylonas 1 ; K. Yip 2 ; E. Turcotte 3 ; P. Pibarot 4 ; C. Maguire 5 ; K. Gulenchyn 6 ;<br />
G. Wisenberg 7 ; R.S.B. Beanlands 1 ; R.A. deKemp 1<br />
1 Cardiac PET Centre, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong>, 2 KMH Cardiology & Diagnostic<br />
Centres, Mississauga ON, 3 Centre Hospitalier Universitaire de Sherbrooke, QC,, 4 Institut<br />
Universitaire de Cardiologie et de Pneumologie de Quebec, QC,, 5 <strong>University</strong> <strong>of</strong> Alberta Hospital,<br />
Edmonton, AB, 6 St Joseph’s Healthcare Hamilton,ON, 7 St Joseph’s Health Care, London ON.<br />
Background: The instability <strong>of</strong> Tc-99m supply requires alternative tracers for myocardial perfusion<br />
imaging (MPI). Rb-82 PET MPI has low radiation dose and may have superior accuracy, but<br />
requires further validation using 3D PET-CT. Rb-ARMI is a multicentre trial with an initial<br />
objective <strong>of</strong> standardizing Rb-82 PET MPI with highly repeatable interpretation in Canadian centers<br />
using 3D PET-CT technology.<br />
Methods/Results: Rest and stress phantom scans were conducted at all sites to standardize image<br />
reconstruction and quantitative scoring with 4DM-PET. Patients underwent low-dose (10 MBq/kg)<br />
rest and dipyridamole stress Rb-82 MPI. Sum stress, rest (SSS, SRS) and difference scores<br />
(SDS=SSS-SRS) were visually assessed using a 17-segment model. QA cases (n=25) from all sites<br />
were co-read to assess variability <strong>of</strong> scoring and overall interpretation. Cases with SDS differences =<br />
3 underwent a third review to reach consensus. Qualifying phantom scans resulted in the expected<br />
scores <strong>of</strong> SSS, SDS = 2 at all sites. Comparison <strong>of</strong> patient scores between core and recruiting sites<br />
showed very good agreement using the intraclass correlation coefficient (ICC): r = 0.91 for SSS and<br />
0.86 for SDS. 81% <strong>of</strong> SSS scores and 87% <strong>of</strong> SDS scores had differences (site-core) = 3. Most<br />
discrepancies occurred in large defects spanning multiple segments; however, these cases were all<br />
correctly interpreted as abnormal by recruiting and core sites. Following consensus review, overall<br />
agreement improved slightly to: r = 0.98 for SSS and 0.96 for SDS (p < 0.05 for both).<br />
Conclusion: With effective standardization and training, there was good agreement in scoring <strong>of</strong> Rb-<br />
82 MPI scans at the core and recruiting sites. Standardized and repeatable interpretation is<br />
achievable across imaging centers using different 3D PET-CT scanner.<br />
III. Translational Imaging <strong>of</strong> Cardiovascular Disease –<br />
Oral Presentation<br />
28
Oral Abstract#16<br />
Performance <strong>of</strong> CT coronary angiography in the elderly: does a life time <strong>of</strong><br />
exposure to cardiac risk factors preclude diagnostic scans?<br />
Gary R Small, Y. Yam, T.D. Ruddy, B.J.W. Chow.<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Background: Coronary artery disease increases with age. Coronary artery calcification however<br />
accompanies atherosclerosis and can preclude the accurate assessment <strong>of</strong> luminal stenosis at CT<br />
coronary angiography (CTA). In elderly patients the presence <strong>of</strong> increased coronary atherosclerosis<br />
and accompanying coronary calcification may reduce the ability <strong>of</strong> CTA to perform diagnostic<br />
scans. We sought to determine whether advancing age would be associated with a reduced ability to<br />
perform diagnostic CT coronary angiograms.<br />
Methods/ Results: 2582 patients over the age <strong>of</strong> 60 years without a prior history <strong>of</strong> coronary<br />
revascularization and in sinus rhythm were identified from a registry <strong>of</strong> 9060 prospectively enrolled<br />
patients attending for a CT coronary angiogram at the <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong>. Patients were divided<br />
into 5 age groups (60-64, 65-69, 70-74, 75-79 and >80 years old). Clinical data was recorded at the<br />
time <strong>of</strong> the CT scan. Coronary artery images were analysed according to a 17 segment model. Non<br />
evaluable scans were determined by the presence <strong>of</strong> >/=5 non evaluable segments. 45% <strong>of</strong> patients<br />
were male. The median age <strong>of</strong> patients was 66 years old. The number <strong>of</strong> non-evaluable studies was<br />
112. Univariable predictors <strong>of</strong> non diagnostic studies were age, diabetes, peripheral vascular disease,<br />
hypertension, serum creatinine, male gender, coronary calcium, the omission <strong>of</strong> nitro spray prior to<br />
imaging, baseline heart rate, metoprolol dose prior to imaging, imaging heart rate, retrospective<br />
image acquisition and the number <strong>of</strong> small coronary arteries (
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
ORAL ABSTRACTS<br />
SESSION IV: Application <strong>of</strong> Regenerative Research to<br />
Therapy<br />
30
Oral Abstract#17<br />
Enhanced Matrix for Cardiomyogenesis and Regeneration <strong>of</strong> Infarcted<br />
<strong>Heart</strong>s<br />
Nick Blackburn, 1,2 T. S<strong>of</strong>renovic, 1,2 A. Ahmadi, 1,2 D. Kuraitis, 1,2 K.A. McEwan, 1,3 D.T. Padavan, 1 M.<br />
Ruel, 1,2 and E.J. Suuronen 1,2<br />
1 Div. <strong>of</strong> Cardiac Surgery, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong>; 2 Dept. <strong>of</strong> Cellular and Molecular<br />
Medicine, and 3 Dept. <strong>of</strong> Mechanical Engineering, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong><br />
Background: In CVD, the repair response is insufficient to restore blood flow, leading to the death<br />
<strong>of</strong> muscle and loss <strong>of</strong> tissue function. We have shown that a sialyl-lewis X (sLe X )-collagen matrix<br />
could enhance endogenous vascular and myogenic repair in a model <strong>of</strong> hindlimb ischemia. In this<br />
study, we explored the use <strong>of</strong> the sLe X -collagen matrix to augment regeneration after myocardial<br />
infarction (MI).<br />
Methods/Results: Seven-to-eight week old C57BL/6J mice underwent LAD ligation to induce MI.<br />
One week post-surgery the mice were treated via echo-guided injections with either: i) PBS, ii)<br />
collagen matrix or iii) sLe X -collagen matrix. <strong>Heart</strong> function was assessed by echocardiography at<br />
baseline (1-week post-MI) and 4 weeks post-treatment. Cardiac tissue was harvested for<br />
immunohistochemistry, cytokine arrays and western blots. Treatment with sLe X -collagen matrix<br />
reduced apoptosis in the heart by 33% compared to PBS (p=0.02), as measured by active caspase-3<br />
staining. The infarct area <strong>of</strong> the sLe X -collagen matrix-treated group had a 1.6-fold higher number <strong>of</strong><br />
proliferating cells, as measured by bromodeoxyuridine incorporation (p=0.008), and a higher number<br />
<strong>of</strong> cells per FOV that expressed the cardiac stem cell markers c-kit (2.0±0.2) and Nkx2.5 (5.2±0.4),<br />
compared to PBS (1.5±0.1 and 2.5±0.7, respectively; p=0.02). The expression <strong>of</strong> the cardiac gap<br />
junction protein connexin43 was 1.4-fold greater in sLe X -collagen matrix-treated mice compared to<br />
the other groups (p=0.0002). The increased expression <strong>of</strong> c-kit, Nkx2.5 and connexin43 suggests<br />
greater cardiomyogenesis in the sLe X -collagen matrix-treated hearts. Compared to baseline (1-wk<br />
post-MI), mice treated with the sLe X -collagen matrix had an improved ejection fraction (EF) <strong>of</strong><br />
+2.5%±2% compared to the PBS group (-4.1%±1.1%; p=0.008), while the collagen-treated group<br />
preserved EF at +0.6%±1.9% (p=0.05). Immunostaining for arterioles showed that the vascular<br />
network was greater in both matrix-treated groups (>8.0±0.5 per FOV) compared to PBS (5.5±0.5<br />
per FOV; p=0.004). The sLe X -collagen matrix also reduced inflammation, as indicated by fewer<br />
CD68 + macrophages (by 23%; p=0.03) and lower levels <strong>of</strong> inflammatory cytokines (e.g. IFN-?,<br />
TNF-a; by =22%; p
Oral Abstract#18<br />
Human cardiac stem cells and circulating angiogenic cells possess<br />
equivalent capacity to regenerate damaged myocardium<br />
Nicholas Latham 1 , B. Ye 1 , B. Lam 1 , D. Kuriatis 1 , M. Ruel 1 , E.J. Suuronen 1 , D.J. Stewart 2 , D.R.<br />
Davis 1<br />
1 <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong>, 2 <strong>Ottawa</strong> Hospital Research <strong>Institute</strong><br />
Background: Stem cells hold the hope <strong>of</strong> mending the broken heart. Cell therapy with multiple cell<br />
types (including those that do not differentiate into new muscle) appears to be beneficial. Early<br />
attempts focused using blood derived endothelial progenitor cells (EPCs) has demonstrated these<br />
highly vascular cells restore perfusion and improve cardiac function after myocardial infarction<br />
through paracrine secretion and in the absence <strong>of</strong> significant engraftment, functional improvements<br />
are transient. Our lab has developed techniques to extract and grow cells directly from a patient’s<br />
own heart biopsy with a view towards transplanting these cells back into damaged myocardium. We<br />
have shown these cells have a complementary repertoire <strong>of</strong> sub-populations that are capable <strong>of</strong><br />
differentiating into cardiac lineage, secreting cardioprotective cytokines and improving postischemic<br />
cardiac function. Interestingly, the superiority <strong>of</strong> one cell type over the other has long been<br />
an area <strong>of</strong> speculation with no basic or clinical head to head trial ever being performed.<br />
Methods/Results: Human left atrial appendages and blood samples were obtained from patients<br />
undergoing clinically-indicated heart surgery after informed consent. In hypoxic culture designed to<br />
mirror infarcted myocardium, CSCs and EPCs provided a unique signature <strong>of</strong> pro-angiogenic and<br />
pro-cardiomyogenic growth factors. EPCs provided a more extensive paracrine pr<strong>of</strong>ile than CSCs (5<br />
vs. 14, respectively; p
Oral Abstract#19<br />
Translationally Controlled Tumor Protein (TCTP) Revealed by Proteomic<br />
Analysis <strong>of</strong> Patient-specific Blood Outgrowth Endothelial Cells in Heritable<br />
Pulmonary Arterial Hypertension<br />
Jessie R. Lavoie, 1, 2 , M. Ormiston 3 , C. Perez-Iratxeta 1 , B. Jiang 1 , D.W. Courtman 1,2 , N.W. Morrell 3 ,<br />
D.J. Stewart 1,2<br />
1 <strong>Ottawa</strong> Hospital Research <strong>Institute</strong>, Sprott Stem Cell Centre and Regenerative Medicine <strong>Program</strong>;<br />
2 Dept. <strong>of</strong> Cellular and Molecular Medicine, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>; 3 Dept. <strong>of</strong> Medicine, <strong>University</strong> <strong>of</strong><br />
Cambridge School <strong>of</strong> Clinical Medicine.<br />
Background: Pulmonary arterial hypertension (PAH) is a lethal disease, characterized by excessive<br />
proliferation <strong>of</strong> pulmonary vascular cells. Hereditary PAH is mainly caused by “loss-<strong>of</strong>-function”<br />
mutations in the bone morphogenetic protein type II receptor (Bmpr2). However, the mechanisms by<br />
which these mutations cause PAH remain unclear. The aim <strong>of</strong> this study was to identify dysregulated<br />
proteins in blood-derived endothelial cells <strong>of</strong> PAH patients with Bmpr2 mutations compared with<br />
healthy controls that may contribute to the pathogenesis <strong>of</strong> this disease.<br />
Methods/ Results: Blood-outgrowth endothelial cells (ECs) were expanded ex vivo from peripheral<br />
blood mononuclear cell samples <strong>of</strong> four patients with heritable PAH and four healthy subjects.<br />
Protein isolates were subjected to 2D gel electrophoresis and stained for total proteins with Sypro<br />
Ruby. Gels were scanned and subjected to quantitative computer-assisted analysis (PDQuest<br />
s<strong>of</strong>tware) and differentially regulated proteins determined by statistical tests (p-value
Oral Abstract#20<br />
Co-culture <strong>of</strong> endothelial progenitor cells and monocytes for seeding the<br />
surface <strong>of</strong> a degradable polyurethane vascular graft material<br />
Eva Mathieu 1 , J.E. McBane 1,2 , K.G. Battiston 3 , JP Santerre 3 , RS Labow 1 and EJ Suuronen 1,21 Div. <strong>of</strong><br />
Cardiac Surgery, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong>; 2 Dept. <strong>of</strong> Cellular and Molecular Medicine,<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>; 3 <strong>Institute</strong>s <strong>of</strong> Biomaterials and Biomedical Engineering, <strong>University</strong> <strong>of</strong> Toronto<br />
Background: The interaction <strong>of</strong> endothelial progenitor cells (EPCs) and monocytes within the blood<br />
vessel endothelium is a process <strong>of</strong> wound repair. Therefore it was <strong>of</strong> interest to investigate their<br />
function when they were cultured on a degradable, polar, hydrophobic, and ionic polyurethane (D-<br />
PHI) material, prior to considering its use as a vascular graft. The present work investigated the<br />
cellular response <strong>of</strong> human EPCs when cultured on D-PHI films with and without monocytes.<br />
Methods/Results: Human EPCs isolated from human whole blood, were seeded onto fibronectincoated<br />
tissue culture polystyrene (TCPS), D-PHI films coated with fibronectin or D-PHI films with<br />
or without autologous monocytes for up to 7 days. EPCs were then analyzed for viability and<br />
attachment (WST assay and DNA), as well as nitric oxide (NO) and cytokine production. Lysates <strong>of</strong><br />
EPC cultures were analyzed by Western blot to assess EPC differentiation into an endothelial cell<br />
(EC) phenotype (CD31 expression). As indicated by a WST assay, EPCs alone remained viable over<br />
the 7-day culture period on D-PHI films (day 1 vs. day 7, 0.06±0.009 vs. 0.15±0.026 WST-1<br />
units/200,000 cells; p=NS) and in co-culture with monocytes (0.06±0.006 vs. 0.06±0.018 WST-1<br />
units/200,000 cells; p=NS). There was no significant difference in EPC attachment to D-PHI films or<br />
in NO production when EPCs were seeded on fibronectin-coated TCPS or with monocytes (p=NS).<br />
CD31 expression, linked to differentiation into ECs, was increased at the 7-day time point for each<br />
condition. EPCs cultured on fibronectin-coated TCPS or D-PHI films showed that EPCs were<br />
activated to a wound-healing phenotype, characterized by low TNF-a; and elevated IL-10 levels<br />
(10.62±4.01 vs. 106.22±40.10 pg/ g DNA for TNF-a; vs. IL-10, respectively, at day 7 for EPCs on<br />
D-PHI films); and in co-culture with monocytes, levels <strong>of</strong> the inflammatory cytokine TNF-a; were<br />
