Skip to main content
Top
Published in: BMC Geriatrics 1/2018

Open Access 01-12-2018 | Research Article

Glial cell line-derived neurotrophic factor (GDNF) attenuates the peripheral neuromuscular dysfunction without inhibiting the activation of spinal microglia/monocyte

Authors: Fei Xie, Fan Zhang, Su Min, Jingyuan Chen, Jun Yang, Xin Wang

Published in: BMC Geriatrics | Issue 1/2018

Login to get access

Abstract

Background

Peripheral neuromuscular dysfunctions were found in elderly individuals, and spinal microglia/monocyte plays an important role on this process. This study aims to test whether the glial cell line-derived neurotrophic factor (GDNF) could attenuate age-related neuromuscular dysfunction by inhibiting the activation of spinal microglia/monocyte.

Methods

Male Sprague-Dawley rats were divided into an adult group and an aged group. The aged rats were intrathecally injected with normal saline (NS) and GDNF. All the rats were harvested 5 days after each injection. The muscular function was tested by compound muscle action potential, and the activation of microglia/monocyte was detected by immunofluorescence staining; cytokines were assayed by enzyme-linked immunosorbent assay; the expression level of GDNF and its known receptor GFR-α in the spinal cord, the expression level of neuregulin-1 (NRG-1) in the sciatic nerve, and the expression level of γ- and α7- ε-nicotinic acetylcholine receptors in the tibialis anterior muscle were measured by western blotting.

Results

The activated microglia/monocyte was found in the aged rats compared to the adult rats. The aged rats showed a significant neuromuscular dysfunction and cytokine release as well as increased expression of γ- and α7-nAChR. The protein expression of GDNF, GFR-α, and NRG-1 in the aged rats were significantly lower than that in the adult rats. However, the exogenous injection of GDNF could alleviate the neuromuscular dysfunction but not inhibit the activation of spinal microglia/monocyte. Furthermore, the levels of GFR-α and NRG-1 also increased after GDNF treatment.

