Mito-HF

  • Research type

    Research Study

  • Full title

    Does mitochondrial damage contribute to heart failure progression?

  • IRAS ID

    335264

  • Contact name

    Stephen Hoole

  • Contact email

    stephen.hoole@nhs.net

  • Sponsor organisation

    Royal Papworth Hospital NHS Foundation Trust

  • Duration of Study in the UK

    1 years, 0 months, 1 days

  • Research summary

    Heart failure is a condition whereby the pumping function of the heart is weakened, reducing its’ ability to pump blood around the body. This manifests in the form of shortness of breath.

    Heart failure usually slowly progresses over time, but how this happens at a cellular level is not well understood. Our theory is that the heart needs a lot of energy to pump and over time the mitochondria (the power houses of the heart cells) become degraded, reducing the ability of the heart to pump but also sending out harmful chemicals that damage the surrounding tissues. Better understanding this process could help develop new and more effective treatments for heart failure in future.

    To investigate this further, we wish to measure several processes which are linked:
    1 The physical energy the heart uses to pump blood
    2 The chemical energy 'fuel' the heart uses up (called Adenosine Triphosphate or ATP)
    3 The movement of Calcium ions through the heart, a signal the heart uses to co-ordinate pumping and energy production
    4 The production of mitochondrial damage associated molecular patterns, small molecules produced by damaged mitochondria which can themselves cause further damage
    5 Inflammation within the heart

    We can investigate 1, 2 and 3 using cardiac magnetic resonance (CMR) scans but 4 and 5 require blood samples to be taken from within the heart. Therefore, we will recruit people having procedures on their heart and arrange for them to have an additional CMR scan.

  • REC name

    East of England - Cambridge South Research Ethics Committee

  • REC reference

    24/EE/0066

  • Date of REC Opinion

    1 May 2024

  • REC opinion

    Further Information Favourable Opinion