decreased (17.02±2.53 vs. 1.33±0.94; for day 1 vs. day 7, respectively).<br />
Conclusion: These results demonstrated that D-PHI films performed as well as fibronectin-coated<br />
TCPS in terms <strong>of</strong> the biological parameters assayed and that it was not necessary to coat the D-PHI<br />
films with fibronectin to promote EPC attachment or phenotype. Moreover, the data showed that<br />
EPC-monocyte co-culture might aid in promoting a wound-healing monocyte/macrophage<br />
phenotype. This suggests that co-culturing EPCs with autologous monocytes on D-PHI may be<br />
suitable for tissue engineering a vascular graft.<br />
IV. Application <strong>of</strong> Regenerative Research to Therapy – Oral Presentation<br />
34
Oral Abstract#21<br />
Collagen matrices enhance CD34+ circulating angiogenic cell function<br />
through the integrin receptors<br />
Brian McNeill, B. Vulesevic, M. Ruel, EJ Suuronen<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Background: We have previously demonstrated that culturing peripheral blood mononuclear cells<br />
(PBMCs) on a collagen-based matrix enhances the expansion and therapeutic potential <strong>of</strong> circulating<br />
angiogenic cells (CACs). The aim <strong>of</strong> this study was to investigate the involvement <strong>of</strong> integrin<br />
proteins in regulating the various collagen-mediated cellular processes that lead to the therapeutic<br />
enhancement.<br />
Methods/Results: The expression <strong>of</strong> several different integrin genes (18 a and 8 ß integrins) was<br />
evaluated in CD34+ CACs following 2, 4 and 7 day culture <strong>of</strong> human PBMCs on fibronectin or<br />
collagen matrix. CD34+ cells were collected by fluorescence-activated cell sorting and integrin<br />
expression was measured using quantitative RT-PCR. Positive findings were further investigated<br />
using specific integrin blocking antibodies and small molecule pathway inhibitors. The effects <strong>of</strong><br />
these blocking antibodies and inhibitors on collagen matrix-cultured CACs were evaluated by<br />
characterizing cell phenotype, adhesion, and angiogenic potential. Culturing PBMCs on the<br />
collagen-based matrix resulted in a 2.8-fold increase in the proportion <strong>of</strong> CD34+ cells compared to<br />
fibronectin (p=0.006). The integrin pr<strong>of</strong>ile between the fibronectin- and collagen-cultured cells was<br />
significantly different: integrins a5, a7, aV and ß3 were up-regulated 56 ±5.5, 60 ±6.4, 55 ±4 and 67<br />
±7.5 -fold respectively in collagen-cultured CD34+ cells, while integrin a3 and ß7 were downregulated<br />
by 30±4.5-fold and 58±6.8-fold, respectively (all p
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
Coloured cardstock page<br />
POSTER ABSTRACTS<br />
37
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
Coloured cardstock page back<br />
37
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
POSTER INDEX<br />
I: NOVEL PROBE DEVELOPMENT<br />
P1<br />
P2<br />
Besting Vitamin E: Sidechain Substitution<br />
Plays a Vital Role on the Activity <strong>of</strong><br />
Naphthyridinol Antioxidants in Lipid<br />
Bilayers<br />
In Vivo (R)-[ 11 C]Rolipram Positron<br />
Emission Tomography Imaging Detects<br />
Increased Phosphodiesterase-4 in<br />
Normally-perfused Rat Myocardial<br />
Regions 8-12 Weeks Following<br />
Myocardial Infarction<br />
Bo Li<br />
OHRI, PhD candidate<br />
Dr. D.A. Pratt<br />
Jonas Vaskas<br />
UOHI, M.Sc. candidate<br />
Dr. J.N. DaSilva<br />
II: FUNCTIONAL IMAGING TECHNOLOGY<br />
P3<br />
P4<br />
P5<br />
Dual Energy CT Myocardium Adenosine<br />
Stress Perfusion: Technique, Spectrum <strong>of</strong><br />
Imaging Findings and Clinical Applications<br />
Accuracy <strong>of</strong> Low-Dose Rubidium-82<br />
Myocardial Perfusion Imaging for<br />
Detection <strong>of</strong> CAD using 3D PET-CT<br />
Normal Database Limits: Initial Results<br />
from the ARMI Trial<br />
Comparison <strong>of</strong> SPECT RNA Phase<br />
Analysis Amplitude Values and Left<br />
Ventricular Lateral Wall Scar Size<br />
JR Inacio<br />
Medical Imaging,<br />
TOH, <strong>University</strong> <strong>of</strong><br />
<strong>Ottawa</strong>, PI<br />
Tyler Kaster<br />
UOHI,<br />
Medical Student<br />
Dr. R.A. deKemp<br />
Michel Lalonde<br />
UOHI,<br />
PhD Candidate<br />
Dr. R.G. Wells<br />
III: TRANSLATIONAL IMAGING OF CARDIOVASCULAR<br />
DISEASE<br />
P6<br />
P7<br />
Exercise Stress FDG Imaging as a More<br />
Sensitive Indicator <strong>of</strong> the Extent <strong>of</strong><br />
Myocardial Ischemia<br />
Transgenic Mice Overexpressing an<br />
Endothelial-Targeted Fas-inducing<br />
Apoptosis Construct Exhibit Pulmonary<br />
Hypertension Associated with Lung<br />
Vascular Lesions<br />
Taylor Dowlsey<br />
UOHI, Fellow<br />
Dr. TD Ruddy<br />
Heather Goldthorpe<br />
OHRI,<br />
M.Sc. Candidate<br />
Dr. DJ Stewart<br />
38
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
III: TRANSLATIONAL IMAGING OF CARDIOVASCULAR<br />
DISEASE cont.<br />
P8<br />
P9<br />
P10<br />
P11<br />
The Association between Pattern <strong>of</strong><br />
Myocardial Involvement and Clinical<br />
Presentation in Patients with Cardiac<br />
Sarcoidosis as Assessed by<br />
Fludeoxyglucose Positron Emission<br />
Tomography<br />
Incremental Value <strong>of</strong> Left Ventricular<br />
Function Assessment on Gated Rest /Stress<br />
Dipyridamole Technetium 99m SPECT<br />
Imaging in the Assessment <strong>of</strong> Myocardial<br />
Viability<br />
Transgenic Mice Lacking SIRT1 Catalytic<br />
Activity Exhibit Greater Susceptibility to<br />
Pulmonary Hypertension in Response to<br />
Chronic Hypoxia<br />
Right ventricular metabolic imaging in<br />
experimental pulmonary artery<br />
hypertension<br />
Brian McArdle<br />
UOHI, Fellow<br />
Dr. RSB Beanlands<br />
Gary Small<br />
UOHI, Fellow<br />
Dr. RSB Beanlands<br />
Mohamad Taha<br />
OHRI,<br />
M.Sc. Candidate<br />
Dr. DJ Stewart<br />
Kathie Drozd<br />
UOHI,<br />
M.Sc. Candidate<br />
Dr. L. Mielniczuk<br />
IV: APPLICATION OF REGENERATIVE RESEARCH TO<br />
THERAPY<br />
P12<br />
P13<br />
P14<br />
P15<br />
P16<br />
Characterization, Cytotoxicity, and<br />
Inflammatory Responses <strong>of</strong> Zinc Oxide<br />
Nanoparticles to Model Murine Cell Lines<br />
Altered Pattern <strong>of</strong> microRNA Expression in<br />
Blood Derived Mononuclear Cells During<br />
Maturation from Early to Late Outgrowth<br />
Endothelial Progenitor Cells.<br />
Physically Cross-Linked Chitosan Derived<br />
Hydrogels - An Alternative Approach for<br />
S<strong>of</strong>t Tissue Engineered Scaffolds for Cell<br />
Therapy<br />
CaMKinase II Anchoring Protein, aKAP, is<br />
a Novel Regulator <strong>of</strong> SERCA2a Activity in<br />
Cardiomyocytes.<br />
Inhibition <strong>of</strong> VEGFR2 is Sufficient to<br />
Produce Severe Plexogenic Pulmonary<br />
Arterial Hypertension in Rats without<br />
Exposure to Chronic Hypoxia<br />
Yan (Mary) Zhang<br />
Health Canada, PDF<br />
Dr. A Tayabali<br />
John Behbahani<br />
OHRI, PhD Candidate<br />
Dr. DJ Stewart<br />
Donna T. Padavan<br />
UOHI,<br />
Dr. E.J. Suuronen<br />
Omar Hawari<br />
Dept. <strong>of</strong> CMM,<br />
U <strong>of</strong> <strong>Ottawa</strong><br />
M.Sc. Candidate<br />
Dr. BS Tuana<br />
Baohua Jiang<br />
OHRI, R.A.<br />
Dr. DJ Stewart<br />
39
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
IV: APPLICATION OF REGENERATIVE RESEARCH TO<br />
THERAPY cont.<br />
P17<br />
P18<br />
P19<br />
P20<br />
P21<br />
P22<br />
Targeted Expression <strong>of</strong> the E2F6<br />
Transcriptional Repressor in Myocardium<br />
Collagen:Chitosan Hydrogels for<br />
Stimulation <strong>of</strong> Angiogenesis in a Type I<br />
Diabetic Mouse Model: Potential Use as a<br />
Pre-Vascularized Ectopic Site for Islet<br />
Transplantation<br />
Collagen-Laminin Hydrogels for Delivery<br />
<strong>of</strong> Insulin-Producing Tissue for the<br />
Treatment <strong>of</strong> Type 1 Diabetes<br />
Pharmacological Enhancement <strong>of</strong> Resident<br />
Cardiac Stem Cells via Activation <strong>of</strong> the<br />
Wnt Pathway<br />
Circulating Microrna Provice Potential<br />
Biomarkers <strong>of</strong> Pulmonary Arterial<br />
Hypertension.<br />
Development <strong>of</strong> PCSK9 Inhibitors for<br />
Regulating LDL-R and Cholesterol<br />
Jennifer Major<br />
OHRI, PhD Candidate<br />
Dr. BS Tuana<br />
Joanne E. McBane<br />
UOHI, PDF<br />
Dr. EJ Suuronen<br />
Kimberly McEwan<br />
UOHI,<br />
M.Sc. candidate<br />
Dr. EJ Suuronen<br />
Ola Qassim<br />
UOHI,<br />
Dr. D.R. Davis<br />
Kenny Schlosser<br />
OHRI, PDF<br />
Dr. DJ Stewart<br />
Priyambada Mishra<br />
OHRI, R.A.<br />
Dr. A Basak<br />
40
P1 – Poster Abstract #1<br />
Besting Vitamin E: Sidechain Substitution Plays a Vital Role on the<br />
Activity <strong>of</strong> Naphthyridinol Antioxidants in Lipid Bilayers<br />
Bo Li, D.A. Pratt<br />
Dept. <strong>of</strong> Chemistry, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong><br />
Background: A series <strong>of</strong> naphthyridinol analogs <strong>of</strong> α-tocopherol with varying sidechain substitution<br />
were synthesized in order to determine how changes in the lipophilicity <strong>of</strong> these potent antioxidants<br />
impact their radical-trapping reactivities in lipid bilayers and their binding to the human tocopherol<br />
transport protein (TTP), which determines the bioavailability <strong>of</strong> tocopherols.<br />
Methods/Results: The radical trapping activities <strong>of</strong> the compounds were assayed in egg<br />
phosphatidylcholine unilamellar lipsomes using a recently-developed assay which employs a<br />
BODIPY-conjugate <strong>of</strong> α-tocopherol (H 2B-PMHC) that undergoes a dramatic fluorescence<br />
enhancement upon oxidation. The assay was carried out in 96-well plate format such that the<br />
reactivity <strong>of</strong> the various compounds could be rapidly surveyed under several different reaction<br />
conditions. Liposomes supplemented with the different naphthyridinols were oxidized using either<br />
hydrophilic or lipophilic peroxyl radicals and consistently revealed a dose-dependent protection <strong>of</strong><br />
oxidation <strong>of</strong> the pro-fluorescent H 2B-PMHC. No detectable oxidation <strong>of</strong> H 2B-PMHC took place in<br />
the presence <strong>of</strong> any <strong>of</strong> the napthyridinols under conditions where α-tocopherol or its truncated<br />
analog, 2,2,5,7,8-pentamethyl-6-hydroxy-chroman (PMHC) were effective in only retarding the rate<br />
<strong>of</strong> oxidation. While sidechain length and/or branching did not have an effect on the apparent<br />
reactivity <strong>of</strong> the naphthyridinols to either hydrophilic or lipophilic peroxyl radicals, it had a dramatic<br />
effect on their stoichiometry – with more lipophilic compounds trapping 2 peroxyl radicals where<br />
more hydrophilic compounds trapped significantly less than 1.<br />
Conclusion: It is suggested that the more hydrophilic compounds autoxidize in the aqueous phase,<br />
and that the preferential partitioning <strong>of</strong> the more lipophilic compounds to the lipid phase protects<br />
them from this deleterious (and pro-oxidative) reaction. Studies on hydrophilic and hydrophobic<br />
pairs <strong>of</strong> less electron rich pyridinols (and related pyrimidinols) support this suggestion. The<br />
cooperativity <strong>of</strong> the most lipophilic naphthyridinol with the most physiologically important watersoluble<br />
reducing agents was also studied in liposomes using H 2B-PMHC. Binding assays with<br />
recombinant human TTP reveal that these compounds are strongly bound. In fact, naphthyridinols<br />
with sidechains <strong>of</strong> 8 or more carbons were comparable (and in some cases slightly better) ligands for<br />
the protein than α-tocopherol, suggesting they may have similar bioavailabilities in vivo.<br />
I. Novel Probe Development – Poster Presentation<br />
41
P2 - Poster Abstract #2<br />
In Vivo (R)-[ 11 C]Rolipram Positron Emission Tomography Imaging Detects<br />
Increased Phosphodiesterase-4 in Normally-perfused Rat Myocardial<br />
Regions 8-12 Weeks Following Myocardial Infarction<br />
Miran Kenk, S.L. Thorn, Jonas Vaskas, A.J. Thomas, J.M. Renaud, R. Klein, M. Lortie, R.A.<br />
deKemp, R.S.B. Beanlands, J.N. DaSilva.<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Background: Sympathetic hyperactivity in heart failure is associated with changes in the<br />
noradrenergic signal transduction at the level <strong>of</strong> the beta adrenergic receptor (beta-AR) and<br />
intracellular second messenger cAMP. Cardiac cAMP-specific phosphodiesterase-4 (PDE4)<br />
enzymes are regulated by cAMP levels, with changes reported in cardiac diseases.<br />
Methods/Results: PDE4 enzymes are evaluated 8-12 weeks post-infarct in the current study using<br />
(R)-[ 11 C]rolipram and positron emission tomography. Sprague-Dawley rats underwent left anterior<br />
descending coronary artery ligations (n=8) or sham surgeries (n=4). Cardiac function was evaluated<br />
by echocardiography. Animals were injected with [13N]NH3 (2.9-4.6 mCi iv) at 8-12 weeks and<br />
scanned for 30 min, prior to a 60 min (R)-[11C]rolipram scan (0.5-1.2 mCi iv, cold mass
P3 - Poster Abstract #3<br />
Dual Energy CT Myocardium Adenosine Stress Perfusion: Technique,<br />
Spectrum <strong>of</strong> Imaging Findings and Clinical Applications<br />
JR Inacio 1 , S Nicolaou 2 , A Fong 3 , and JR Mayo 2<br />
1 Medical Imaging, TOH/ <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>, 2 Vancouver General Hospital, Radiology and<br />
3 Cardiology Depts., BC<br />
Background: The principles <strong>of</strong> Dual Energy Computed Tomography (DECT) applied in<br />
Myocardium Stress Perfusion in detecting reversible ischemia during first-pass contrast enhanced<br />
CT are reviewed.<br />
Methods/ Results: We explain the utility <strong>of</strong> this new emerging technique <strong>of</strong> combined evaluation <strong>of</strong><br />
coronary artery stenosis, cardiac morphology, function, perfusion and viability. The protocol <strong>of</strong><br />
DECT myocardium adenosine stress perfusion, radiation dose, post processing and interpretation <strong>of</strong><br />
DECT myocardium perfusion imaging is presented. This new technique has the potential <strong>of</strong><br />
evaluation coronary artery anatomy and stenosis, myocardium perfusion and function. With clinical<br />
examples we show how it compares to other modalities <strong>of</strong> Coronary Artery Disease assessment as<br />
Coronary Angiography, Myocardial Fractional Flow Reserve (FFR) and Cardiac MR.<br />
Conclusion: Comprehensive evaluation <strong>of</strong> anatomical and functional aspects <strong>of</strong> Coronary Artery<br />
Disease is feasible in a single low dose non invasive imaging study.<br />
II. Functional Imaging Technology – Poster Presentation<br />
43
P4 - Poster Abstract #4<br />
Accuracy <strong>of</strong> Low-Dose Rubidium-82 Myocardial Perfusion Imaging for<br />
Detection <strong>of</strong> CAD using 3D PET-CT Normal Database Limits: Initial<br />
Results from the ARMI Trial<br />
Tyler Kaster, I. Mylonas, J.M. Renaud, R.S.B. Beanlands and R.A. deKemp<br />
National Cardiac PET Centre, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong>.<br />
Background: Rubidium (Rb-82) PET is a low-dose alternative to Tc-99m or Tl-201 SPECT for<br />
myocardial perfusion imaging (MPI). Previous studies using traditional 2D-mode imaging suggest<br />
that Rb-82 PET may be more accurate than SPECT; this study was performed to evaluate accuracy<br />
using current 3D PET-CT technology.<br />
Methods/Results: Low-dose (10 MBq/kg) Rb-82 3D PET-CT scans were performed in 1700<br />
patients with known or suspected CAD over a period <strong>of</strong> 18 months. N=40 patients (20 male) with<br />
low likelihood (LLK) <strong>of</strong> CAD were selected to construct normal database. Mean and SD polar maps<br />
<strong>of</strong> tracer uptake (0-100%) using 4DM-PET. LLK exclusion criteria included known CAD, diabetes,<br />
angina symptoms, abnormal rest or stress ECG. Uptake defects were scored using a 4-point scale<br />
(Mean = 1.5,3,4.5,6 SD) in 17 polar map segments. A sum stress score 4 was considered positive<br />
for detection <strong>of</strong> CAD. Sensitivity and specificity were evaluated in a group <strong>of</strong> 70 CAD patients using<br />
stenosis 50% by coronary angiography (ICA) as the gold-standard for presence <strong>of</strong> disease.<br />
Normalcy was evaluated in a separate validation group <strong>of</strong> 36 LLK normals to account for post-test<br />
referral bias in ICA results following PET. Sensitivity, specificity and overall accuracy were 100%,<br />
71% and 89% respectively in CAD patients without previous revascularization or LV dysfunction.<br />
When the validation group (94% normalcy) was combined with the CAD patients, specificity and<br />
accuracy increased to 87% and 92%. Positive and negative predictive values were 79% and 100%; a<br />
negative scans.<br />
Conclusion: These results using 3D PET-CT are similar to those obtained previously using 2D PET,<br />
suggesting that the proposed low-dose Rb-82 PET technique is accurate, and the normal database<br />
approach may be a useful adjunct for interpretation <strong>of</strong> these PET MPI studies.<br />
II. Functional Imaging Technology – Poster Presentation<br />
44
P5 - Poster Abstract #5<br />
Comparison <strong>of</strong> SPECT RNA Phase Analysis Amplitude Values and Left<br />
Ventricular Lateral Wall Scar Size<br />
Michel Lalonde 1 , D. Birnie 2 , T.D. Ruddy 2 , R. Wassenaar 1 , R.G. Wells 2<br />
1 Dept. <strong>of</strong> Physics, Carleton <strong>University</strong>, 2 Cardiology, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Background: Phase analysis has previously been investigated for its potential at predicting the<br />
outcome <strong>of</strong> cardiac resynchronization therapy (CRT). Amplitude, defined as the extent <strong>of</strong><br />
contraction <strong>of</strong> a sector, is obtained from phase analysis but has not been investigated to the same<br />
extent as phase-based parameters. Furthermore, the extent <strong>of</strong> scar present in the lateral wall <strong>of</strong> the<br />
left ventricle (LV) has been shown in some studies to predict response to CRT. A scarred heart<br />
segment will not contract properly which may correspond to reduced amplitude values. Our<br />
objective is to determine the correlation between amplitude and scar size and to evaluate amplitude<br />
as a surrogate for scar in predicting response to CRT.<br />
Methods/Results: 46 LBBB patients (LVEF120 ms) underwent<br />
a baseline FDG PET scan and SPECT radionuclide angiography (RNA) scan prior to undergoing<br />
CRT. Scar size was obtained from the PET scan using a 5 segment model and phase analysis was<br />
performed on the SPECT RNA data. From the SPECT RNA data, 568 normalized LV amplitude<br />
values were acquired for each patient. Lateral wall scar size was then compared to average amplitude<br />
in that segment for both ischemic (N=26) and non-ischemic patients using a Pearson correlation<br />
coefficient (r). The ability <strong>of</strong> lateral amplitude to predict response was also investigated. Amplitude<br />
showed a strong correlation with scar size in all but non-ischemic responders, as shown below.<br />
Lateral amplitude did not present any significant differences between responders (N=30) and nonresponders<br />
(p>0.05). Though all patients with no lateral scar (N=9) were responders, these patients<br />
had variable lateral amplitude similar to non-responders.<br />
Conclusion: Amplitude obtained from SPECT phase analysis provides good correlation with scar<br />
size, but does not prove to be a suitable surrogate marker for response to CRT. This is likely due to<br />
differences in average amplitudes observed in patients with no lateral scar.<br />
II. Functional Imaging Technology – Poster Presentation<br />
45
P6 - Poster Abstract #6<br />
Exercise Stress FDG Imaging as a More Sensitive Indicator <strong>of</strong> the Extent <strong>of</strong><br />
Myocardial Ischemia<br />
Taylor Dowlsey, G. Dwivedi, M. Cocker, B.J.W. Chow, R.A. de Kemp, R.S.B. Beanlands, M. Poirier<br />
and T.D. Ruddy<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Background:Single photon emission computed tomography myocardial perfusion imaging (SPECT-<br />
MPI) is established as a sensitive indicator for the detection <strong>of</strong> obstructive CAD. However in a<br />
substantial number <strong>of</strong> patients with an abnormal SPECT-MPI study, the extent <strong>of</strong> abnormal<br />
perfusion is underestimated. This relates to several factors including non-linear uptake <strong>of</strong> myocardial<br />
tracer and the fact that relative, not absolute perfusion is assessed such that <strong>of</strong>ten only the most<br />
severe areas <strong>of</strong> relative perfusion abnormality are discernable.The predominant energy substrate for<br />
the heart during normal metabolism is fatty acids. During an ischemic insult there is rapid and<br />
pr<strong>of</strong>ound upregulation <strong>of</strong> glucose extraction from the circulation via Glut 4-mediated transport. The<br />
purpose <strong>of</strong> the present study was to determine if PET imaging <strong>of</strong> FDG uptake during exercise stress<br />
will identify areas <strong>of</strong> stress-induced ischemia and be more accurate at defining the extent <strong>of</strong><br />
myocardium involved compared with stress MPI.<br />
Methods/Results:A total <strong>of</strong> 8 patients have been recruited to undergo FDG imaging including 4<br />
normals and 4 with CAD. The extent <strong>of</strong> ischemic myocardium was compared between FDG imaging<br />
and relative perfusion imaging with PET or SPECT MPI and correlated with areas <strong>of</strong> obstructive<br />
CAD on cardiac computed tomography angiography (CTA) or invasive coronary angiography. In<br />
normals, there was no focal myocardial uptake <strong>of</strong> FDG consistent with the absence <strong>of</strong> ischemic<br />
myocardium. Patients with stress-induced reversible perfusion defects on SPECT-MPI suggestive <strong>of</strong><br />
ischemia also showed corresponding focal uptake <strong>of</strong> FDG. However the extent <strong>of</strong> myocardium<br />
involved was greater for stress FDG PET than SPECT-MPI. In one representative example, SPECT-<br />
MPI showed evidence <strong>of</strong> ischemia in the RCA territory whereas there was focal FDG uptake in both<br />
the RCA and LCX territories. CTA showed significant obstructive disease in both the RCA and<br />
LCX territories indicating a more accurate representation from FDG PET than SPECT-MPI.<br />
Conclusion: These results suggest that exercise FDG PET imaging is feasible and shows potential to<br />
be a more sensitive indicator <strong>of</strong> the extent <strong>of</strong> myocardial ischemia than SPECT-MPI.<br />
III. Translational Imaging <strong>of</strong> Cardiovascular Disease –<br />
Poster Presentation<br />
46
P7 - Poster Abstract #7<br />
Transgenic Mice Overexpressing an Endothelial-Targeted Fas-inducing<br />
Apoptosis Construct Exhibit Pulmonary Hypertension Associated with<br />
Lung Vascular Lesions<br />
Heather A.M. Goldthorpe, J. Jiang, Y. Deng, S.H.J. Mei and D.J. Stewart<br />
Dept. <strong>of</strong> Cellular and Molecular Medicine, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>; <strong>Ottawa</strong> Hospital Research<br />
<strong>Institute</strong><br />
Background: Pulmonary arterial hypertension (PAH) is a lethal disease, characterized by complex<br />
vascular lesions and increased pulmonary vascular resistance. Recent evidence points to endothelial<br />
cell (EC) apoptosis at the level <strong>of</strong> distal pulmonary arterioles as the underlying mechanism <strong>of</strong> this<br />
disease. Our objective is to establish a conditional transgenic system in mice, allowing us to test the<br />
hypothesis that lung EC apoptosis at the level <strong>of</strong> distal pulmonary arterioles is necessary and<br />
sufficient to cause a PAH phenotype.<br />
Methods and Results: In a pilot study, the Fas-Induced Apoptosis (FIA) construct was expressed<br />
under the control <strong>of</strong> an endothelial-specific, Tie2 promoter in transgenic mice (i.e. EFIA mice). Two<br />
lines <strong>of</strong> transgenic mice with differing levels <strong>of</strong> EFIA transgene expression were generated, termed<br />
low expressing (LE) and high expressing (HE) mice respectively, as well as a third hybrid (LE/HE)<br />
EFIA line. LE-EFIA exhibited normal pulmonary hemodynamics (RVSP; 24.8 ± 0.48 mmHg vs<br />
22.60 ± 0.48 WT control) and vascular structure at baseline; however, administration <strong>of</strong> a small<br />
molecule dimerizing agent, AP20187, for 1 week, resulted in lung microvascular apoptosis<br />
(TUNEL) and a modest dose-dependent (2 mg/kg or 10 mg/kg IP) increase in RVSP (29.0 ± 2.3 vs<br />
31.3 ± 1.9 mmHg, respectively) as well as evidence <strong>of</strong> inflammatory vascular lesions localized to the<br />
distal pulmonary arterioles (H&E). Interestingly, in the absence <strong>of</strong> the AP compound, a subset <strong>of</strong><br />
HE-EFIA transgenic mice at 8 weeks exhibited distal lung perivascular lesions, although there was<br />
no elevation in baseline RVSP compared to wild-type (WT) controls (24.9 ± 1.2 vs. 22.7 ± 0.99<br />
mmHg, respectively). Vascular lesions consisted mainly <strong>of</strong> inflammatory cells and were <strong>of</strong>ten<br />
obliterative, even occluding distal arterioles. Furthermore, in the absence <strong>of</strong> the dimerizing<br />
compound, the hybrid transgenic line exhibited a significant, although modest elevation in RVSP<br />
compared to WT controls (24.0 ± 0.44 vs. 21.6 ± 0.47 mmHg, respectively); however, pulmonary<br />
lesions were not observed in non-treated hybrid EFIA transgenic mice.<br />
Conclusion: Our current preliminary EFIA characterization suggests that EC apoptosis is sufficient<br />
to induce PAH, which is associated with marked inflammation and remodeling <strong>of</strong> pulmonary<br />
arterioles.<br />
III. Translational Imaging <strong>of</strong> Cardiovascular Disease –<br />
Poster Presentation<br />
47
P8 - Poster Abstract #8<br />
The Association between Pattern <strong>of</strong> Myocardial Involvement and Clinical<br />
Presentation in Patients with Cardiac Sarcoidosis as Assessed by<br />
Fludeoxyglucose Positron Emission Tomography<br />
Brian McArdle, D. Birnie, R.A. deKemp, R.S.B. Beanlands, E. Leung, P. Nery<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Background: Evidence <strong>of</strong> Cardiac Sarcoidosis (CS) has been noted on advanced imaging in up to<br />
40% <strong>of</strong> patients with documented systemic Sarcoidosis but there is a broad spectrum <strong>of</strong> clinical<br />
manifestations, namely; conduction abnormalities, arrhythmia, heart failure and sudden death, with a<br />
significant proportion <strong>of</strong> patients remaining asymptomatic. Positron Emission Tomography (PET)<br />
using [18F]Fluorodeoxyglucose (FDG) has been shown to be an accurate modality for identification<br />
<strong>of</strong> active CS, but the association between the location and severity <strong>of</strong> FDG uptake within the<br />
myocardium and the clinical presentation has not been evaluated. In this study we quantitatively<br />
assessed the location and degree <strong>of</strong> FDG uptake in CS patients and correlated this with their clinical<br />
presentation.<br />
Methods/Results: We selected patients enrolled prospectively from our registry <strong>of</strong> patients<br />
undergoing PET for suspected CS. After an overnight fast each patient underwent rest perfusion<br />
scanning with either Rubidium-82 or N-13-Ammonia followed by FDG imaging. FDG activity was<br />
quantified as Standardized Uptake Values (SUV) using a 17-segment model <strong>of</strong> the LV myocardium.<br />
Summed Rest Score (SRS) was determined visually to quantify rest perfusion defects. A total <strong>of</strong> 24<br />
patients were included, <strong>of</strong> whom 19 (6 VT, 7 Complete <strong>Heart</strong> Block (CHB), 6 asymptomatic) had a<br />
diagnosis <strong>of</strong> CS based on Japanese criteria. Five patients with a negative FDG-PET and normal LV<br />
function were used as controls. LVEF in the VT group was normal in 4/6 patients with a mean <strong>of</strong><br />
51.6%. Mean overall LV SUV was higher in CS patients compared with controls (3.92 vs 0.91,<br />
P
P9 - Poster Abstract #9<br />
Incremental Value <strong>of</strong> Left Ventricular Function Assessment on Gated Rest<br />
/Stress Dipyridamole Technetium 99m SPECT Imaging in the Assessment <strong>of</strong><br />
Myocardial Viability<br />
Gary R. Small, T. Dowsley B.J.W. Chow, T.D. Ruddy, R.S.B. Beanlands<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Background: Gated SPECT perfusion imaging is used in the evaluation <strong>of</strong> patients with ischemic<br />
cardiomyopathy to assess viability using resting perfusion and ischemia. The gated component <strong>of</strong> the<br />
scan assesses left ventricular function (LV) but is not used in the evaluation <strong>of</strong> viability. Changes in<br />
LV function on rest and stress imaging could indicate myocardial contractile reserve: measurement<br />
<strong>of</strong> which may contribute to viability assessment.The purpose <strong>of</strong> this study was to determine whether<br />
measurement <strong>of</strong> contractile reserve would have incremental utility in the assessment <strong>of</strong> myocardial<br />
viability using rest/stress SPECT imaging.<br />
