Skip to main content
Top
Published in: Journal of Inflammation 1/2014

Open Access 01-12-2014 | Research

Lipopolysaccharide responsiveness in vocal fold fibroblasts

Authors: Suzanne N King, Craig M Berchtold, Susan L Thibeault

Published in: Journal of Inflammation | Issue 1/2014

Login to get access

Abstract

Background

Vocal fold fibroblast’s (VFF) strategic location in the lamina propria and their ability to respond to external stimuli by producing inflammatory molecules suggest their possible direct involvement in innate immunity. Toll-like receptors (TLRs) are an essential signaling component to this response, as they allow for recognition of various microorganisms, leading to subsequent induction of pro-inflammatory genes. The objective of this study was to elucidate the role of VFF in the host immune response and subsequent influence on inflammatory cytokine secretion.

Methods

VFF derived from polyp, scar, and normal tissue were treated with 5 μg/ml lipopolysaccharide (LPS). TLR1 through 9, CD14, and MD-2 were measured during stable conditions by polymerase chain reaction (PCR). Expression of TLR4 and IL-1R type-1 genes were quantified after 24 hrs LPS stimulation by reverse transcription-PCR. LPS responsiveness was determined by NF-κB nuclear translocation as measured by subunit p65 expression in nucleus with immunocytochemistry. Downstream effects were confirmed with immunoassay measuring IL-8 concentrations in supernatant after 8 hrs.

Results

All VFFs constitutively expressed TLR1 to 6, TLR9, CD14, and MD-2 mRNA. Polyp VFF exhibited significantly higher TLR4 transcript levels (p < 0.001) in comparison to scar and normal VFF. LPS stimulated scar and polyp VFF exhibited increased levels of p65 in the nucleus (p < 0.01) and secreted greater IL-8 protein (p < 0.0001) compared to normal VFF.