Conclusion

The GDNF could attenuate the age-related peripheral neuromuscular dysfunction without inhibiting the activation of microglia/monocyte in the spinal cord.
Literature
1.
go back to reference Strohacker K, Breslin WL, Carpenter KC, McFarlin BK. Aged mice have increased inflammatory monocyte concentration and altered expression of cell-surface functional receptors. J Biosci. 2012;37(1):55–62.CrossRefPubMed Strohacker K, Breslin WL, Carpenter KC, McFarlin BK. Aged mice have increased inflammatory monocyte concentration and altered expression of cell-surface functional receptors. J Biosci. 2012;37(1):55–62.CrossRefPubMed
2.
go back to reference Compté N, Zouaoui BK, Vanhaeverbeek M, et al. Frailty in old age is associated with decreased interleukin-12/23 production in response to toll-like receptor ligation. PLoS One. 2013;8(6):e65325.CrossRefPubMedPubMedCentral Compté N, Zouaoui BK, Vanhaeverbeek M, et al. Frailty in old age is associated with decreased interleukin-12/23 production in response to toll-like receptor ligation. PLoS One. 2013;8(6):e65325.CrossRefPubMedPubMedCentral
3.
go back to reference Deschenes MR, Kressin KA, Garratt RN, Leathrum CM, Shaffrey EC. Effects of exercise training on neuromuscular junction morphology and pre- to post-synaptic coupling in young and aged rats. Neuroscience. 2016;316:167–77.CrossRefPubMed Deschenes MR, Kressin KA, Garratt RN, Leathrum CM, Shaffrey EC. Effects of exercise training on neuromuscular junction morphology and pre- to post-synaptic coupling in young and aged rats. Neuroscience. 2016;316:167–77.CrossRefPubMed
4.
go back to reference Xie F, Min S, Liu L, Peng L, Hao X, Zhu X. Advanced age enhances the sepsis-induced up-regulation of the γ- and α7-nicotinic acetylcholine receptors in different parts of the skeletal muscles. Arch Gerontol Geriatr. 2016;65:1–8.CrossRefPubMed Xie F, Min S, Liu L, Peng L, Hao X, Zhu X. Advanced age enhances the sepsis-induced up-regulation of the γ- and α7-nicotinic acetylcholine receptors in different parts of the skeletal muscles. Arch Gerontol Geriatr. 2016;65:1–8.CrossRefPubMed
5.
go back to reference Ritzel RM, Patel AR, Pan S, et al. Age- and location-related changes in microglial function. Neurobiol Aging. 2015;36(6):2153–63.CrossRefPubMed Ritzel RM, Patel AR, Pan S, et al. Age- and location-related changes in microglial function. Neurobiol Aging. 2015;36(6):2153–63.CrossRefPubMed
6.
go back to reference Barcia C, Ros CM, Ros-Bernal F, et al. Persistent phagocytic characteristics of microglia in the substantia nigra of long-term parkinsonian macaques. J Neuroimmunol. 2013;261(1–2):60–6.CrossRefPubMed Barcia C, Ros CM, Ros-Bernal F, et al. Persistent phagocytic characteristics of microglia in the substantia nigra of long-term parkinsonian macaques. J Neuroimmunol. 2013;261(1–2):60–6.CrossRefPubMed
7.
go back to reference Wu J, Zhao Z, Sabirzhanov B, et al. Spinal cord injury causes brain inflammation associated with cognitive and affective changes: role of cell cycle pathways. J Neurosci. 2014;34(33):10989–1006.CrossRefPubMedPubMedCentral Wu J, Zhao Z, Sabirzhanov B, et al. Spinal cord injury causes brain inflammation associated with cognitive and affective changes: role of cell cycle pathways. J Neurosci. 2014;34(33):10989–1006.CrossRefPubMedPubMedCentral
8.
go back to reference Zhu HT, Bian C, Yuan JC, et al. Curcumin attenuates acute inflammatory injury by inhibiting the TLR4/MyD88/NF-κB signaling pathway in experimental traumatic brain injury. J Neuroinflammation. 2014;11:59.CrossRefPubMedPubMedCentral Zhu HT, Bian C, Yuan JC, et al. Curcumin attenuates acute inflammatory injury by inhibiting the TLR4/MyD88/NF-κB signaling pathway in experimental traumatic brain injury. J Neuroinflammation. 2014;11:59.CrossRefPubMedPubMedCentral
9.
10.
12.
14.