Methods/ Results:: From a SPECT registry <strong>of</strong> 25,303 patients, 34 individuals were identified who<br />
had ischemic cardiomyopathy (LVEF/= 70% stenosis in >/=1 coronary artery) and had<br />
undergone an 18F- Fluorodeoxyglucose (FDG) /perfusion PET scan within 6 months <strong>of</strong> the<br />
dipyridamole/ technetium 99m tetrafosamin (Tc 99m ) SPECT study.<br />
Ischemic segments (/=10% improvement on rest) were declared<br />
viable and not used in wall motion analysis. Segments with persistent defects were analyzed for<br />
changes following stress in wall motion (using a 5 point scale) and wall thickness (>10% change).<br />
Segments with >/=50% FDG tracer uptake on FDG PET scanning were declared viable. 82% <strong>of</strong><br />
patients were male. The average age was 66. 578 segments were analyzed, 286 (49%) were ischemic<br />
and not used for contractile reserve assessment. Of the remaining 292 segments which had persistent<br />
perfusion defects, 57 demonstrated a change in wall motion, 141 showed a change in wall thickness.<br />
Segments with a change in wall motion correlated with viability at PET (45/57 (79%) r=0.88<br />
p
P10 - Poster Abstract #10<br />
Transgenic Mice Lacking SIRT1 Catalytic Activity Exhibit Greater<br />
Susceptibility to Pulmonary Hypertension in Response to Chronic Hypoxia<br />
Mohamad Taha, Y. Deng, M. McBurney and D.J. Stewart<br />
<strong>Ottawa</strong> Hospital Research <strong>Institute</strong><br />
Background: Pulmonary hypertension (PH) is a devastating disease characterized by increased<br />
pulmonary artery pressure, leading to right ventricle hypertrophy and ultimately heart failure and<br />
death. Pulmonary endothelial cell (EC) injury and apoptosis appear to be triggers for reactive<br />
vascular cell proliferation leading to narrowing and obliteration <strong>of</strong> distal lung arterioles. Sirt1 is a<br />
NAD+ dependent deacetylase that has been strongly implicated in maintaining EC homeostasis in<br />
systemic vessels, but little is known about its role in the lung vasculature. The purpose <strong>of</strong> this study<br />
was to investigate the role <strong>of</strong> Sirt1 catalytic activity in PH.<br />
Methods/Results: Sirt1Y/Y (H355Y point mutation) animals possess a Sirt1 protein lacking<br />
catalytic activity. Exposure <strong>of</strong> mutants (Sirt1Y/Y) to simulated normobaric hypoxia (9-10% O2) for<br />
3 weeks resulted in a significant increase in right ventricle systolic pressure (RVSP) compared to<br />
their WT littermates exposed to the same conditions (42.9±2.3 Sirt1Y/Y vs. 28.8±1.3 WT; n=9 and<br />
12 respectively, p< 0.001). Furthermore, mutant animals showed significantly greater RV<br />
remodeling, measured by the RV/LV+S weight ratio (0.55±0.03 Sirt1Y/Y vs. 0.40±0.01 WT, p<<br />
0.001) compared to the wild type littermates. In addition, hypoxia-induced pulmonary smooth<br />
muscle cell hyperplasia and perivascular cell infiltration seemed to be exacerbated in the mutant<br />
mice.<br />
Conclusion: Sirt1 protects against hypoxia-induced PH. This protection is most likely mediated<br />
through its well described role in maintenance <strong>of</strong> endothelial function and inhibition <strong>of</strong> apoptosis in<br />
response to stressors such as hypoxia.<br />
III. Translational Imaging <strong>of</strong> Cardiovascular Disease –<br />
Poster Presentation<br />
50
P11 - Poster Abstract #11<br />
Right ventricular metabolic imaging in experimental pulmonary artery<br />
hypertension<br />
S. Thorn, K. Drozd, J.N. DaSilva, J. Renaud, R.S.B. Beanlands, R.A. deKemp, D.J. Stewart, and<br />
L. Mielniczuk<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Background: Pulmonary artery hypertension (PAH) is a disease <strong>of</strong> progressive vascular remodeling,<br />
vasoconstriction, and right heart failure (HF). There is heterogeneity in the development <strong>of</strong> right HF,<br />
and the mechanisms and predictors remain largely unknown. It has been suggested that alterations in<br />
cardiac metabolism may be related to progressive RV dysfunction. This study was designed to<br />
evaluate the changes in fatty acid and glucose metabolism with cardiac PET imaging in experimental<br />
PAH.<br />
Methods/Results: Monocrotaline (MCT) was given as a single injection (70 mg/kg) to adult<br />
Fischer rats to induce PAH. Glucose and fatty acid metabolism was assessed with FDG and FTHA<br />
PET imaging four weeks after injection and reported as Patlak Ki and as a standardized uptake value<br />
(SUV). Cardiac and pulmonary metabolism was correlated with RV size and pulmonary smooth<br />
muscle cell proliferation. PAH was associated with a significant increase in cardiac size (heart<br />
weight:body weight ratio 0.0026 vs. 0.0036 normals vs. PAH, p=
P12- Poster Abstract #12<br />
Characterization, Cytotoxicity, and Inflammatory Responses <strong>of</strong> Zinc Oxide<br />
Nanoparticles to Model Murine Cell Lines<br />
Yan (Mary) Zhang 1 , J. Tan 2 , P. Rippstein 2 , A. Tayabali 1<br />
1 Biotechnology Laboratory, EHSRB, HECSB, Health Canada, <strong>Ottawa</strong>, ON. 2 Histopathology<br />
Laboratory, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Background: Zinc oxide nanoparticles (nano-ZnO) have wide technological applications in<br />
industry, environment remediation, medical therapeutics, foods and cosmetics. However, the extent<br />
<strong>of</strong> hazards posed by nano-ZnO is not known. As a preliminary step towards understanding its<br />
toxicological effect on human health, two commercial nano-ZnO products (Z-COTE (uncoated) and<br />
Z-COTE HP1 (coated)) were characterized, and their toxicity and potential mechanisms were<br />
investigated.<br />
Methods/Results: Evaporated suspensions <strong>of</strong> Z-COTE, Z-COTE HP1 and fine ZnO (nonnanoparticle<br />
controls) were examined with transmission electron microscopy (TEM), scanning<br />
electron microscopy (SEM), and atomic force microscopy (AFM). All samples were highly<br />
agglomerated, and the individual particle appeared as crystalline rods or polygonal structures. There<br />
was no significant difference in size distribution or average size <strong>of</strong> Z-COTE (53.5±22.5 nm) and Z-<br />
COTE HP1 (60.1±26.4 nm), but the fine ZnO showed a larger average size (106.9±41.1 nm). Three<br />
types <strong>of</strong> mouse cell lines, lung epithelial cells (FE1-MML cells), monocytes (RAW 264.7), and<br />
lymphoblasts (LBRM33), were treated with 50, 25, 12.5, 6.25, and 3.125 g/mL <strong>of</strong> nano-ZnO for 24<br />
hours. Concentration dependent cytotoxicity (altered morphology, trypan blue viability, MTT<br />
bioreduction) was observed in all three cell lines, with the RAW 264.7 cells (LD50: 6.25-12.5<br />
g/mL) being more sensitive than FE1-MML cells (12.5-25 g/mL) and LBRM33 cells (12.5-25<br />
g/mL). The cell viability and metabolic activity were not significantly different between Z-COTE,<br />
Z-COTE HP1 and fine ZnO with any <strong>of</strong> cell lines. Exposure <strong>of</strong> the cells to a low concentration <strong>of</strong><br />
nano-ZnO (6.25 g/mL) did not significantly change the cell morphology, but increased the release<br />
<strong>of</strong> MCP-1, CD30L, MIP-1, KC, and TIMP-2.<br />
Conclusion: It is feasible to detect and characterize nano-ZnO using a combination <strong>of</strong> microscopybased<br />
imaging techniques. Nano-ZnO had toxic effects on mammalian cells, and this effect was<br />
dependent on the ZnO concentration and the cell type, rather than the size and surface coating <strong>of</strong><br />
particles. Nano-ZnO elevated levels <strong>of</strong> pro-inflammatory cytokine from cells, which might be a<br />
potential mechanism involved in the immunotoxicity induced by nano-ZnO. This study provided<br />
helpful information and direction for further in vitro and in vivo work to assess the toxicological<br />
effect <strong>of</strong> nano-ZnO.<br />
IV. Application <strong>of</strong> Regenerative Research to Therapy –<br />
Poster Presentation<br />
52
P13 - Poster Abstract #13<br />
Altered Pattern <strong>of</strong> microRNA Expression in Blood Derived Mononuclear<br />
Cells During Maturation from Early to Late Outgrowth Endothelial<br />
Progenitor Cells<br />
John Behbahani 1,2 , D.J. Stewart 1,2<br />
1 <strong>Ottawa</strong> Hospital Research <strong>Institute</strong>; 2 Dept. <strong>of</strong> Cellular and Molecular Medicine, <strong>University</strong> <strong>of</strong><br />
<strong>Ottawa</strong><br />
Background: Endothelial Progenitor Cells (EPCs) circulate in the peripheral blood mononuclear<br />
cell (PBMC) fraction and can be selected under culture conditions which include appropriate matrix<br />
components and endothelial growth factors. Early outgrowth EPCs appear after the first 3 to 5 days<br />
<strong>of</strong> selective culture, and these non-proliferative cells still express MNC markers (i.e. CD14 and<br />
CD45), but also express some endothelial cell (EC) markers including CD31 and VEGFR2. Late<br />
outgrowth EPCs appear after 2 weeks, and exhibit a strong EC phenotype, and this highly<br />
proliferative population has lost all leukocyte markers. MicroRNAs (miRNAs) are small non-coding<br />
RNAs that have emerged as important regulators <strong>of</strong> gene expression. The aim <strong>of</strong> this study was to<br />
define the changes in miRNA expression pr<strong>of</strong>iles in MNC cultures during evolution from early to<br />
late outgrowth EPC.Changes in the expression <strong>of</strong> specific miRNAs contribute to the endothelial<br />
specification <strong>of</strong> cultured MNCs and the emergence <strong>of</strong> early or late outgrowth EPCs.<br />
Methods/Results: Mononuclear cells (MNCs) were isolated from healthy participants (n=4) by<br />
leukapheresis and cultured for 1, 3, 5, 7 and 9 days under conditions promoting endothelial<br />
differentiation. Late outgrowth EPCs were derived from the same cultures and appeared after 14-21<br />
days (n=3). MiRNA expression was assessed by (q)RT-PCR (Taqman), using a panel <strong>of</strong> 13<br />
miRNAs previously identified in PBMCs, EPCs or mature ECs. MiRNA expression pr<strong>of</strong>iles were<br />
very similar in cells between 1 and 3 days (cultured MNCs); and 5, 7 and 9 days (early outgrowth<br />
EPCs), and therefore these were grouped for further analysis. MiR-92a was highly dominant in day<br />
1-3 MNC cultures and remained relatively constant throughout the culture period. In early<br />
outgrowth EPCs (day 5-9), the expression <strong>of</strong> miR-146a increased 2.9±0.04 fold, (p
P14- Poster Abstract #14<br />
Physically Cross-Linked Chitosan Derived Hydrogels - An Alternative<br />
Approach for S<strong>of</strong>t Tissue Engineered Scaffolds for Cell Therapy<br />
Donna T. Padavan 1 , K.A. McEwan 1,2 , J.E. McBane 1,3 , A. Badner 1 , B. Vulesevic 1,3 , N. Nossova 1 , G.S.<br />
Korbutt 4 , and E.J. Suuronen 1,3<br />
1<br />
Div. <strong>of</strong> Cardiac Surgery, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong>; 2 Dept. <strong>of</strong> Mechanical Engineering,<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>; 3 Dept. <strong>of</strong> Cellular and Molecular Medicine, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>; 4 Alberta Diabetes<br />
<strong>Institute</strong>, <strong>University</strong> <strong>of</strong> Alberta.<br />
Background: Ischemia is a central problem in cardiovascular disease and vascular complications<br />
associated with diabetes. Tissue engineered hydrogels have become popular scaffold platform<br />
materials for supporting cells and have demonstrated an ability to improve cell therapy in<br />
regenerative medicine. However, many hydrogels, although biocompatible, typically require<br />
chemical cross-linkers, limiting their therapeutic potential for transplanting cells, particularly as<br />
injectable materials. Thus, physically cross-linked hydrogels are attractive since they may improve<br />
the delivery <strong>of</strong> cells in a minimally invasive and non-toxic manner. This study aimed to develop<br />
chitosan-derived physically cross-linked hydrogels with tunable mechanical and cell responsive<br />
properties for supporting transplanted cells.<br />
Methods/ Results: Two injectable materials were developed via ionic cross-linking: a) chitosanderivative<br />
(HTCC) with sodium tripolyphosphate (TPP); and b) pure chitosan (PC) with betaglycerophosphate<br />
disodium salt (ßGP). Polymer hydrogels were characterized for the materials’<br />
chemical and physical properties, viscosity and mechanical properties. Cell-material interactions<br />
were evaluated using human blood-derived circulating progenitor cells (CPCs), human umbilical<br />
vein endothelial cells (HUVECs) and porcine islet cells, seeded onto the hydrogels and compared to<br />
their respective controls. Adhesion, viability and metabolic activity were evaluated on days 1, 2 and<br />
7 using standard adhesion, viability (live/dead) and WST-1 assays. PC-ßGP was less viscous<br />
(5.5±0.5Pa•s) at 37°C compared to HTCC-TPP (11±4Pa•s). The mean compressive stress and elastic<br />
modulus obtained from the regression analysis fit were calculated at 12% strain for PC-ßGP and<br />
HTCC-TPP hydrogels (n=7) and were found to be 0.45±0.16kPa and 6.33±0.87kPa, and<br />
0.06±0.007kPa and 0.05±0.01kPa, respectively. This indicated that PC-ßGP was significantly stiffer<br />
than HTCC-TPP. Morphology revealed uniform pore distribution for both hydrogels, with HTCC-<br />
TPP having higher (14%) porosity. Gels degraded 4× faster in alpha-amylase (pH 7, 37°C,<br />
250IU/ml) than in PBS over 7 days. Cell compatibility was assessed and the number <strong>of</strong> CPCs and<br />
HUVECs adherent on HTCC-TPP was less compared to PC-ßGP (p=0.001). Live/dead assays<br />
revealed comparable cell viability (>70%) between gels, and WST-1 showed greater cell metabolic<br />
activity on PC-ßGP (p=0.05). ELISA for insulin and flow cytometry labeling showed similar trends<br />
for both gels up to 7 days.<br />
Conclusion: Chitosan-derived hydrogels are promising as delivery vehicles and suitable for<br />
supporting multiple cell types for cardiovascular and islet transplantation tissue engineering<br />
therapies.<br />
IV. Application <strong>of</strong> Regenerative Research to Therapy –<br />
Poster Presentation<br />
54
P15 - Poster Abstract #15<br />
CaMKinase II Anchoring Protein, aKAP, is a Novel Regulator <strong>of</strong> SERCA2a<br />
Activity in Cardiomyocytes.<br />
Omar Hawari, P. Singh, M. Salih, B.S. Tuana<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>, Dept. <strong>of</strong> Cellular and Molecular Medicine<br />
Background: The Sarco-endoplasmic Ca2+ ATPase (SERCA2a) plays a crucial role in sequestering<br />
cytosolic calcium into the sarco-endplasmic reticulum (SR/ER) and is an important regulator <strong>of</strong><br />
muscle contraction and relaxation. Defective SERCA2a activity has been shown to result in heart<br />