Conclusion

VFF constitutively express genes for the receptors essential to the host immune response. Scar and polyp VFF produced greater LPS responsiveness resulting in over-activated inflammatory patterns. These findings support VFF role in the pathogenesis of inflammatory vocal fold disorders and suggests their presence in the wound bed could lead to chronic inflammation.
Appendix
Available only for authorised users
Literature
1.
go back to reference Fang TJ, Lee LA, Li HY, Yang C, Huang CG: Helicobacter pylori colonization in the larynges of patients with hoarseness. Laryngoscope. 2008, 118: 389-393. 10.1097/MLG.0b013e31815d8e2d.PubMedCrossRef Fang TJ, Lee LA, Li HY, Yang C, Huang CG: Helicobacter pylori colonization in the larynges of patients with hoarseness. Laryngoscope. 2008, 118: 389-393. 10.1097/MLG.0b013e31815d8e2d.PubMedCrossRef
2.
go back to reference Rubin JS, Benjamin E, Prior A, Lavy J, Ratcliffe P: The prevalence of Helicobacter pylori infection in benign laryngeal disorders. J Voice. 2002, 16: 87-91. 10.1016/S0892-1997(02)00076-0.PubMedCrossRef Rubin JS, Benjamin E, Prior A, Lavy J, Ratcliffe P: The prevalence of Helicobacter pylori infection in benign laryngeal disorders. J Voice. 2002, 16: 87-91. 10.1016/S0892-1997(02)00076-0.PubMedCrossRef
3.
go back to reference Borkowski G, Sudhoff H, Koslowski F, Hackstedt G, Radü HJ, Luckhaupt H: A possible role of Helicobacter pylori infection in the etiology of chronic laryngitis. Eur Arch Otorhinolaryngol. 1997, 254: 481-482. 10.1007/BF02439987.PubMedCrossRef Borkowski G, Sudhoff H, Koslowski F, Hackstedt G, Radü HJ, Luckhaupt H: A possible role of Helicobacter pylori infection in the etiology of chronic laryngitis. Eur Arch Otorhinolaryngol. 1997, 254: 481-482. 10.1007/BF02439987.PubMedCrossRef
4.
go back to reference Buckley CD, Pilling D, Lord JM, Akbar AN, Scheel-Toellner D, Salmon M: Fibroblasts regulate the switch from acute resolving to chronic persistent inflammation. Trends Immunol. 2001, 22: 199-204. 10.1016/S1471-4906(01)01863-4.PubMedCrossRef Buckley CD, Pilling D, Lord JM, Akbar AN, Scheel-Toellner D, Salmon M: Fibroblasts regulate the switch from acute resolving to chronic persistent inflammation. Trends Immunol. 2001, 22: 199-204. 10.1016/S1471-4906(01)01863-4.PubMedCrossRef
5.
go back to reference Catten M, Gray SD, Hammond TH, Zhou R, Hammond E: Analysis of cellular location and concentration in vocal fold lamina propria. Otolaryngol Head Neck Surg. 1998, 118: 663-667.PubMed Catten M, Gray SD, Hammond TH, Zhou R, Hammond E: Analysis of cellular location and concentration in vocal fold lamina propria. Otolaryngol Head Neck Surg. 1998, 118: 663-667.PubMed
6.
go back to reference Chen X, Thibeault SL: Characteristics of age-related changes in cultured human vocal fold fibroblasts. Laryngoscope. 2008, 118: 1700-1704. 10.1097/MLG.0b013e31817aec6c.PubMedPubMedCentralCrossRef Chen X, Thibeault SL: Characteristics of age-related changes in cultured human vocal fold fibroblasts. Laryngoscope. 2008, 118: 1700-1704. 10.1097/MLG.0b013e31817aec6c.PubMedPubMedCentralCrossRef
7.
go back to reference Chen X, Thibeault SL: Novel isolation and biochemical characterization of immortalized fibroblasts for tissue engineering vocal fold lamina propria. Tissue Eng Part C Methods. 2009, 15: 201-212. 10.1089/ten.tec.2008.0390.PubMedPubMedCentralCrossRef Chen X, Thibeault SL: Novel isolation and biochemical characterization of immortalized fibroblasts for tissue engineering vocal fold lamina propria. Tissue Eng Part C Methods. 2009, 15: 201-212. 10.1089/ten.tec.2008.0390.PubMedPubMedCentralCrossRef
8.