go back to reference Casula M, Iyer AM, Spliet WG, et al. Toll-like receptor signaling in amyotrophic lateral sclerosis spinal cord tissue. Neuroscience. 2011;179:233–43.CrossRefPubMed Casula M, Iyer AM, Spliet WG, et al. Toll-like receptor signaling in amyotrophic lateral sclerosis spinal cord tissue. Neuroscience. 2011;179:233–43.CrossRefPubMed
15.
go back to reference Graber DJ, Hickey WF, Harris BT. Progressive changes in microglia and macrophages in spinal cord and peripheral nerve in the transgenic rat model of amyotrophic lateral sclerosis. J Neuroinflammation. 2010;7:8.CrossRefPubMedPubMedCentral Graber DJ, Hickey WF, Harris BT. Progressive changes in microglia and macrophages in spinal cord and peripheral nerve in the transgenic rat model of amyotrophic lateral sclerosis. J Neuroinflammation. 2010;7:8.CrossRefPubMedPubMedCentral
17.
go back to reference Ribes S, Ebert S, Regen T, et al. Toll-like receptor stimulation enhances phagocytosis and intracellular killing of nonencapsulated and encapsulated Streptococcus pneumoniae by murine microglia. Infect Immun. 2010;78(2):865–71.CrossRefPubMed Ribes S, Ebert S, Regen T, et al. Toll-like receptor stimulation enhances phagocytosis and intracellular killing of nonencapsulated and encapsulated Streptococcus pneumoniae by murine microglia. Infect Immun. 2010;78(2):865–71.CrossRefPubMed
18.
go back to reference Ribes S, Adam N, Schütze S, et al. The nucleotide-binding oligomerization domain-containing-2 ligand muramyl dipeptide enhances phagocytosis and intracellular killing of Escherichia coli K1 by toll-like receptor agonists in microglial cells. J Neuroimmunol. 2012;252(1–2):16–23.CrossRefPubMed Ribes S, Adam N, Schütze S, et al. The nucleotide-binding oligomerization domain-containing-2 ligand muramyl dipeptide enhances phagocytosis and intracellular killing of Escherichia coli K1 by toll-like receptor agonists in microglial cells. J Neuroimmunol. 2012;252(1–2):16–23.CrossRefPubMed
19.
go back to reference Henderson CE, Phillips HS, Pollock RA, et al. GDNF: a potent survival factor for motoneurons present in peripheral nerve and muscle. Science. 1994;266(5187):1062–4.CrossRefPubMed Henderson CE, Phillips HS, Pollock RA, et al. GDNF: a potent survival factor for motoneurons present in peripheral nerve and muscle. Science. 1994;266(5187):1062–4.CrossRefPubMed
20.
go back to reference Arenas E, Trupp M, Akerud P, Ibáñez CF. GDNF prevents degeneration and promotes the phenotype of brain noradrenergic neurons in vivo. Neuron. 1995;15(6):1465–73.CrossRefPubMed Arenas E, Trupp M, Akerud P, Ibáñez CF. GDNF prevents degeneration and promotes the phenotype of brain noradrenergic neurons in vivo. Neuron. 1995;15(6):1465–73.CrossRefPubMed
21.
go back to reference Blesch A, Tuszynski MH. Cellular GDNF delivery promotes growth of motor and dorsal column sensory axons after partial and complete spinal cord transections and induces remyelination. J Comp Neurol. 2003;467(3):403–17.CrossRefPubMed Blesch A, Tuszynski MH. Cellular GDNF delivery promotes growth of motor and dorsal column sensory axons after partial and complete spinal cord transections and induces remyelination. J Comp Neurol. 2003;467(3):403–17.CrossRefPubMed
22.
go back to reference Ziv-Polat O, Shahar A, Levy I, et al. The role of neurotrophic factors conjugated to iron oxide nanoparticles in peripheral nerve regeneration: in vitro studies. Biomed Res Int. 2014;2014:267808.CrossRefPubMedPubMedCentral Ziv-Polat O, Shahar A, Levy I, et al. The role of neurotrophic factors conjugated to iron oxide nanoparticles in peripheral nerve regeneration: in vitro studies. Biomed Res Int. 2014;2014:267808.CrossRefPubMedPubMedCentral
23.
go back to reference Wu WP, Xu XJ, Hao JX. Chronic lumbar catheterization of the spinal subarachnoid space in mice. J Neurosci Methods. 2004;133(1–2):65–9.CrossRefPubMed Wu WP, Xu XJ, Hao JX. Chronic lumbar catheterization of the spinal subarachnoid space in mice. J Neurosci Methods. 2004;133(1–2):65–9.CrossRefPubMed
24.