failure. SERCA2a activity is triggered by cytosolic calcium with phospholamban (PLN) as a fine<br />
regulator <strong>of</strong> its affinity for calcium and uptake into the SR. Recent findings suggest that a novel<br />
CAMKIIa splice variant, aKAP, plays the role <strong>of</strong> a CAMKII anchoring protein in the myocardium,<br />
also directly interacts with SERCA2a.<br />
Methods/Results: We examined the effects <strong>of</strong> aKAP on SERCA2a activity using the NADH<br />
coupled enzymatic assay and thapsigargin as inhibitor <strong>of</strong> the Ca2+ ATPase. SERCA2a activity was<br />
assayed in microsomal fractions <strong>of</strong> HEK-293T co-expressing SERCA2a and aKAP. The rate <strong>of</strong><br />
NADH oxidation was correlated to the rate <strong>of</strong> ATP hydrolysis <strong>of</strong> SERCA2a. Our data showed that<br />
aKAP was without effect on the Ca2+ ATPase activity in microsomal fractions <strong>of</strong> SERCA2a<br />
transfected HEK-293T cells. Interestingly, neonatal mouse cardiomyocyte (NMCM) cultures<br />
infected with a lentivirus carrying the aKAP gene, demonstrated that aKAP actually inhibited the<br />
SERCA2a<br />
activity.<br />
Conclusion: The differences between the NMCM model and the HEK-293T cells indicate that the<br />
direct interaction <strong>of</strong> aKAP and SERCA2a alone is not sufficient and requires other factors not<br />
present in the HEK-293T cells. These data suggest that aKAP may be a unique regulator <strong>of</strong><br />
SERCA2a activity and may therefore serve as a novel target in the treatment <strong>of</strong> heart disease.<br />
IV. Application <strong>of</strong> Regenerative Research to Therapy –<br />
Poster Presentation<br />
55
P16 - Poster Abstract #16<br />
Inhibition <strong>of</strong> VEGFR2 is Sufficient to Produce Severe Plexogenic<br />
Pulmonary Arterial Hypertension in Rats without Exposure to Chronic<br />
Hypoxia<br />
Baohua Jiang 1,2 , Y. Deng 1 , M. Taha 1 , G. Li 1 , D.J. Stewart 1,2<br />
1 <strong>Ottawa</strong> Hospital Research <strong>Institute</strong>, Sprott Stem Cell Centre and Regenerative Medicine <strong>Program</strong>;<br />
2 Dept. <strong>of</strong> Cellular and Molecular Medicine, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>.<br />
Background: Pulmonary arterial hypertension (PAH) is characterized by elevated pulmonary<br />
vascular resistance due to obliteration <strong>of</strong> small arterioles. Sugen5416, a VEGFR2 inhibitor, has been<br />
reported to cause endothelial cell (EC) apoptosis resulting in severe PAH in chronically hypoxic<br />
(CH) rats, characterized by complex intimal and plexiform lesions. Recently, it was suggested that<br />
immune deficient, nude rats, were more susceptible to SU5416, demonstrating a severe PAH<br />
phenotype even without CH. The objective <strong>of</strong> this study was to establish whether chronic hypoxia is<br />
necessary for development <strong>of</strong> severe PAH after SU5416 injection.<br />
Methods/Results:Wild type (WT) Sprague Dawley or nude rats were divided into following groups:<br />
a single subcutaneous injection <strong>of</strong> vehicle (Control) or SU5416 (20mg/kg) (SU); 3 weeks <strong>of</strong> CH<br />
(10% oxygen) or SU5416 combined with 3 weeks <strong>of</strong> CH (SU+CH). After 3 weeks, the CH and<br />
SU+CH groups were returned to normoxia for an additional 5 weeks. SU+CH produced severe PAH<br />
in WT rats with increases in right ventricular systolic pressure (RVSP: 80±8 mmHg) compared to<br />
control rats (29±1 mmHg, p
P17 - Poster Abstract #17<br />
Targeted Expression <strong>of</strong> the E2F6 Transcriptional Repressor in<br />
Myocardium<br />
Jennifer Major, B. Westendorp, M. Nader, M. Salih, F. Leenen, B.S. Tuana<br />
Dept. <strong>of</strong> Cellular and Molecular Medicine, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>; Dept. <strong>of</strong> Hypertension, <strong>University</strong><br />
<strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong><br />
Background: The E2F/Rb pathway is comprised <strong>of</strong> a dozen proteins which are expressed in a<br />
cell/tissue specific context to regulate genes involved in proliferation, differentiation, and death.<br />
Perturbation <strong>of</strong> the E2F/Rb pathway through modulation <strong>of</strong> its members induces changes in the cell<br />
cycle which could potentially be targeted in cell growth and death. However, the constellation <strong>of</strong><br />
E2F/Rb family members and their exact role in cardiac growth and development remains to be fully<br />
examined.<br />
Methods/ Results: In order to modulate the E2F pathway in vivo, we expressed E2F6 (a<br />
transcriptional repressor) in mice under the control <strong>of</strong> the a-myosin heavy chain promoter.<br />
Microarray, microRNA array, and protein expression pr<strong>of</strong>iling were utilized to identify targets which<br />
were sensitive to E2F6 in transgenic (Tg) myocardium. E2F6-Tg mice presented with symptoms <strong>of</strong><br />
Dilated Cardiomyopathy (DCM) leading to early mortality. Microarray analysis revealed that E2F<br />
responsive transcripts involved in cell cycle regulation including E2F1 and E2F3 were up regulated<br />
in Tg hearts (~19 and 3-fold respectively). Although thirty cell cycle genes were up-regulated they<br />
did not induce any changes in cardiomyocyte size or number. Western blot analysis indicated that<br />
E2F1 protein levels were unchanged and E2F3B was down-regulated ~60%, implying a posttranscriptional<br />
control mechanism for E2F6. We detected a 10-fold increase in the skeletal muscle<br />
enriched miR-206. Activation <strong>of</strong> miR-206 was linked to a post-transcriptional loss <strong>of</strong> the gap<br />
junction protein, connexin-43(~75% loss) and abnormal electrocardiogram in Tg mice. We also<br />
noted the activation <strong>of</strong> the Extracellular Receptor Kinase (ERK) which has been linked to the<br />
induction <strong>of</strong> miR-206 and a loss <strong>of</strong> connexin-43. The DCM noted in E2F6-Tg mice is similar to that<br />
initiated by mutations in nuclear proteins which are associated with the inappropriate docking <strong>of</strong> Rb<br />
and activation <strong>of</strong> E2F responsive transcripts as well as ERK activation and a loss <strong>of</strong> connexin-43.<br />
Conclusion: This study demonstrates a previously unrecognized role for E2F6 as a transcriptional<br />
activator and as a post-transcriptional regulator <strong>of</strong> gene expression in vivo. Further, the data suggest<br />
that a strict control <strong>of</strong> the E2F pathway by a subset <strong>of</strong> E2Fs is critical for normal cardiac<br />
development and function.<br />
IV. Application <strong>of</strong> Regenerative Research to Therapy –<br />
Poster Presentation<br />
57
P18 - Poster Abstract #18<br />
Collagen:Chitosan Hydrogels for Stimulation <strong>of</strong> Angiogenesis in a Type I<br />
Diabetic Mouse Model: Potential Use as a Pre-Vascularized Ectopic Site for<br />
Islet Transplantation<br />
Joanne E. McBane 1,2 , B. Vulesevic 1,2 , D.T. Padavan 1 , K.A. McEwan 1,3 , G.S. Korbutt 4 , E.J.<br />
Suuronen 1,2<br />
1 <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong>; 2 Dept. <strong>of</strong> Cellular and Molecular Medicine, <strong>University</strong> <strong>of</strong><br />
<strong>Ottawa</strong>; 3 Dept. <strong>of</strong> Mechanical Engineering,<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>; 4 Alberta Diabetes <strong>Institute</strong>, <strong>University</strong> <strong>of</strong> Alberta.<br />
Background: Islet transplantation to treat type 1 diabetes (T1D) has shown varied long term<br />
success, due in part to poor blood supply, suggesting that pre-vascularization <strong>of</strong> the transplant site is<br />
needed. In the current study, we compared preformed collagen (1C) and collagen:chitosan hydrogels<br />
(2C), +/-circulating progenitor cells (CPCs), as materials to promote angiogenesis in a T1D<br />
(streptozotocin (STZ)-induced) nude mouse model.<br />
Methods/Results: CPCs were isolated from human peripheral blood mononuclear cells cultured on<br />
fibronectin for 4d. 1C or 2C (10:1 collagen:chitosan) hydrogels +/- CPCs were crosslinked using<br />
EDC/NHS. Matrices were tested in vitro for: CPC viability (live-dead assay); mechanical strength<br />
(Instron), crosslinks and fiber diameter (scanning electron microscopy); and degradation rate<br />
(collagenase). Mice were injected via the tail vein with a single dose <strong>of</strong> STZ (220mg/kg). One week<br />
post-injection, blood glucose readings were taken and a level <strong>of</strong> >10mmol was taken as a positive<br />
reading for hyperglycemia. Matrices +/- CPCs were implanted subcutaneously for up to 6 weeks in<br />
the STZ mouse model and evaluated for cytokine production (cytokine array), cell infiltration<br />
(hematoxylin and eosin staining) and expression <strong>of</strong> vWF (immunohistochemistry). After gelation at<br />
37°C for 18h, live/dead staining showed greater CPC viability in the 2C gels compared to 1C gels<br />
(79% vs. 69%, p
P19 - Poster Abstract #19<br />
Collagen-Laminin Hydrogels for Delivery <strong>of</strong> Insulin-Producing Tissue for<br />
the Treatment <strong>of</strong> Type 1 Diabetes<br />
Kimberly A. McEwan 1,2 , DT.Padavan 2 , C. Ellis 4 , GS Korbutt 4 and EJ. Suuronen 1,2,3<br />
1 Dept. <strong>of</strong> Mechanical Engineering, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>; 2 Div. <strong>of</strong> Cardiac Surgery, <strong>University</strong> <strong>of</strong><br />
<strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong>; 3 Dept. <strong>of</strong> Cellular and Molecular Medicine, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>; Alberta<br />
Diabetes <strong>Institute</strong>, <strong>University</strong> <strong>of</strong> Alberta, Edmonton, AB<br />
Background: The lack <strong>of</strong> vasculature is a major limitation <strong>of</strong> islet transplantation therapy for the<br />
treatment <strong>of</strong> type 1 diabetes. Hydrogels are attractive bio-engineered materials for cell delivery, as<br />
they can provide an environment for cell survival and retention. The aim <strong>of</strong> this study was to develop<br />
and characterize a collagen-chitosan hydrogel to be used as an ectopic transplant site that will<br />
support vascularization and islet graft survival and function.<br />
Methods/Results:Type-I collagen, chitosan (10:1 and 20:1 collagen:chitosan) without or with<br />
laminin (40µg/mL) and chondroitin sulfate-C were cross-linked with EDC/NHS. Circulating<br />
progenitor cells (CPCs) in endothelial basal media (EBM) or islets in Ham’s media were added.<br />
Live/dead staining was used to assess CPC and islet viability. Scanning Electron Microscopy (SEM):<br />
surface morphology, porosity and pore diameter were evaluated. Mechanical Testing: compressive<br />
loading was applied to determine stiffness (modulus). Degradation: Degradation <strong>of</strong> hydrogels in<br />
water, PBS, collagenase (0.125U/mL) and amylase (220U/mL) was assessed. In 10:1 matrices, CPC<br />
viability was 1.4-fold greater with the addition <strong>of</strong> 40µg/mL <strong>of</strong> laminin, (p=0.01) at 24h. At 48h,<br />
20:1 matrices displayed 1.2-fold increase in viability with 40µg/mL laminin (p=0.0008). At 24h,<br />
islet survival was superior in the 20:1 matrix with 40µg/mL laminin (95.0±6.0%) compared to 10:1<br />
matrix without laminin (70.9±0.03%, p=0.02). At 48h, islet viability in 20:1 matrix with 40µg/mL<br />
laminin was 80.3±4.0% compared to 69.3±6.4% without laminin (p=0.03). SEM illustrated smoother<br />
surfaces with 40 g/mL laminin compared to matrices without laminin. The elastic moduli <strong>of</strong><br />
matrices synthesized with Ham’s media (7.8-13.9kPa) were all significantly higher than those with<br />
EBM (1.2-6.6kPa). Also, matrices with higher chitosan content were stiffer. After 72h in<br />
collagenase, degradation <strong>of</strong> matrices with EBM was greater than those with Ham’s (p
P20 - Poster Abstract #20<br />
Pharmacological Enhancement <strong>of</strong> Resident Cardiac Stem Cells via<br />
Activation <strong>of</strong> the Wnt Pathway<br />
Ola Qassim, M. Kamkar, B. Ye, N. Latham, and D.R. Davis<br />
Cardiac Translational Research Laboratory, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong>.<br />
Background: Cardiac stem cell (CSC) therapy holds tremendous promise for patients suffering<br />
from chronic heart failure. We have developed techniques to extract and grow cells directly from a<br />
patient’s own heart biopsy with a view towards transplanting these cells back into damaged<br />
myocardium. Within the heterogeneous population <strong>of</strong> cells that spontaneous emigrates from plated<br />
tissue in culture, a modest subpopulation (
P21 - Poster Abstract #21<br />
Circulating Microrna Provice Potential Biomarkers <strong>of</strong> Pulmonary Arterial<br />
Hypertension<br />
Kenny Schlosser 1 , R.J. White 2 , D.J. Stewart 1<br />
1 <strong>Ottawa</strong> Hospital Research <strong>Institute</strong> & <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>; 2 <strong>University</strong> <strong>of</strong> Rochester Medical<br />
Center<br />
Background: Idiopathic pulmonary arterial hypertension (IPAH) is characterized by a progressive<br />
increase in lung vascular resistance, which leads to heart failure and premature death. The prognosis<br />
for IPAH is poor; however, early diagnosis and treatment can decrease morbidity and increase the<br />
patient's quality <strong>of</strong> life. Unfortunately, prompt diagnosis remains a challenge as the early stages <strong>of</strong><br />
PAH are asymptomatic, and there is no specific assay for this disease. Although the etiology <strong>of</strong> PAH<br />
remains unclear, there is increasing interest in microRNAs (miRNAs) as key regulators <strong>of</strong> cell<br />
differentiation, proliferation and survival in lung vascular disease. The objective <strong>of</strong> this study was to<br />
identify plasma miRNAs that could serve as novel diagnostic markers <strong>of</strong> IPAH.<br />
Methods/ Results: Blood samples were collected from the right ventricle <strong>of</strong> 9 patients with<br />
confirmed IPAH and 4 control participants with normal hemodynamics, as determined by right heart<br />
catheterization. Total RNA was extracted from EDTA-plasma and the levels <strong>of</strong> 85 different miRNAs<br />
were measured using reverse transcription and quantitative real-time PCR arrays. MicroRNA<br />
expression levels were normalized to the geomean <strong>of</strong> two novel internal miRNA reference genes that<br />
were identified specifically for this model system by systematically evaluating the expression<br />
stability <strong>of</strong> each miRNA using the NormFinder algorithm. Between 39-78 different miRNAs were<br />