go back to reference King SN, Chen F, Jetté ME, Thibeault SL: Vocal fold fibroblasts immunoregulate activated macrophage phenotype. Cytokine. 2013, 61: 228-236. 10.1016/j.cyto.2012.09.023.PubMedPubMedCentralCrossRef King SN, Chen F, Jetté ME, Thibeault SL: Vocal fold fibroblasts immunoregulate activated macrophage phenotype. Cytokine. 2013, 61: 228-236. 10.1016/j.cyto.2012.09.023.PubMedPubMedCentralCrossRef
9.
go back to reference Takeda K, Kaisho T, Akira S: Toll-Like Receptors. Annu Rev Immunol. 2003, 21: 335-376. 10.1146/annurev.immunol.21.120601.141126.PubMedCrossRef Takeda K, Kaisho T, Akira S: Toll-Like Receptors. Annu Rev Immunol. 2003, 21: 335-376. 10.1146/annurev.immunol.21.120601.141126.PubMedCrossRef
10.
go back to reference Fitzner N, Clauberg S, Essmann F, Liebmann J, Kolb-Bachofen V: Human skin endothelial cells can express all 10 TLR genes and respond to respective ligands. Clin Vaccine Immunol. 2008, 15: 138-146. 10.1128/CVI.00257-07.PubMedPubMedCentralCrossRef Fitzner N, Clauberg S, Essmann F, Liebmann J, Kolb-Bachofen V: Human skin endothelial cells can express all 10 TLR genes and respond to respective ligands. Clin Vaccine Immunol. 2008, 15: 138-146. 10.1128/CVI.00257-07.PubMedPubMedCentralCrossRef
11.
go back to reference Otte JM, Rosenberg IM, Podolsky DK: Intestinal myofibroblasts in innate immune responses of the intestine. Gastroenterology. 2003, 124: 1866-1878. 10.1016/S0016-5085(03)00403-7.PubMedCrossRef Otte JM, Rosenberg IM, Podolsky DK: Intestinal myofibroblasts in innate immune responses of the intestine. Gastroenterology. 2003, 124: 1866-1878. 10.1016/S0016-5085(03)00403-7.PubMedCrossRef
12.
go back to reference Wang J, Hori K, Ding J, Huang Y, Kwan P, Ladak A, Tredget EE: Toll-like receptors expressed by dermal fibroblasts contribute to hypertrophic scarring. J Cell Physiol. 2011, 226: 1265-1273. 10.1002/jcp.22454.PubMedCrossRef Wang J, Hori K, Ding J, Huang Y, Kwan P, Ladak A, Tredget EE: Toll-like receptors expressed by dermal fibroblasts contribute to hypertrophic scarring. J Cell Physiol. 2011, 226: 1265-1273. 10.1002/jcp.22454.PubMedCrossRef
13.
go back to reference Shimazu R, Akashi S, Ogata H, Nagai Y, Fukudome K, Miyake K, Kimoto M: MD-2, a molecule that confers lipopolysaccharide responsiveness on Toll-like receptor 4. J Exp Med. 1999, 189: 1777-1782. 10.1084/jem.189.11.1777.PubMedPubMedCentralCrossRef Shimazu R, Akashi S, Ogata H, Nagai Y, Fukudome K, Miyake K, Kimoto M: MD-2, a molecule that confers lipopolysaccharide responsiveness on Toll-like receptor 4. J Exp Med. 1999, 189: 1777-1782. 10.1084/jem.189.11.1777.PubMedPubMedCentralCrossRef
14.
go back to reference Thibeault SL, Li W, Bartley S: A method for identification of vocal fold lamina propria fibroblasts in culture. Otolaryngol Head Neck Surg. 2008, 139: 816-822. 10.1016/j.otohns.2008.09.009.PubMedPubMedCentralCrossRef Thibeault SL, Li W, Bartley S: A method for identification of vocal fold lamina propria fibroblasts in culture. Otolaryngol Head Neck Surg. 2008, 139: 816-822. 10.1016/j.otohns.2008.09.009.PubMedPubMedCentralCrossRef
15.
go back to reference Jette ME, Hayer SD, Thibeault SL: Characterization of human vocal fold fibroblasts derived from chronic scar. Laryngoscope. 2013, 123: 738-745. 10.1002/lary.23681.PubMedPubMedCentralCrossRef Jette ME, Hayer SD, Thibeault SL: Characterization of human vocal fold fibroblasts derived from chronic scar. Laryngoscope. 2013, 123: 738-745. 10.1002/lary.23681.PubMedPubMedCentralCrossRef
16.
go back to reference King SN, Hanson SE, Chen X, Kim J, Hematti P, Thibeault SL: In vitro characterization of macrophage interaction with mesenchymal stromal cell - hyaluronan hydrogel constructs.J Biomed Mater Res A 2013, 102:890-902, King SN, Hanson SE, Chen X, Kim J, Hematti P, Thibeault SL: In vitro characterization of macrophage interaction with mesenchymal stromal cell - hyaluronan hydrogel constructs.J Biomed Mater Res A 2013, 102:890-902,