go back to reference Bai L, Zhai C, Han K, et al. Toll-like receptor 4-mediated nuclear factor-κB activation in spinal cord contributes to chronic morphine-induced analgesic tolerance and hyperalgesia in rats. Neurosci Bull. 2014;30(6):936–48.CrossRefPubMedPubMedCentral Bai L, Zhai C, Han K, et al. Toll-like receptor 4-mediated nuclear factor-κB activation in spinal cord contributes to chronic morphine-induced analgesic tolerance and hyperalgesia in rats. Neurosci Bull. 2014;30(6):936–48.CrossRefPubMedPubMedCentral
25.
go back to reference Osuchowski MF, Teener J, Remick D. Noninvasive model of sciatic nerve conduction in healthy and septic mice: reliability and normative data. Muscle Nerve. 2009;40(4):610–6.CrossRefPubMedPubMedCentral Osuchowski MF, Teener J, Remick D. Noninvasive model of sciatic nerve conduction in healthy and septic mice: reliability and normative data. Muscle Nerve. 2009;40(4):610–6.CrossRefPubMedPubMedCentral
26.
go back to reference Van den Bergh PY, Piéret F. Electrodiagnostic criteria for acute and chronic inflammatory demyelinating polyradiculoneuropathy. Muscle Nerve. 2004;29(4):565–74.CrossRefPubMed Van den Bergh PY, Piéret F. Electrodiagnostic criteria for acute and chronic inflammatory demyelinating polyradiculoneuropathy. Muscle Nerve. 2004;29(4):565–74.CrossRefPubMed
27.
go back to reference Schütze S, Ribes S, Kaufmann A, Manig A, Scheffel J, Redlich S, Bunkowski S, Hanisch UK, Brück W, Nau R. Higher mortality and impaired elimination of bacteria in aged mice after intracerebral infection with E. Coli are associated with an age-related decline of microglia and macrophage functions. Oncotarget. 2014;5:12573–92.CrossRefPubMedPubMedCentral Schütze S, Ribes S, Kaufmann A, Manig A, Scheffel J, Redlich S, Bunkowski S, Hanisch UK, Brück W, Nau R. Higher mortality and impaired elimination of bacteria in aged mice after intracerebral infection with E. Coli are associated with an age-related decline of microglia and macrophage functions. Oncotarget. 2014;5:12573–92.CrossRefPubMedPubMedCentral
28.
go back to reference Franceschi C, Capri M, Monti D, et al. Inflammaging and anti-inflammaging: a systemic perspective on aging and longevity emerged from studies in humans. Mech Ageing Dev. 2007;128(1):92–105.CrossRefPubMed Franceschi C, Capri M, Monti D, et al. Inflammaging and anti-inflammaging: a systemic perspective on aging and longevity emerged from studies in humans. Mech Ageing Dev. 2007;128(1):92–105.CrossRefPubMed
29.
go back to reference Jurgens HA, Johnson RW. Dysregulated neuronal-microglial cross-talk during aging, stress and inflammation. Exp Neurol. 2012;233(1):40–8.CrossRefPubMed Jurgens HA, Johnson RW. Dysregulated neuronal-microglial cross-talk during aging, stress and inflammation. Exp Neurol. 2012;233(1):40–8.CrossRefPubMed
30.
go back to reference Xie F, Zhang JC, Fu H, Chen J. Age-related decline of myelin proteins is highly correlated with activation of astrocytes and microglia in the rat CNS. Int J Mol Med. 2013;32(5):1021–8.CrossRefPubMed Xie F, Zhang JC, Fu H, Chen J. Age-related decline of myelin proteins is highly correlated with activation of astrocytes and microglia in the rat CNS. Int J Mol Med. 2013;32(5):1021–8.CrossRefPubMed
31.
go back to reference Safaiyan S, Kannaiyan N, Snaidero N, et al. Age-related myelin degradation burdens the clearance function of microglia during aging. Nat Neurosci. 2016;19(8):995–8.CrossRefPubMed Safaiyan S, Kannaiyan N, Snaidero N, et al. Age-related myelin degradation burdens the clearance function of microglia during aging. Nat Neurosci. 2016;19(8):995–8.CrossRefPubMed
32.
go back to reference Niraula A, Sheridan JF, Godbout JP. Microglia priming with aging and stress. Neuropsychopharmacology. 2017;42:318–33.CrossRefPubMed Niraula A, Sheridan JF, Godbout JP. Microglia priming with aging and stress. Neuropsychopharmacology. 2017;42:318–33.CrossRefPubMed
33.