detectable (PCR quantification cycle, Cq
P22 - Poster Abstract #22<br />
Development <strong>of</strong> PCSK9 Inhibitors for Regulating LDL-R and Cholesterol<br />
Alghamdi, R 1 , Mishra P 1 , Lagace T 2, 3 , and Basak A 1, 3<br />
1 Chronic Disease <strong>Program</strong>, <strong>Ottawa</strong> Hospital Research <strong>Institute</strong>, 2 Department <strong>of</strong> Pathology and<br />
Laboratory Medicine, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong>, 3 Department <strong>of</strong> Biochemistry,<br />
Microbiology and Immunology, Faculty <strong>of</strong> Medicine, <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong><br />
Background: Since its discovery in 2003, PCSK9 (Proprotein Convertase Subtilisin/Kexin9) has<br />
drawn significant attention for its function in the degradation <strong>of</strong> Low Density Lipoprotein-Receptor<br />
(LDL-R). PCSK9-induced LDL-R degradation reduces LDL-cholesterol uptake by hepatocytes<br />
causing an accumulation <strong>of</strong> cholesterol in the blood - a condition known as Hypercholesterolemia.<br />
Owing to this biological property, confirmed by various studies including knock out mice, PCSK9<br />
became a major target for intervention <strong>of</strong> hypercholesterolemia. Crystal structure revealed that<br />
PCSK9’s catalytic domain binds with LDL-R’s EGF-A domain leading to re-routing <strong>of</strong> LDL-R<br />
towards lysosome for its degradation.<br />
Methods/Results: The precise location <strong>of</strong> catalytic domain(s) <strong>of</strong> PCSK9 involved in binding with<br />
LDL-R’s EGF-A domain has not yet been identified. This remains as the major focus <strong>of</strong> this study<br />
since peptides derived from such domains may likely interfere in the binding <strong>of</strong> PCSK9 with LDL-<br />
R, leading to possible reduction <strong>of</strong> LDL-R degradation. In addition, we are also interested in<br />
identifying non-peptide compounds from natural sources that may also block PCSK9’s ability to<br />
bind with LDL-R. For this we selected 5 natural products (berberine, allicin, forskolin, mimosine,<br />
swertiamarin) based on the known medicinal properties <strong>of</strong> the plants from which they were derived.<br />
The effects <strong>of</strong> all peptide and non-peptide compounds in human HepG2 cells following culture at<br />
various concentrations have been studied. The results suggested LDL-R promoting activity <strong>of</strong> 2<br />
PCSK9 catalytic loop peptides and. swertiamarin, while the rest <strong>of</strong> the compounds did not produce<br />
any significant effects. These effects may be mediated via inhibition <strong>of</strong> PCSK9 function. The results<br />
will be further confirmed using LDL-R uptake and other studies.<br />
Conclusion: Our study may lead to the development <strong>of</strong> new small molecule PCSK9 inhibitors as<br />
potential therapeutic agents for lowering cholesterol, as an alternative to the non-statin compounds.<br />
IV. Application <strong>of</strong> Regenerative Research to Therapy –<br />
Poster Presentation<br />
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Coloured cardstock page<br />
SPEAKER BIOGRAPHIES<br />
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MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE JUNE 21 ST & 22 ND , <strong>2012</strong>.<br />
LORD ELGIN HOTEL, OTTAWA<br />
SPEAKER BIOGRAPHIES<br />
KEYNOTES<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
CAROLYN ANDERSON, PHD<br />
UNIVERSITY OF PITTSBURGH<br />
KEYNOTE LECTURE: NOVEL PROBES<br />
Receptor-targeted imaging <strong>of</strong> cardiovascular disease<br />
Dr. Anderson received her Ph.D. in Inorganic Chemistry in 1990 from Florida State <strong>University</strong>,<br />
where she carried out her dissertation research with Pr<strong>of</strong>. Gregory R. Choppin in the area <strong>of</strong> actinide<br />
chemistry. She is currently a Pr<strong>of</strong>essor <strong>of</strong> Radiology and Director <strong>of</strong> the Molecular Imaging<br />
Laboratory at the <strong>University</strong> <strong>of</strong> Pittsburgh. After obtaining her PhD, Dr. Anderson took a position as<br />
Research Associate in the Mallinckrodt <strong>Institute</strong> <strong>of</strong> Radiology at Washington <strong>University</strong> School <strong>of</strong><br />
Medicine in St. Louis, MO in Pr<strong>of</strong>. Michael J. Welch's group. In 1993 she was promoted to<br />
Assistant Pr<strong>of</strong>essor <strong>of</strong> Radiology, and held the position <strong>of</strong> Pr<strong>of</strong>essor in the departments <strong>of</strong><br />
Radiology, Biochemistry & Molecular Biophysics, and Chemistry from 2007-2011.<br />
Dr. Anderson’s research interests include the development and evaluation <strong>of</strong> novel radiometal-based<br />
radiopharmaceuticals for diagnostic imaging and targeted radiotherapy <strong>of</strong> cancer and cardiovascular<br />
disease. She pioneered the development <strong>of</strong> copper-64-based radiopharmaceuticals, and her research<br />
group carries out research on the interface <strong>of</strong> chemistry and biology. She has had NIH funding since<br />
1994 and has over 130 peer-reviewed and invited publications, mostly in the area <strong>of</strong> developing<br />
radiopharmaceuticals for oncological imaging and targeted radiotherapy. Dr. Anderson has also<br />
been actively involved in the education and training <strong>of</strong> graduate and undergraduate students in the<br />
areas <strong>of</strong> nuclear and radiochemistry, imaging sciences and nanotechnology.<br />
Dr. Anderson is currently the President <strong>of</strong> the Molecular Imaging Center <strong>of</strong> Excellence (MICoE;<br />
2010-<strong>2012</strong>). She is on the board <strong>of</strong> directors <strong>of</strong> the Society for Radiopharmaceutical Sciences (2007-<br />
present), and is a member <strong>of</strong> the American Chemical Society and the American Association for<br />
Cancer Research.<br />
In the leadership capacity <strong>of</strong> MICoE, she has lead the molecular imaging education task force, a<br />
dedicated group <strong>of</strong> scientists who have written a draft curriculum in Molecular Imaging for nuclear<br />
medicine residents.<br />
Source: http://www.snm.org/index.cfm?PageID=6886<br />
KEYNOTES<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
RICHARD LAFOREST, PHD<br />
UNIVERSITY OF WASHINGTON IN ST. LOUIS<br />
KEYNOTE LECTURE: FUNCTIONAL IMAGING TECHNOLOGY<br />
Novel opportunities in imaging technology<br />
Dr. Laforest received his PhD in Experimental Nuclear Physics from Laval <strong>University</strong>. He is<br />
currently the Co-Director <strong>of</strong> the Washington <strong>University</strong> Small Animal Imaging Laboratory;<br />
composed <strong>of</strong> three small animal PET cameras and one small animal CT camera. This is the main<br />
laboratory in the Washington <strong>University</strong> Small Animal Imaging Resource (WUSAIR, PI.<br />
J.Ackerman, PhD) and the Siteman Cancer Center (SCC, PI: T.Eberlein MD). Dr. Laforest’s<br />
research involves the development <strong>of</strong> multi-modality small animal imaging instruments and<br />
techniques. Small animal imaging has become a main laboratory instrument around the world for the<br />
development <strong>of</strong> new agents for diagnostic and therapeutic use. The animal <strong>of</strong> choice for<br />
development is <strong>of</strong>ten the mouse, due to the wide availability <strong>of</strong> transgenic animal models exhibiting<br />
desired phenotypes <strong>of</strong> specific diseases. Novel tracers have been developed with positron emitting<br />
radionuclides having unfavorable decay characteristics for PET imaging. Dr. Laforest’s research<br />
focuses on suitable imaging techniques and adapted image reconstruction for these radionuclides, in<br />
order to provide high quality, optimized images.<br />
Source: http://chempet.wustl.edu/faculty/laforestr.htm<br />
KEYNOTES<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
MARCUS SCHWAIGER, MD, PHD<br />
TECHNISCHE UNIVERSITÄT MÜNCHEN<br />
KEYNOTE LECTURE: TRANSLATIONAL IMAGING OF<br />
CARDIOVASCULAR DISEASE<br />
Translational imaging <strong>of</strong> clinical cardiovascular disease<br />
Dr. Schwaiger earned his MD from Kilinikum rechts der Isar, Technische Universitat Munchen,<br />
Germany. He then pursued a postdoctoral research fellowship in the departments <strong>of</strong> Physiology and<br />
Cardiology at the <strong>University</strong> <strong>of</strong> Cincinnati, USA. Dr. Schwaiger successfully completed his<br />
Cardiology and Nuclear Medicine fellowships at UCLA School <strong>of</strong> Medicine. Since then, he has had<br />
numerous pr<strong>of</strong>essional appointments, most recently as Dean <strong>of</strong> the School <strong>of</strong> Medicine and Director<br />
<strong>of</strong> the Department <strong>of</strong> Nuclear Medicine at the Technische Universitaet Muenchen, Germany.<br />
Dr. Schwaiger’s research expertise is the application <strong>of</strong> multimodal imaging, such as Magnetic<br />
Resonance Imaging (MRI), Positron Emission Tomography (PET), Computed Tomography (CT),<br />
and Single Photon Emission Tomography (SPECT), to visualize and quantify biological processes.<br />
His research also focuses on the use <strong>of</strong> PET in cardiology and oncology to monitor various therapies.<br />
Aside from Cardiology, Dr. Schwaiger has special interest in the diagnosis and treatment <strong>of</strong> thyroid<br />
endocrine and neuro-endocrine diseases in the Nuclear Medicine department.<br />
Dr. Schwaiger is very well published with more than 687 refereed publications; he is a Member and<br />
Chairman <strong>of</strong> DFG study section “Medizintechnik”, and is a Member <strong>of</strong> DFG study section “3.<br />
Sektion Herzkreislaufsystem”. In 2005, he was awarded an Unrestricted grant award for<br />
cardiovascular research from the BMS Foundation, Princeton, USA.<br />
KEYNOTES<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
REN-KE LI, MD, PHD<br />
TORONTO GENERAL RESEARCH INSTITUTE<br />
KEYNOTE LECTURE: APPLICATION OF REGENERATIVE RESEARCH<br />
TO THERAPY<br />
Cardiac rejuvenation to prevent heart failure after myocardial<br />
infarction<br />
Dr. Li currently holds a Canada Research Chair in Cardiac Regeneration and his research focuses<br />
on cell transplantation for cardiovascular disease. Research projects include muscle cell<br />
transplantation to improve heart function after complete myocardial infarction; transplantation <strong>of</strong><br />
myogenic cells and angiogenic cells to improve heart function <strong>of</strong> the patients after incomplete<br />
myocardial infarction; cell transplantation to prevent ventricular dilation <strong>of</strong> hearts with dilated<br />
cardiomyopathy; and creation <strong>of</strong> autologous grafts using tissue engineering technique for congenital<br />
heart surgery.<br />
In 1996, Dr. Li’s group was the first to publish that transplanted muscle cells survived in myocardial<br />
scar tissue, stimulated angiogenesis and improved heart function in a small animal model and<br />
clinically relevant large animal models in 2000 and 2002.<br />
Dilated cardiomyopathy is one <strong>of</strong> the most prevalent etiologies <strong>of</strong> significant congestive heart failure<br />
and the most common indication for cardiac transplantation. However, the chronic shortage <strong>of</strong> donor<br />
organs and problems with immunosuppression and rejection limit the applicability and efficacy <strong>of</strong><br />
this therapy. Cell transplantation could be a new therapeutic means to prevent ventricular dilatation<br />
and improve heart function. Dr. Li’s group has implanted muscle cells into the genetic defect animal<br />
model with dilated cardiomyopathy, demonstrating that healthy transplanted cells survived in the<br />
diseased heart and prevented heart dilatation. Function <strong>of</strong> the heart with transplanted cells was much<br />
better than non-transplanted heart.<br />
Congenital heart defects <strong>of</strong>ten require surgical intervention, which may include graft materials. All<br />
currently available graft materials lack growth potential, are non-contractile and are thrombogenic. A<br />
viable, autologous, contractile, and less thrombogenic bio-engineered tissue graft would be ideal for<br />
the surgical repair <strong>of</strong> congenital cardiac defects. Dr. Li’s group has successfully grown fetal<br />
cardiomyocytes within a biodegradable gelatin mesh. The cells attached to the mesh, grew in 3<br />
dimensions, and formed a beating cardiac graft. The cells in the graft survived after implanted onto<br />
scar tissue <strong>of</strong> the hearts.<br />
KEYNOTES<br />
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SPEAKER BIOGRAPHIES<br />
WORKSHOPS<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
LEONARD LUYT, PHD<br />
LONDON HEALTH SCIENCES CENTRE<br />
UNIVERSITY OF WESTERN ONTARIO<br />
WORKSHOP SPEAKER: NOVEL PROBE DEVELOPMENT AND<br />
APPLICATIONS<br />
‘The design <strong>of</strong> peptide-based molecular imaging agents’<br />
Dr. Luyt received his Ph.D. from the <strong>University</strong> <strong>of</strong> Western Ontario in Organic Chemistry and<br />
subsequently undertook a post-doctoral fellowship with Swanlund Pr<strong>of</strong>essor John Katzenellenbogen<br />
at the <strong>University</strong> <strong>of</strong> Illinois, Urbana-Champaign. There he led a research team as a Senior Medicinal<br />
Chemist with the pharmaceutical company Bayer-Schering, where he authored two patents and<br />
received the CITE award for exemplary leadership. Dr. Luyt joined the <strong>University</strong> <strong>of</strong> Western<br />
Ontario in 2005 as a faculty member with a joint appointment between three departments: Oncology,<br />
Chemistry and Medical Imaging. He holds a position <strong>of</strong> Scientist at the London Regional Cancer<br />
<strong>Program</strong> and is also affiliated with the Lawson Health Research <strong>Institute</strong> within the Imaging<br />
<strong>Program</strong>. He is the Director <strong>of</strong> the SPECT Radiochemistry and Medicinal Chemistry facility for the<br />
Lawson. He was recently awarded the Early Researcher Award (ERA) from the Ministry <strong>of</strong><br />
Research and Innovation.<br />
The laboratory <strong>of</strong> Dr. Luyt is currently staffed with a total <strong>of</strong> 10 trainees and research associates.<br />
His research program spans from basic chemistry activities, looking at novel methods <strong>of</strong><br />
incorporating metal complexes into peptide structures, through to applied research, investigating<br />
new molecular imaging agents targeting cancer and diabetes. He collaborates closely with leading<br />