17.
go back to reference Bird TA, Schooley K, Dower SK, Hagen H, Virca GD: Activation of nuclear transcription factor NF-kappaB by interleukin-1 is accompanied by casein kinase II-mediated phosphorylation of the p65 subunit. J Biol Chem. 1997, 272: 32606-32612. 10.1074/jbc.272.51.32606.PubMedCrossRef Bird TA, Schooley K, Dower SK, Hagen H, Virca GD: Activation of nuclear transcription factor NF-kappaB by interleukin-1 is accompanied by casein kinase II-mediated phosphorylation of the p65 subunit. J Biol Chem. 1997, 272: 32606-32612. 10.1074/jbc.272.51.32606.PubMedCrossRef
18.
go back to reference Huang TT, Wuerzberger-Davis SM, Wu ZH, Miyamoto S: Sequential modification of NEMO/IKKgamma by SUMO-1 and ubiquitin mediates NF-kappaB activation by genotoxic stress. Cell. 2003, 115: 565-576. 10.1016/S0092-8674(03)00895-X.PubMedCrossRef Huang TT, Wuerzberger-Davis SM, Wu ZH, Miyamoto S: Sequential modification of NEMO/IKKgamma by SUMO-1 and ubiquitin mediates NF-kappaB activation by genotoxic stress. Cell. 2003, 115: 565-576. 10.1016/S0092-8674(03)00895-X.PubMedCrossRef
19.
go back to reference Schmitz ML, Baeuerle PA: The p65 subunit is responsible for the strong transcription activating potential of NF-kappa B. Embo J. 1991, 10: 3805-3817.PubMedPubMedCentral Schmitz ML, Baeuerle PA: The p65 subunit is responsible for the strong transcription activating potential of NF-kappa B. Embo J. 1991, 10: 3805-3817.PubMedPubMedCentral
20.
21.
go back to reference Covert MW, Leung TH, Gaston JE, Baltimore D: Achieving stability of lipopolysaccharide-induced NF-kappaB activation. Science. 2005, 309: 1854-1857. 10.1126/science.1112304.PubMedCrossRef Covert MW, Leung TH, Gaston JE, Baltimore D: Achieving stability of lipopolysaccharide-induced NF-kappaB activation. Science. 2005, 309: 1854-1857. 10.1126/science.1112304.PubMedCrossRef
22.
go back to reference Andreakos E, Sacre SM, Smith C, Lundberg A, Kiriakidis S, Stonehouse T, Monaco C, Feldmann M, Foxwell BM: Distinct pathways of LPS-induced NF-kappa B activation and cytokine production in human myeloid and nonmyeloid cells defined by selective utilization of MyD88 and Mal/TIRAP. Blood. 2004, 103: 2229-2237. 10.1182/blood-2003-04-1356.PubMedCrossRef Andreakos E, Sacre SM, Smith C, Lundberg A, Kiriakidis S, Stonehouse T, Monaco C, Feldmann M, Foxwell BM: Distinct pathways of LPS-induced NF-kappa B activation and cytokine production in human myeloid and nonmyeloid cells defined by selective utilization of MyD88 and Mal/TIRAP. Blood. 2004, 103: 2229-2237. 10.1182/blood-2003-04-1356.PubMedCrossRef
24.
25.
go back to reference Sivasankar M, Erickson E, Rosenblatt M, Branski RC: Hypertonic challenge to porcine vocal folds: effects on epithelial barrier function. Otolaryngol Head Neck Surg. 2010, 142: 79-84. 10.1016/j.otohns.2009.09.011.PubMedPubMedCentralCrossRef Sivasankar M, Erickson E, Rosenblatt M, Branski RC: Hypertonic challenge to porcine vocal folds: effects on epithelial barrier function. Otolaryngol Head Neck Surg. 2010, 142: 79-84. 10.1016/j.otohns.2009.09.011.PubMedPubMedCentralCrossRef
26.
go back to reference Kojima T, Van Deusen M, Jerome WG, Garrett CG, Sivasankar MP, Novaleski CK, Rousseau B: Quantification of acute vocal fold epithelial surface damage with increasing time and magnitude doses of vibration exposure. PLoS One. 2014, 9: e91615-10.1371/journal.pone.0091615.PubMedPubMedCentralCrossRef Kojima T, Van Deusen M, Jerome WG, Garrett CG, Sivasankar MP, Novaleski CK, Rousseau B: Quantification of acute vocal fold epithelial surface damage with increasing time and magnitude doses of vibration exposure. PLoS One. 2014, 9: e91615-10.1371/journal.pone.0091615.PubMedPubMedCentralCrossRef