go back to reference Galbavy W, Kaczocha M, Puopolo M, Liu L, Rebecchi MJ. Neuroimmune and neuropathic responses of spinal cord and dorsal root ganglia in middle age. PLoS One. 2015;10(8):e0134394.CrossRefPubMedPubMedCentral Galbavy W, Kaczocha M, Puopolo M, Liu L, Rebecchi MJ. Neuroimmune and neuropathic responses of spinal cord and dorsal root ganglia in middle age. PLoS One. 2015;10(8):e0134394.CrossRefPubMedPubMedCentral
34.
go back to reference Sierra A, Gottfried-Blackmore AC, McEwen BS, Bulloch K. Microglia derived from aging mice exhibit an altered inflammatory profile. Glia. 2007;55(4):412–24.CrossRefPubMed Sierra A, Gottfried-Blackmore AC, McEwen BS, Bulloch K. Microglia derived from aging mice exhibit an altered inflammatory profile. Glia. 2007;55(4):412–24.CrossRefPubMed
35.
go back to reference Nagano M, Suzuki H. Quantitative analyses of expression of GDNF and neurotrophins during postnatal development in rat skeletal muscles. Neurosci Res. 2003;45(4):391–9.CrossRefPubMed Nagano M, Suzuki H. Quantitative analyses of expression of GDNF and neurotrophins during postnatal development in rat skeletal muscles. Neurosci Res. 2003;45(4):391–9.CrossRefPubMed
36.
go back to reference Ikeda T, Koo H, Xia YX, Ikenoue T, Choi BH. Bimodal upregulation of glial cell line-derived neurotrophic factor (GDNF) in the neonatal rat brain following ischemic/hypoxic injury. Int J Dev Neurosci. 2002;20(7):555–62.CrossRefPubMed Ikeda T, Koo H, Xia YX, Ikenoue T, Choi BH. Bimodal upregulation of glial cell line-derived neurotrophic factor (GDNF) in the neonatal rat brain following ischemic/hypoxic injury. Int J Dev Neurosci. 2002;20(7):555–62.CrossRefPubMed
37.
go back to reference Hashimoto M, Nitta A, Fukumitsu H, Nomoto H, Shen L, Furukawa S. Involvement of glial cell line-derived neurotrophic factor in activation processes of rodent macrophages. J Neurosci Res. 2005;79(4):476–87.CrossRefPubMed Hashimoto M, Nitta A, Fukumitsu H, Nomoto H, Shen L, Furukawa S. Involvement of glial cell line-derived neurotrophic factor in activation processes of rodent macrophages. J Neurosci Res. 2005;79(4):476–87.CrossRefPubMed
38.
go back to reference Chandel NS, Trzyna WC, McClintock DS, Schumacker PT. Role of oxidants in NF-kappa B activation and TNF-alpha gene transcription induced by hypoxia and endotoxin. J Immunol. 2000;165(2):1013–21.CrossRefPubMed Chandel NS, Trzyna WC, McClintock DS, Schumacker PT. Role of oxidants in NF-kappa B activation and TNF-alpha gene transcription induced by hypoxia and endotoxin. J Immunol. 2000;165(2):1013–21.CrossRefPubMed
39.
go back to reference Suh SJ, Chung TW, Son MJ, et al. The naturally occurring biflavonoid, ochnaflavone, inhibits LPS-induced iNOS expression, which is mediated by ERK1/2 via NF-kappaB regulation, in RAW264.7 cells. Arch Biochem Biophys. 2006;447(2):136–46.CrossRefPubMed Suh SJ, Chung TW, Son MJ, et al. The naturally occurring biflavonoid, ochnaflavone, inhibits LPS-induced iNOS expression, which is mediated by ERK1/2 via NF-kappaB regulation, in RAW264.7 cells. Arch Biochem Biophys. 2006;447(2):136–46.CrossRefPubMed
40.
go back to reference Tsutsumi K, Yamashita Y, Ushio S, et al. Oxaliplatin induces hypomyelination and reduced neuregulin 1 expression in the rat sciatic nerve. Neurosci Res. 2014;80:86–90.CrossRefPubMed Tsutsumi K, Yamashita Y, Ushio S, et al. Oxaliplatin induces hypomyelination and reduced neuregulin 1 expression in the rat sciatic nerve. Neurosci Res. 2014;80:86–90.CrossRefPubMed
41.
go back to reference Fromm L, Rhode M. Neuregulin-1 induces expression of Egr-1 and activates acetylcholine receptor transcription through an Egr-1-binding site. J Mol Biol. 2004;339(3):483–94.CrossRefPubMed Fromm L, Rhode M. Neuregulin-1 induces expression of Egr-1 and activates acetylcholine receptor transcription through an Egr-1-binding site. J Mol Biol. 2004;339(3):483–94.CrossRefPubMed
42.