scientists in the areas <strong>of</strong> cancer biology and medical imaging. His lab also functions as a core<br />
facility at the Lawson Health Research <strong>Institute</strong> for peptide synthesis and for creating SPECT and<br />
PET molecular imaging agents.<br />
WORKSHOPS<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
LIHUI WEI, PHD<br />
NORDION<br />
UNIVERSITY OF OTTAWA HEART INSTITUTE<br />
WORKSHOP SPEAKER: NOVEL PROBE DEVELOPMENT AND<br />
APPLICATIONS<br />
‘Development <strong>of</strong> novel SPECT radiotracers for myocardial<br />
perfusion imaging’<br />
Dr. Wei received her PhD degree in Inorganic Chemistry in 2005, with training in Bioinorganic and<br />
Radiopharmaceutical Chemistry at Syracuse <strong>University</strong> in Syracuse, New York. Her PhD research<br />
was design, synthesis and chemical and structural characterization <strong>of</strong> rhenium and technetium<br />
complexes for the development <strong>of</strong> diagnostic and therapeutic agents in nuclear medicine. She<br />
pursued her postdoctoral research at Mallinckrodt <strong>Institute</strong> <strong>of</strong> Radiology, Washington <strong>University</strong><br />
School <strong>of</strong> Medicine, in the laboratory <strong>of</strong> Michael Welch in St. Louis, Missouri. Her postdoctoral<br />
research focused on radiolabeling <strong>of</strong> peptides, proteins, antibodies and small molecules with Cu-64,<br />
Ga-68, Y-86, Zr-89, In-111 and Tc-94m and both in vivo and in vitro biology evaluation <strong>of</strong> the<br />
radiopharmaceuticals as PET/SPECT imaging agents and therapeutic agents.<br />
In 2007, Dr. Wei joined Nordion as a Research Chemist in the Global Research and Development<br />
department in Kanata, Ontario. In 2009, she transferred to Nordion’s lab at <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong><br />
<strong>Heart</strong> <strong>Institute</strong> and joined the Canadian Molecular Imaging Centre <strong>of</strong> Excellence (C-MICE) as a<br />
Research Scientist in Radiochemistry. She is an Adjunct Assistant Pr<strong>of</strong>essor at the Department <strong>of</strong><br />
Medicine, Division <strong>of</strong> Cardiology at <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>. Her current research interests are: a)<br />
SPECT myocardial perfusion imaging agents; b) Nanoparticle based therapeutic and multi-modality<br />
molecular imaging agents for the application in cancer and cardiovascular diseases; c) Development<br />
<strong>of</strong> novel radiotracers for imaging (SPECT and PET) <strong>of</strong> atherosclerosis and vascular inflammation.<br />
WORKSHOPS<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
PASAN FERNANDO, PHD<br />
NORDION<br />
UNIVERSITY OF OTTAWA HEART INSTITUTE<br />
WORKSHOP SPEAKER: NOVEL PROBE DEVELOPMENT AND<br />
APPLICATIONS<br />
‘The role <strong>of</strong> apoptosis in disease and the progress <strong>of</strong> apoptosis<br />
probes in molecular imaging applications’<br />
Dr. Fernando is a Research Scientist in Biology and Imaging at Nordion, the <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong><br />
<strong>Heart</strong> <strong>Institute</strong>’s partner in the Canadian Molecular Imaging Center <strong>of</strong> Excellence (CMICE).He<br />
received his PhD in Biology in 2002, with training in Developmental and Molecular Biology at the<br />
<strong>University</strong> <strong>of</strong> Waterloo in Waterloo, Ontario. He began his post-doctoral work at the <strong>Ottawa</strong> Health<br />
Research <strong>Institute</strong> in the laboratory <strong>of</strong> Lynn Megeney. With the support <strong>of</strong> a Post-doctoral<br />
Fellowship from the <strong>Heart</strong> and Stroke Foundation, Dr. Fernando researched bio-signalling<br />
mechanisms that govern skeletal muscle and cardiac cell transformation. His work with Lynn<br />
Megeney influenced a paradigm shift in the field <strong>of</strong> apoptosis by describing a non-death role <strong>of</strong><br />
caspase proteases in promoting cellular differentiation. Following his post-doctoral work, Dr.<br />
Fernando spent three years in the biotechnology sector leading a research team in developing protein<br />
therapeutics for cardiac regenerative medicine. He joined Nordion in 2008, is currently a member at<br />
the <strong>Heart</strong> and Stroke Foundation’s Center for Stroke Recovery and sits on the Board <strong>of</strong> Directors for<br />
the Multiple Sclerosis Society, <strong>Ottawa</strong> Chapter.<br />
Source: http://www.ottawaheart.ca/misc/pasan-fernando.htm<br />
WORKSHOPS<br />
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MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
REBECCA THORNHILL, PHD<br />
THE OTTAWA HOSPITAL<br />
WORKSHOP SPEAKER: PH-UNCTIONAL IMAGING PHYSICS 101<br />
‘Magnetic resonance tools for the evaluation <strong>of</strong><br />
cardiovascular disease’<br />
Dr. Thornhill obtained her M.Sc. and Ph.D. in Medical Biophysics from the <strong>University</strong> <strong>of</strong> Western<br />
Ontario under the supervision <strong>of</strong> Dr. Frank Prato, where she studied MRI methods for the<br />
assessment <strong>of</strong> myocardial viability. She then moved to Hamilton to do postdoctoral research in<br />
mitochondrial disorders using magnetic resonance and near-infrared spectroscopy with Dr. Gerald<br />
Moran (McMaster <strong>University</strong>). In 2008 Dr. Thornhill began a new postdoc at the <strong>University</strong> <strong>of</strong><br />
Toronto under the supervision <strong>of</strong> Dr. Andrea Kassner, applying MRI methods to assess blood-brain<br />
barrier disruption in acute ischemic stroke. She is currently a physicist in the Department <strong>of</strong> Medical<br />
Imaging (<strong>Ottawa</strong> Hospital), with particular research interests in cardiovascular MRI, perfusion<br />
analysis, image texture and pattern classification.<br />
WORKSHOPS<br />
74
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
AARON SO, PHD<br />
ROBARTS RESEARCH INSTITUTE<br />
ST. JOSEPH’S HEALTHCARE<br />
WORKSHOP SPEAKER: PH-UNCTIONAL IMAGING PHYSICS 101<br />
‘Fundamentals and advances <strong>of</strong> CT myocardial perfusion<br />
imaging’<br />
Dr. So is currently training as a clinical diagnostic imaging Medical Physicist at St. Joseph’s<br />
Healthcare, in London Ontario, while holding a research associate position at Robarts Research<br />
<strong>Institute</strong>. At Robarts, he works on cardiac CT perfusion imaging with Dr. Ting Lee, his former PhD<br />
supervisor. Dr. So’s research interest is in cardiac CT imaging, specifically quantitative CT<br />
myocardial perfusion imaging. Cardiovascular diseases are among the leading causes <strong>of</strong> mortality in<br />
the world and quantitative perfusion measurement allows a better understanding <strong>of</strong> the underlying<br />
hemodynamic causes and/or consequences <strong>of</strong> myocardial ischemia. During his PhD training, Dr. So<br />
received two Research Trainee Prizes from the Radiological Society <strong>of</strong> North America (RSNA) for<br />
the development <strong>of</strong> quantitative CT myocardial perfusion imaging for the assessment <strong>of</strong> coronary<br />
artery disease, and since then has received an RSNA Research Fellow Grant for the development <strong>of</strong><br />
a dynamic dual energy CT scanning technique which would improve the accuracy <strong>of</strong> quantitative CT<br />
myocardial perfusion measurement. Dr. So’s long term goal is to become a CT imaging scientist in a<br />
radiology department <strong>of</strong> an academic hospital with an equal division <strong>of</strong> time between clinical service<br />
and academic imaging research.<br />
Source: http://www.birc.ca/aaron-so-phd<br />
WORKSHOPS<br />
75
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
R. GLENN WELLS, PHD<br />
UNIVERSITY OF OTTAWA HEART INSTITUTE<br />
WORKSHOP SPEAKER: PH-UNCTIONAL IMAGING PHYSICS 101<br />
‘Fundamentals <strong>of</strong> single photon emission tomography and<br />
technical advances’<br />
CAREER DEVELOPMENT LUNCH: GUEST SPEAKER<br />
Dr. Wells received a PhD in Medical Physics (SPECT Imaging) in 1997 from the <strong>University</strong> <strong>of</strong><br />
British Columbia. He is a Medical Physicist in the Department <strong>of</strong> Nuclear Cardiology at the<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong>, Assistant Pr<strong>of</strong>essor in the Division <strong>of</strong> Cardiology at the<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> and Adjunct Pr<strong>of</strong>essor in the Department <strong>of</strong> Physics at Carleton <strong>University</strong>.<br />
His research group has grown rapidly over the past few years and currently consists <strong>of</strong> five PhD and<br />
three MSc Medical Physics candidates. Dr. Wells’ research interests concentrate on the physics <strong>of</strong><br />
multi-modality cardiac imaging with nuclear medicine: the combination <strong>of</strong> multi-slice X-ray<br />
computed tomography (CT) with positron emission tomography (PET) and single-photon emission<br />
computed tomography (SPECT). Multi-modal cameras such as PET/CT and SPECT/CT are recent<br />
advances in medical imaging technology that combine two types <strong>of</strong> imaging in a single device.<br />
These cameras provide exquisite anatomical images from CT accurately aligned with nuclear<br />
medicine functional images from PET or SPECT. Beyond just providing pretty pictures, these<br />
cameras <strong>of</strong>fer new opportunities for using the CT information to improve the PET or SPECT images.<br />
A more complete integration <strong>of</strong> these two types <strong>of</strong> data sets will produce a “whole” that is “greater<br />
than the sum <strong>of</strong> its parts”.<br />
Source: http://www.ottawaheart.ca/misc/glenn-wells.htm<br />
WORKSHOPS<br />
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MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
RAN KLEIN, PHD<br />
UNIVERSITY OF OTTAWA HEART INSTITUTE<br />
WORKSHOP SPEAKER: PH-UNCTIONAL IMAGING PHYSICS 101<br />
‘Fundamentals <strong>of</strong> positron emission tomography and<br />
advanced functional analysis’<br />
Dr. Klein is manager <strong>of</strong> the Cardiac Imaging Core Lab at the <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong>,<br />
National Cardiac PET Centre. His research is focused on extracting quantitative physiologic<br />
information from cardiac images. In particular Ran has worked on quantification <strong>of</strong> cardiac blood<br />
flow using rubidium-82 positron emission tomography (PET). His research has resulted in<br />
commercially available s<strong>of</strong>tware for image analysis (FlowQuant). Ran’s work on an automated<br />
rubidium-82 infusion system is currently being commercialized by Jubilant DraxImage, Montreal.<br />
Ran obtained his PhD (2010) and MASc (2005) in Electrical Engineering from the <strong>University</strong> <strong>of</strong><br />
<strong>Ottawa</strong>, and has been conducting research at the <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong> since 2001. He<br />
is an adjunct pr<strong>of</strong>essor at Carleton <strong>University</strong>.<br />
WORKSHOPS<br />
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MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
LISA MIELNICZUK, MD<br />
UNIVERSITY OF OTTAWA HEART INSTITUTE<br />
WORKSHOP SPEAKER: TRANSLATIONAL IMAGING OF<br />
CARDIOVASCULAR DISEASE<br />
‘<strong>Heart</strong> failure and advances in PET for pre-clinical and<br />
clinical studies’<br />
Dr. Mielniczuk is Staff Cardiologist in <strong>Heart</strong> Failure and Cardiac and Medical Director <strong>of</strong> both<br />
the Pulmonary Hypertension Clinic and the Telehealth Home Monitoring <strong>Program</strong> at the <strong>University</strong><br />
<strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong>. She is also Assistant Pr<strong>of</strong>essor in the Department <strong>of</strong> Medicine at the<br />
<strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>. Dr. Mielniczuk obtained her BSc (Hons) in Biology and Psychology at<br />
McMaster <strong>University</strong> in Hamilton, Ontario, and her MSc in Clinical Epidemiology and Biostatistics<br />
at the Harvard School <strong>of</strong> Public Health in Boston, Massachusetts, before returning to McMaster<br />
<strong>University</strong> to obtain her MD. Dr. Mielniczuk was Chief Resident in the Internal Medicine <strong>Program</strong>,<br />
Department <strong>of</strong> Medicine, at Queen's <strong>University</strong> in Kingston, Ontario, and then Chief Resident in the<br />
Division <strong>of</strong> Cardiology at the <strong>Heart</strong> <strong>Institute</strong>.<br />
She became a Fellow <strong>of</strong> the Royal College <strong>of</strong> Physicians and Surgeons <strong>of</strong> Canada (FRCPC) in<br />
Internal Medicine in 2002 and in Cardiology in 2004. In 2003, she received the Resident Research<br />
Prize from the Canadian <strong>Institute</strong>s <strong>of</strong> Health Research. Both in 2004, Dr. Mielniczuk received a<br />
Certificate <strong>of</strong> Teaching Excellence Nomination from the <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> and the <strong>Heart</strong><br />
<strong>Institute</strong>'s Wilbert J. Keon Award for Trainee Excellence and Clinical Research.<br />
Source: http://www.ottawaheart.ca/misc/lisa-marie-mielniczuk.htm<br />
WORKSHOPS<br />
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MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
GIRISH DWIVEDI, MRCP (UK), DM, PHD<br />
BANTING FELLOW<br />
UNIVERSITY OF OTTAWA HEART INSTITUTE<br />
WORKSHOP SPEAKER: TRANSLATIONAL IMAGING OF<br />
CARDIOVASCULAR DISEASE<br />
‘Ischemic heart disease and current CT approaches for preclinical<br />
and clinical studies’<br />
Dr. Dwivedi is a Banting Fellow in cardiac imaging at the <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong>. He<br />
has a particular research and clinical interest in cardiac imaging. His previous research was in<br />
developing myocardial perfusion methods with echocardiography (myocardial contrast tomography)<br />
using ultrasound contrast agents. He is a known expert in the field <strong>of</strong> echocardiography and cardiac<br />
magnetic resonance imaging with a number <strong>of</strong> peer reviewed publications and prestigious grants<br />
from his previous work in the United Kingdom. Presently, Dr Dwivedi is working on a CIHR funded<br />
project where he is evaluating the accuracy <strong>of</strong> myocardial perfusion assessed by cardiac computed<br />
tomography compared to that <strong>of</strong> positron emission tomography. Recently, Dr Dwivedi was awarded<br />
a Banting Fellowship, considered the most prestigious post doctoral fellowship award in Canada.<br />
WORKSHOPS<br />