27.
go back to reference Fukui A, Ohta K, Nishi H, Shigeishi H, Tobiume K, Takechi M, Kamata N: Interleukin-8 and CXCL10 expression in oral keratinocytes and fibroblasts via Toll-like receptors. Microbiol Immunol. 2013, 57: 198-206. 10.1111/1348-0421.12022.PubMedCrossRef Fukui A, Ohta K, Nishi H, Shigeishi H, Tobiume K, Takechi M, Kamata N: Interleukin-8 and CXCL10 expression in oral keratinocytes and fibroblasts via Toll-like receptors. Microbiol Immunol. 2013, 57: 198-206. 10.1111/1348-0421.12022.PubMedCrossRef
28.
go back to reference Walton KL, Holt L, Sartor RB: Lipopolysaccharide activates innate immune responses in murine intestinal myofibroblasts through multiple signaling pathways. Am J Physiol Gastrointest Liver Physiol. 2009, 296: G601-G611. 10.1152/ajpgi.00022.2008.PubMedPubMedCentralCrossRef Walton KL, Holt L, Sartor RB: Lipopolysaccharide activates innate immune responses in murine intestinal myofibroblasts through multiple signaling pathways. Am J Physiol Gastrointest Liver Physiol. 2009, 296: G601-G611. 10.1152/ajpgi.00022.2008.PubMedPubMedCentralCrossRef
29.
go back to reference Zarember KA, Godowski PJ: Tissue expression of human Toll-like receptors and differential regulation of Toll-like receptor mRNAs in leukocytes in response to microbes, their products, and cytokines. J Immunol (Baltimore, Md: 1950). 2002, 168: 554-561. 10.4049/jimmunol.168.2.554.CrossRef Zarember KA, Godowski PJ: Tissue expression of human Toll-like receptors and differential regulation of Toll-like receptor mRNAs in leukocytes in response to microbes, their products, and cytokines. J Immunol (Baltimore, Md: 1950). 2002, 168: 554-561. 10.4049/jimmunol.168.2.554.CrossRef
30.
go back to reference Visintin A, Mazzoni A, Spitzer JH, Wyllie DH, Dower SK, Segal DM: Regulation of toll-like receptors in human monocytes and dendritic cells. J Immunol. 2001, 166: 249-255. 10.4049/jimmunol.166.1.249.PubMedCrossRef Visintin A, Mazzoni A, Spitzer JH, Wyllie DH, Dower SK, Segal DM: Regulation of toll-like receptors in human monocytes and dendritic cells. J Immunol. 2001, 166: 249-255. 10.4049/jimmunol.166.1.249.PubMedCrossRef
31.
go back to reference Courey MS, Shohet JA, Scott MA, Ossoff RH: Immunohistochemical characterization of benign laryngeal lesions. Ann Otol Rhinol Laryngol. 1996, 105: 525-531. 10.1177/000348949610500706.PubMedCrossRef Courey MS, Shohet JA, Scott MA, Ossoff RH: Immunohistochemical characterization of benign laryngeal lesions. Ann Otol Rhinol Laryngol. 1996, 105: 525-531. 10.1177/000348949610500706.PubMedCrossRef
32.
go back to reference Fang R, Jiang JJ, Smith BL, Wu D: Expression of hypoxia inducible factor-1α and vascular endothelia growth factor in vocal polyps. Laryngoscope. 2013, 123: 2184-2188. 10.1002/lary.23743.PubMedCrossRef Fang R, Jiang JJ, Smith BL, Wu D: Expression of hypoxia inducible factor-1α and vascular endothelia growth factor in vocal polyps. Laryngoscope. 2013, 123: 2184-2188. 10.1002/lary.23743.PubMedCrossRef
33.
go back to reference Karahan N, Baspinar S, Yariktas M, Kapucuoglu N: Matrix Metalloproteinases (MMP-2 and MMP-9) and cyclooxygenase-2 (COX-2) expressions in vocal fold polyps. J Voice. 2009, 23: 29-33. 10.1016/j.jvoice.2007.05.005.PubMedCrossRef Karahan N, Baspinar S, Yariktas M, Kapucuoglu N: Matrix Metalloproteinases (MMP-2 and MMP-9) and cyclooxygenase-2 (COX-2) expressions in vocal fold polyps. J Voice. 2009, 23: 29-33. 10.1016/j.jvoice.2007.05.005.PubMedCrossRef
34.
go back to reference Kotby MN, Nassar AM, Seif EI, Helal EH, Saleh MM: Ultrastructural features of vocal fold nodules and polyps. Acta Otolaryngol. 1988, 105: 477-482. 10.3109/00016488809119505.PubMedCrossRef Kotby MN, Nassar AM, Seif EI, Helal EH, Saleh MM: Ultrastructural features of vocal fold nodules and polyps. Acta Otolaryngol. 1988, 105: 477-482. 10.3109/00016488809119505.PubMedCrossRef
35.
go back to reference Dikkers FG, Nikkels PG: Benign lesions of the vocal folds: histopathology and phonotrauma. Ann Otol Rhinol Laryngol. 1995, 104: 698-703. 10.1177/000348949510400905.PubMedCrossRef Dikkers FG, Nikkels PG: Benign lesions of the vocal folds: histopathology and phonotrauma. Ann Otol Rhinol Laryngol. 1995, 104: 698-703. 10.1177/000348949510400905.PubMedCrossRef
36.
go back to reference Duflo SM, Thibeault SL, Li W, Smith ME, Schade G, Hess MM: Differential gene expression profiling of vocal fold polyps and Reinke’s edema by complementary DNA microarray. Ann Otol Rhinol Laryngol. 2006, 115: 703-714. 10.1177/000348940611500910.PubMedCrossRef Duflo SM, Thibeault SL, Li W, Smith ME, Schade G, Hess MM: Differential gene expression profiling of vocal fold polyps and Reinke’s edema by complementary DNA microarray. Ann Otol Rhinol Laryngol. 2006, 115: 703-714. 10.1177/000348940611500910.PubMedCrossRef
37.
38.
go back to reference Gasparini C, Feldmann M: NF-κB as a target for modulating inflammatory responses. Curr Pharm Des. 2012, 18: 5735-5745. 10.2174/138161212803530763.PubMedCrossRef Gasparini C, Feldmann M: NF-κB as a target for modulating inflammatory responses. Curr Pharm Des. 2012, 18: 5735-5745. 10.2174/138161212803530763.PubMedCrossRef
39.
go back to reference Hall JE, Suehiro A, Branski RC, Garrett CG, Rousseau B: Modulation of inflammatory and profibrotic signaling in a rabbit model of acute phonotrauma using triamcinolone. Otolaryngol Head Neck Surg. 2012, 147: 302-307. 10.1177/0194599812440419.PubMedPubMedCentralCrossRef Hall JE, Suehiro A, Branski RC, Garrett CG, Rousseau B: Modulation of inflammatory and profibrotic signaling in a rabbit model of acute phonotrauma using triamcinolone. Otolaryngol Head Neck Surg. 2012, 147: 302-307. 10.1177/0194599812440419.PubMedPubMedCentralCrossRef
40.
go back to reference Jin HJ, Lee SH, Lee SU, Lee HS, Jin SM, Kim DH, Chae SW, Sohn JH: Morphological and Histological Changes of Rabbit Vocal Fold after Steroid Injection.Otolaryngol Head Neck Surg 2013, 149:277-283, Jin HJ, Lee SH, Lee SU, Lee HS, Jin SM, Kim DH, Chae SW, Sohn JH: Morphological and Histological Changes of Rabbit Vocal Fold after Steroid Injection.Otolaryngol Head Neck Surg 2013, 149:277-283,
41.
go back to reference Woo JH, Kim DY, Kim JW, Oh EA, Lee SW: Efficacy of percutaneous vocal fold injections for benign laryngeal lesions: prospective multicenter study. Acta Otolaryngol. 2011, 131: 1326-1332. 10.3109/00016489.2011.620620.PubMedCrossRef Woo JH, Kim DY, Kim JW, Oh EA, Lee SW: Efficacy of percutaneous vocal fold injections for benign laryngeal lesions: prospective multicenter study. Acta Otolaryngol. 2011, 131: 1326-1332. 10.3109/00016489.2011.620620.PubMedCrossRef
42.
go back to reference Rhen T, Cidlowski JA: Antiinflammatory action of glucocorticoids–new mechanisms for old drugs. N Engl J Med. 2005, 353: 1711-1723. 10.1056/NEJMra050541.PubMedCrossRef Rhen T, Cidlowski JA: Antiinflammatory action of glucocorticoids–new mechanisms for old drugs. N Engl J Med. 2005, 353: 1711-1723. 10.1056/NEJMra050541.PubMedCrossRef
Metadata
Title
Lipopolysaccharide responsiveness in vocal fold fibroblasts
Authors
Suzanne N King
Craig M Berchtold
Susan L Thibeault
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Journal of Inflammation / Issue 1/2014
Electronic ISSN: 1476-9255
DOI
https://doi.org/10.1186/s12950-014-0042-3

Other articles of this Issue 1/2014

Journal of Inflammation 1/2014 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 discusses last year's major advances in heart failure and cardiomyopathies.