go back to reference Kim HG, Lee CK, Cho SM, et al. Neuregulin 1 up-regulates the expression of nicotinic acetylcholine receptors through the ErbB2/ErbB3-PI3K-MAPK signaling cascade in adult autonomic ganglion neurons. J Neurochem. 2013;124(4):502–13.CrossRefPubMed Kim HG, Lee CK, Cho SM, et al. Neuregulin 1 up-regulates the expression of nicotinic acetylcholine receptors through the ErbB2/ErbB3-PI3K-MAPK signaling cascade in adult autonomic ganglion neurons. J Neurochem. 2013;124(4):502–13.CrossRefPubMed
43.
go back to reference Boscia F, Esposito CL, Di CA, de Franciscis V, Annunziato L, Cerchia L. GDNF selectively induces microglial activation and neuronal survival in CA1/CA3 hippocampal regions exposed to NMDA insult through ret/ERK signalling. PLoS One. 2009;4:e6486.CrossRefPubMedPubMedCentral Boscia F, Esposito CL, Di CA, de Franciscis V, Annunziato L, Cerchia L. GDNF selectively induces microglial activation and neuronal survival in CA1/CA3 hippocampal regions exposed to NMDA insult through ret/ERK signalling. PLoS One. 2009;4:e6486.CrossRefPubMedPubMedCentral
44.
go back to reference Wang X, Min S, Xie F, Yang J, Li L, Chen J. Glial cell-derived neurotrophic factor alleviates sepsis-induced neuromuscular dysfunction by decreasing the expression of γ- and α7-nicotinic acetylcholine receptors in an experimental rat model of neuromyopathy. Biochem Biophys Res Commun. 2018;496:260–6.CrossRefPubMed Wang X, Min S, Xie F, Yang J, Li L, Chen J. Glial cell-derived neurotrophic factor alleviates sepsis-induced neuromuscular dysfunction by decreasing the expression of γ- and α7-nicotinic acetylcholine receptors in an experimental rat model of neuromyopathy. Biochem Biophys Res Commun. 2018;496:260–6.CrossRefPubMed
45.
go back to reference Kimura M, Sakai A, Sakamoto A, Suzuki H. Glial cell line-derived neurotrophic factor-mediated enhancement of noradrenergic descending inhibition in the locus coeruleus exerts prolonged analgesia in neuropathic pain. Br J Pharmacol. 2015;172:2469–78.CrossRefPubMedPubMedCentral Kimura M, Sakai A, Sakamoto A, Suzuki H. Glial cell line-derived neurotrophic factor-mediated enhancement of noradrenergic descending inhibition in the locus coeruleus exerts prolonged analgesia in neuropathic pain. Br J Pharmacol. 2015;172:2469–78.CrossRefPubMedPubMedCentral
46.
go back to reference Crain JM, Nikodemova M, Watters JJ. Microglia express distinct M1 and M2 phenotypic markers in the postnatal and adult central nervous system in male and female mice. J Neurosci Res. 2013;91:1143–51.CrossRefPubMedPubMedCentral Crain JM, Nikodemova M, Watters JJ. Microglia express distinct M1 and M2 phenotypic markers in the postnatal and adult central nervous system in male and female mice. J Neurosci Res. 2013;91:1143–51.CrossRefPubMedPubMedCentral
47.
go back to reference Brown CM, Xu Q, Okhubo N, Vitek MP, Colton CA. Androgen-mediated immune function is altered by the apolipoprotein E gene. Endocrinology. 2007;148:3383–90.CrossRefPubMed Brown CM, Xu Q, Okhubo N, Vitek MP, Colton CA. Androgen-mediated immune function is altered by the apolipoprotein E gene. Endocrinology. 2007;148:3383–90.CrossRefPubMed
48.
go back to reference Vignozzi L, Morelli A, Sarchielli E, Comeglio P, Filippi S, Cellai I, Maneschi E, Serni S, Gacci M, Carini M, et al. Testosterone protects from metabolic syndrome-associated prostate inflammation: an experimental study in rabbit. J Endocrinol. 2012;212:71–84.CrossRefPubMed Vignozzi L, Morelli A, Sarchielli E, Comeglio P, Filippi S, Cellai I, Maneschi E, Serni S, Gacci M, Carini M, et al. Testosterone protects from metabolic syndrome-associated prostate inflammation: an experimental study in rabbit. J Endocrinol. 2012;212:71–84.CrossRefPubMed
Metadata
Title
Glial cell line-derived neurotrophic factor (GDNF) attenuates the peripheral neuromuscular dysfunction without inhibiting the activation of spinal microglia/monocyte
Authors
Fei Xie
Fan Zhang
Su Min
Jingyuan Chen
Jun Yang
Xin Wang
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2018
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-018-0796-1

Other articles of this Issue 1/2018

BMC Geriatrics 1/2018 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.