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MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
CHARLES CUNNINGHAM, PHD<br />
SUNNYBROOK RESEARCH INSTITUTE,<br />
UNIVERSITY OF TORONTO<br />
WORKSHOP SPEAKER: TRANSLATIONAL IMAGING OF<br />
CARDIOVASCULAR DISEASE<br />
‘Advancements in metabolic MRI and prospective detection <strong>of</strong><br />
clinical anomalies’<br />
Dr. Cunningham received his PhD in Medical Biophysics from the <strong>University</strong> <strong>of</strong> Toronto in 2002.<br />
He is currently holds appointments as a scientist in the Physical Sciences division <strong>of</strong> the Schulich<br />
<strong>Heart</strong> Research <strong>Program</strong> at Sunnybrook Research <strong>Institute</strong>, assistant pr<strong>of</strong>essor, Medical Biophysics<br />
at the <strong>University</strong> <strong>of</strong> Toronto and as a McLaughlin Scholar from the McLaughlin Centre for<br />
Molecular Medicine. Molecular imaging is a new field that combines recent advances in noninvasive<br />
imaging modalities with molecular and cellular biology in order to improve our<br />
understanding <strong>of</strong> normal and disease processes. Although magnetic resonance imaging (MRI) has<br />
many characteristics that make it attractive as a molecular imaging platform, significant challenges<br />
remain.<br />
Dr. Cunningham’s research is focused on the fundamental physics underlying the MRI signal with<br />
the aim <strong>of</strong> advancing MRI methodology towards molecular imaging applications. Specific projects<br />
include development <strong>of</strong> novel methods for studying cell trafficking using magnetic nanoparticles,<br />
hyperpolarized carbon (13C) probes for metabolic characterization <strong>of</strong> diseased tissue, and<br />
radi<strong>of</strong>requency pulse design for high-field MRI applications.<br />
Source: http://sunnybrook.ca/research/team/member.asp?t=10&page=172&m=50<br />
WORKSHOPS<br />
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MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
KIMBERLEY BLACKWOOD, PHD<br />
LAWSON HEALTH RESEARCH INSTITUTE,<br />
WORKSHOP SPEAKER: TRANSLATIONAL IMAGING OF<br />
CARDIOVASCULAR DISEASE<br />
‘Molecular cardiac imaging with PET/MR’<br />
Dr. Blackwood received her PhD in Medical Biophysics from Western <strong>University</strong> studying the role<br />
<strong>of</strong> imaging in cardiac stem cell therapy, in large animals. While this initial work used clinical<br />
SPECT to assess transplanted cell viability, Dr. Blackwood currently studies the role <strong>of</strong> myocardial<br />
inflammation in transplanted cell viability as a post-doctoral associate at Western. Early work<br />
demonstrated that FDG-PET in infarcted myocardium, with suppressed glucose uptake, provided<br />
visualization <strong>of</strong> glucose dependent inflammatory cells within the infarct itself. This work is now<br />
being confirmed using tissue characterization with hybrid PET/MRI at Lawson Health Research<br />
<strong>Institute</strong>. The goal <strong>of</strong> this work is to understand the temporal changes in tissue remodelling in large<br />
animal models <strong>of</strong> acute heart disease in order to help optimize cell therapy, with the understanding<br />
that cell viability is important to long term improvements in heart function.<br />
WORKSHOPS<br />
81
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
ILONA SKERJANC, PHD<br />
UNIVERSITY OF OTTAWA<br />
WORKSHOP SPEAKER: REGENERATIVE THERAPY FROM TISSUE<br />
ENGINEERING TO IMAGING OUTCOMES<br />
‘Cardiomyogenesis in embryonic stem cells’<br />
Dr. Skerjanc received her PhD from McGill <strong>University</strong> in Biochemistry and is presently a Pr<strong>of</strong>essor<br />
in Biochemistry, Microbiology and Immunology at the <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>. Her laboratory is<br />
interested in understanding the molecular mechanisms <strong>of</strong> muscle development with the long-term<br />
view <strong>of</strong> using stem cells to replace damaged muscle. Embryonic stem cells or embryonal carcinoma<br />
cells can be induced to differentiate into cardiac and skeletal muscle. However, this process is not<br />
very efficient and only a minority <strong>of</strong> the cells differentiates down a given developmental pathway.<br />
In order to enhance the extent <strong>of</strong> differentiation into muscle, it is essential to identify the network <strong>of</strong><br />
transcription factors that specify different types <strong>of</strong> muscle and to understand how signaling pathways<br />
control the expression and function <strong>of</strong> the individual transcription factors in the network. A solid<br />
grasp <strong>of</strong> the fundamental mechanisms involved in muscle development will be essential in designing<br />
future therapies based on adult or embryonic stem cells for restoring cardiac sufficiency or replacing<br />
muscle in patients with muscle atrophy.<br />
Source: http://www.medicine.uottawa.ca/bmi/eng/skerjanc.html<br />
WORKSHOPS<br />
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MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
MARC RUEL, MD<br />
UNIVERSITY OF OTTAWA HEART INSTITUTE<br />
WORKSHOP SPEAKER: REGENERATIVE THERAPY FROM TISSUE<br />
ENGINEERING TO IMAGING OUTCOMES<br />
‘Cardiac cell/biopolymer therapy: understanding effects and<br />
mechanisms’<br />
Dr. Ruel is a cardiac surgeon and endowed chair <strong>of</strong> cardiac surgery research at the <strong>University</strong> <strong>of</strong><br />
<strong>Ottawa</strong> <strong>Heart</strong> <strong>Institute</strong>. He holds the rank <strong>of</strong> Pr<strong>of</strong>essor <strong>of</strong> Surgery, with cross-appointments in<br />
Epidemiology and Community Medicine, and in Cellular and Molecular Medicine. He is the<br />
Assistant-Dean, Clinical and Translational Research, at the <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>. After completion<br />
<strong>of</strong> his medical doctor degree and certification in cardiac surgery from the <strong>University</strong> <strong>of</strong> <strong>Ottawa</strong>, Dr.<br />
Ruel pursued minimally invasive surgery and translational research training at Harvard Medical<br />
School, where he also completed a Masters in Quantitative Methods at the Harvard School <strong>of</strong> Public<br />
Health.<br />
Dr. Ruel’s surgical areas <strong>of</strong> predilection include minimally invasive coronary and valve procedures,<br />
as well as complex and repeat cardiac operations. His research has been continuously funded by<br />
national granting agencies since his first faculty appointment. He introduced several novel cardiac<br />
surgical techniques in Canada and internationally, developed a successful translational regenerative<br />
medicine program in <strong>Ottawa</strong>, and continues to pursue clinical research on the long-term outcomes <strong>of</strong><br />
heart valve surgery and coronary bypass grafting. In 2007, he received the Gold Medal in Surgery<br />
from the Royal College <strong>of</strong> Physicians and Surgeons <strong>of</strong> Canada. He has published over 160 peerreviewed<br />
papers and book chapters, and was recently the editor <strong>of</strong> a cardiac surgery technique<br />
textbook published by Elsevier. He serves on the executive <strong>of</strong> the American <strong>Heart</strong> Association, the<br />
Society <strong>of</strong> Thoracic Surgeons, and the American Association for Thoracic Surgery.<br />
WORKSHOPS<br />
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MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
GRAHAM WRIGHT, PHD<br />
SUNNYBROOK RESEARCH INSTITUTE,<br />
UNIVERSITY OF TORONTO<br />
WORKSHOP SPEAKER: REGENERATIVE THERAPY FROM TISSUE<br />
ENGINEERING TO IMAGING OUTCOMES<br />
‘Developments in clinical assessment, treatment planning,<br />
and therapeutic guidance for ischemic heart disease using<br />
MRI’<br />
Dr. Wright received his PhD in Electrical Engineering from Stanford <strong>University</strong>. He is currently a<br />
Senior scientist in the Physical Sciences division <strong>of</strong> the Schulich <strong>Heart</strong> Research <strong>Program</strong> at<br />
Sunnybrook Research <strong>Institute</strong>, a Pr<strong>of</strong>essor <strong>of</strong> Medical Biophysics at the <strong>University</strong> <strong>of</strong> Toronto, and<br />
consultant to both the radiology department <strong>of</strong> The Hospital for Sick Children, Toronto, and the<br />
electrical engineering and radiology departments <strong>of</strong> Stanford <strong>University</strong>. His research focuses on<br />
cardiovascular imaging, particularly MRI, for disease assessment/intervention and guidance. Dr.<br />
Wright's research efforts include: basic biophysics to characterize the relationship between MR<br />
signals and underlying physiology in blood and tissue; engineering to develop more effective<br />
methods to acquire, analyze, and visualize medical images; and application <strong>of</strong> these tools to<br />
assessment, treatment planning, and therapy guidance in ischemic and congenital heart diseases and<br />
neurovascular and peripheral vascular diseases.<br />
Contributions from Dr. Wright's group include methods for characterizing the effects <strong>of</strong> oxygen in<br />
blood and tissue on MRI signal behaviour in vivo, development <strong>of</strong> a tool to automatically detect<br />
contrast agent arrival in a vessel (thus facilitating a rapid MR acquisition <strong>of</strong> 3-D vascular maps), and<br />
development <strong>of</strong> real-time adaptive MRI tools for improving the quality <strong>of</strong> coronary artery images.<br />
Through work with many clinical collaborators, these tools are being used in a wide range <strong>of</strong> patient<br />
studies.<br />
Current work builds on the group's central role in the Ontario Consortium for Cardiac Imaging<br />
where the focus is to develop and evaluate the role <strong>of</strong> multiple imaging modalities applied to cardiac<br />
diseases and in the Imaging Research Centre for Cardiac Intervention to design and test new imaging<br />
approaches to guide innovative minimally invasive cardiovascular therapies.<br />
Source: http://sunnybrook.ca/research/team/member.asp?t=13&page=172&m=184<br />
WORKSHOPS<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
Coloured cardstock page<br />
SOCIAL EVENTS INFORMATION<br />
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MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
SOCIAL EVENT 1:<br />
Poster Wine & Cheese<br />
Thursday, June 21<br />
4:30 – 6:00 p.m.<br />
While the <strong>MFI</strong> <strong>Symposium</strong> has always included poster presentations and the<br />
trainee “Best Poster Presentation” award, this year our organizing committee<br />
is testing the hypothesis that poster impact factors increase exponentially when<br />
presented along with drinks and appetizers! In addition, please note that, this<br />
year, posters will only be on display Thursday, June 21 during the first day <strong>of</strong><br />
the <strong>Symposium</strong>.<br />
SOCIAL EVENT 2:<br />
Career Development & Networking Lunch<br />
Friday, June 22<br />
12 :00p.m. – 1:15 p.m.<br />
The aim <strong>of</strong> this event is to give trainees the opportunity to learn about different<br />
career paths in cardiovascular research: from bench to bedside.<br />
At registration pick-up, students and fellows will sign up to share a lunch table<br />
with a specific group <strong>of</strong> PIs. Friday’s lunch will kick <strong>of</strong>f with a feature talk on<br />
career progression and networking by Dr. Glenn Wells. Following this,<br />
symposium PIs will, over lunch, discuss with their group <strong>of</strong> students and fellows<br />
how to network and progress within their field, en route to a final career<br />
destination.<br />
This event affords trainees the opportunity to listen, learn and ask questions<br />
about how to determine the most appropriate next steps in order to reach a<br />
particular career goal. As represented by our <strong>2012</strong> theme: translation in<br />
research, it’s easy to see that progression through collaboration is important.<br />
Our <strong>MFI</strong> PIs and invited speakers are a great resource for our talented trainees<br />
who will face decisions between many exciting career paths in the near future!<br />
Social Events Information<br />
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JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
SOCIAL EVENT 3:<br />
Awards Banquet & Social Evening<br />
Friday, June 22<br />
7:30 p.m. – 12:00 a.m.<br />
Awards granted for “Best Oral Presentation” and “Best Poster Presentation”<br />
will be presented and significant <strong>MFI</strong> program contributors and the symposium<br />
organizing committee members recognized. This will be followed by a banquet<br />
dinner, and Cardiovascular Jeopardy.<br />
***New*** in <strong>2012</strong>: Cardiovascular Jeopardy<br />
featuring <strong>MFI</strong> director Dr. Rob Beanlands as Alex Treeeeeeebek!<br />
Attendees will be divided into four teams and provided “signaling mechanisms”.<br />
Two rounds <strong>of</strong> hilarious cardiovascular and general skill-testing trivia will be<br />
presented… to be answered in the form <strong>of</strong> a question, <strong>of</strong> course! Come show <strong>of</strong>f<br />
your knowledge <strong>of</strong> random facts!<br />
Social Events Information<br />
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MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
Coloured cardstock page<br />
SITE MAP<br />
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MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
Coloured cardstock page back
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
SITE MAP<br />
The 5 th Annual <strong>MFI</strong> <strong>Symposium</strong> is being held at the Lord<br />
Elgin Hotel, in downtown <strong>Ottawa</strong>. A parking is available at<br />
the National Arts Centre, the cost is $16/day for arrival<br />
before 4pm.<br />
100 Elgin Street, <strong>Ottawa</strong>, Canada, K1P 5K8<br />
P h o n e : ( 6 1 3 ) 2 3 5 . 3 3 3 3<br />
F a x : ( 6 1 3 ) 2 3 5 . 3 2 2 3<br />
To l l F r e e : 1 . 8 0 0 . 2 6 7 . 4 2 9 8<br />
Site Maps<br />
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Poster<br />
session<br />
Site Maps<br />
90
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE JUNE 21 ST & 22 ND , <strong>2012</strong>.<br />
LORD ELGIN HOTEL, OTTAWA<br />
main<br />
sessions<br />
Site Maps<br />
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MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
NOTES
MOLECULAR FUNCTION & IMAGING SYMPOSIUM BRINGING<br />
CARDIOVASCULAR IMAGING & THERAPY TO LIFE<br />
JUNE 21 ST & 22 ND , <strong>2012</strong>. LORD ELGIN HOTEL, OTTAWA<br />
INSIDE BACK COVER
THANKS FOR COMING!