Molecular and Cellular Characterization of Cardiac Tissue in Postnatal Development

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
AgeUp to 20
SponsorEmory University

About this trial

The study team will use small pieces of human hearts which are removed as part of a required surgical procedure to study different objectives. One of the objective is how calcium ions pass through the membrane of heart cells in order to tell the heart cell how much force to contract with when the heart beats. Investigators will also study the proteins and RNA of these pieces to determine how the newborn heart cells control their force of contraction differently from adult heart cells. Investigators hypothesize that infant hearts have different regulation of calcium entry than adult hearts. The study team also wants to study combinations of 3D cardiac spheres with multiple environmental cues that can improve functional and metabolic maturation of Human pluripotent stem cell-derived cardiomyocytes (hPSC-CMs) and generate a more clinically relevant cell model.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients undergoing cardiopulmonary bypass surgery

Patients undergoing surgery for repair of congenital heart disease such as ventricular septal defect or defective mitral or aortic valves.

Disqualifiers

Prior cardiac surgery

History of atrial fibrillation or other atrial arrhythmias prior to operation

History of heart failure

Trial population

Children undergoing surgery for repair of congenital heart disease

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

600 Participants
are grouped into 1 trial group
Group A: Cardiac Tissue

Trial outcomes

Primary outcomes

1

Calcium Current Measures

Calcium currents including transients and modulation of calcium handling by activation of different pathways in isolated cells from waste tissue obtained at the time of surgical repair for Congenital Heart Disease will be measured for the duration of the study.

Time frame
Duration of Study (Up to 13 Years)
2

Change in structural, functional and metabolic maturation of Human pluripotent stem cell derived Cardiomyocytes (hPSC-CMs)

Change in structural, functional and metabolic maturation of Human pluripotent stem cell derived Cardiomyocytes (hPSC-CMs) is achieved using combinations of 3D cardiac spheres with multiple environmental cues to improve mitochondrial fatty acid oxidation (FAO or beta-oxidation) pathway will promote functional and metabolic maturation of hPSC-CMs and generate a more clinically relevant model. The outcome will be measured whether the cells achieved maturation (structural, functional and metabolic maturation) or not after using combinations of 3D cardiac spheres with multiple environmental cues.

Time frame
Duration of Study (Up to 3 Years)

Secondary outcomes

Other outcomes

Sponsors and contacts

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Emory University

Lead sponsor

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator