Globally, pre-eclampsia contributes to 70,000 maternal deaths and 500,000 stillbirths every year. Current treatments are inadequate and babies delivered prematurely due to preeclampsia occupy 1 in 5 neonatal cots in the UK. Improved treatment strategies for pre-eclampsia are urgently needed.
In pre-eclampsia, constriction of maternal small arteries drives hypertension and multiorgan ischaemia. Our previous work suggests large-conductance calcium-activated potassium channels (BKCa) play an important role in relaxing maternal arteries during pregnancy.1 Crucially, the ability of BKCa to relax arteries is preserved in pre-eclampsia, suggesting BKCa may offer a new strategy for treating vascular dysfunction in pre-eclampsia and improving pregnancy outcomes.1
Outside of pregnancy, several BKCa activators have been investigated for their potential clinical antihypertensive effects. Human beta-defensin 2 (HBD-2), an endogenous antimicrobial peptide produced in the epithelium, and Neolignan-1, a plant-derived phenol, are naturally-occurring BKCa activators which cause relaxation in isolated arteries and decrease blood pressure in primate or rat models,2,3 yet neither have been investigated in pregnancy.
This 3-year PhD project will investigate the use of BKCa activators (such as HBD-2 and Neolignan-1) as potential new treatments for maternal vascular features of pre-eclampsia. Experimental work will assess the expression of BKCa channel subtypes (IHC/PCR) and the functional effects of BKCa activators in intact arteries obtained from women with normal pregnancy and those with pre-eclampsia. Subsequently, the ability of HBD-2 and/or Neolignan-1 to reduce blood pressure and improve pregnancy outcomes in an animal model of hypertensive pregnancy will be determined.
This project will provide pre-clinical evidence regarding the suitability of treating vascular dysfunction in pre-eclampsia with BKCa activators. Positive findings from this study would lead to further investigations of the safety of BKCa activators in pregnancy prior to conducting a human clinical trial of their use.
https://www.braininflamelab.org
Entry Requirements:
Applicants are expected to hold (or about to obtain) a minimum upper second class undergraduate honours degree (or equivalent) in a biology-related discipline. A Master’s degree in a relevant subject and experience in Cardiovascular or Reproductive Sciences are desirable.
For information on how to apply for this project, please visit the Faculty of Biology, Medicine and Health Doctoral Academy website (https://www.bmh.manchester.ac.uk/study/research/apply/). Informal enquiries may be made directly to the primary supervisor. You MUST also submit an online application form - choose PhD Cardiovascular Sciences.
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