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About Qingping Feng

Dr. Qingping Feng is a professor in the Department of Physiology and Pharmacology researching the development and mechanisms behind heart function to better understand the causes of heart failure and sepsis, among other cardiovascular diseases.

Asset Map Keywords: Cardiac Function, Heart Failure, and Animal Models --> (see more)
Children's Health Collaborators: Frank Beier, David Hill, and Tom Drysdale

Through cell and molecular biology techniques, imaging technology, and animal models, Feng's research has developed to include related diseases such as maternal diabetes and congenital heart defects.


Why Science?
I was originally trained as a medical doctor and had the privilege of helping patients in their journey to recovery. The work was interesting, but I had a passion for science and wanted to do something more innovative, which led me to pursue scientific research. I focused my Masters on heart failure and studied the effects of drugs in heart failure patients. As a trained cardiologist, I decided to continue research on the heart as I pursued my PhD in pharmacology in Sweden. I investigated the sympathetic regulation of cardiovascular and renal function in rats with experimental heart failure post myocardial infarction. Following my post-doctoral research on vascular function, I started my research lab at Victoria Research Laboratory, Lawson Health Research Institute before moving my lab here at Western. It’s extremely rewarding to discover molecular mechanisms of heart disease, identify new drug targets to treat heart failure, and to see your research go into clinical trials.

Research Goals
My overall goal is to develop a better understanding of heart function in both health and disease states. We utilize a wide range of approaches ranging from in vivo animal models to cellular and molecular biology techniques, and ultrasound imaging to study pathophysiological mechanisms of heart failure, sepsis and pathogenesis of congenital heart defects. We are currently investigating cellular and molecular mechanisms on cardiac repair after myocardial infarction, regulation of inflammatory response in sepsis, and embryonic heart development in maternal diabetes. Clinically relevant disease models and genetically altered mice are employed in our studies.  

Specific Research Interests1.  Cardiac Repair Post Myocardial Infarction
The epicardium is an outside layer of epithelial cells that cover the heart. Its major function in the adult is to reduce friction between the heart and pericardial membrane during heart contractions. Notably, during embryonic heart development, the epicardium contributes to the formation of coronary arteries and growth of heart muscle. In the adult heart, the epicardium can be activated after myocardial infarction (MI). We recently demonstrated that cardiac-specific overexpression of stem cell factor (SCF) improves cardiac function and animal survival post-MI. Ongoing studies are investigating epicardial activation, manipulation of non-coding RNA expression and store-operated calcium entry (SOCE) signaling to enhance cardiac repair/remodeling post-MI.

2.  Regulation of Inflammatory Response in Sepsis
Our work in this area of research is focused on signal transduction pathways by which inflammatory cytokines are produced in cardiomyocytes and how they contribute to cardiac dysfunction during sepsis. Annexin A5 (Anx5) is a phospholipid binding protein that binds to phosphatidylserine with a high affinity. We recently showed for the first time that recombinant human Anx5 treatment attenuates pro-inflammatory cytokine expression and improves cardiac function and animal survival in endotoxemia. Anx5 has the hallmarks of a treatment that may revolutionize the care of sepsis patients. Ongoing work in my lab is to further study the molecular and cellular mechanisms by which Anx5 inhibits pro-inflammatory response in sepsis using clinically relevant models of sepsis.

3.  Maternal Diabetes Leading to Congenital Heart Defects
Women with pre-existing diabetes (type 1 or 2) have 3-5 times higher risk of developing congenital heart defects in their offspring. My ongoing research investigates how maternal diabetes affects fetal heart development in utero and its underlying molecular mechanisms in mice. These studies may have implications in the treatment of women with maternal diabetes to prevent adverse cardiac outcomes in the offspring. We were the first to show that endothelial nitric oxide synthase (eNOS) is pivotal to normal embryonic heart development. I am currently studying the roles of eNOS dysfunction, reactive oxygen species and microRNAs in cardiac malformation induced by maternal diabetes.

Most Rewarding Moments
As a professor, I am privileged to interact with many bright students through teaching and research. It is most rewarding to see my trainees mature and grow as health professionals, scientists and professors with very successful careers. As a researcher, it’s extremely gratifying to see your research have real-life applications. We recently patented two drugs that are related to the treatment of myocardial infarction and sepsis, one of them is currently in phase I clinical trial.

Feng Lab Profile

The major goal of my research is to investigate novel pathophysiological mechanisms of heart failure at whole animal, organ, cellular and molecular levels, with applications to improve therapy and survival. Studies are focused on heart failure following myocardial infarction (MI), cardiac dysfunction during endotoxemia, and embryonic heart development during maternal diabetes. Genetically altered mice are employed to elucidate the contribution of specific molecules in the disease process.

1. Nitric Oxide and Heart Development
Endothelial nitric oxide synthase (eNOS) is expressed early during heart development (E9.5) in mice. However, its role in cardiac development is not clear. We were the first to show that eNOS is pivotal to normal heart development. Mice deficient in the eNOS gene develop congenital septal defects and heart failure, leading to a high mortality after birth. This article was published in Circulation and featured on the journal’s cover on August 13, 2002. Further to this work, we showed that eNOS is important in myocardial angiogenesis. Additionally, fetal myocardial eNOS expression promotes cardiomyocyte proliferation and maturation during heart development. Importantly, we demonstrated that the effects of eNOS on cardiomyocyte proliferation are through inhibition of TIMP-3 (tissue inhibitor of metalloproteinase-3), which decreases cardiomyocyte proliferation. These studies have increased our understanding on the important role of eNOS in normal heart. Ongoing research is to study the role of eNOS in cardiac malformation induced by maternal diabetes.

2. Role of Nitric Oxide in Heart Failure
A major research focus of my research program has been the role of nitric oxide in heart failure post-MI. When nitric oxide was discovered in the vascular endothelium about 30 years ago, it was considered solely as a vasodilator that relaxes the vascular smooth muscle. We now know that nitric oxide is also a signaling molecule that regulates functions of almost every organ during health and disease. An important contribution from my lab is the demonstration that myocardial inducible nitric oxide synthase (iNOS) expression is increased after MI and increased iNOS expression plays an important role in the development of heart failure post-MI. Our study showed for the first time that iNOS may represent a therapeutic target for the treatment of heart failure post-MI. In addition, our recent studies demonstrated that neuronal nitric oxide synthase (nNOS) protects the heart from ventricular arrhythmia post-MI via regulation of several key Ca2+ handling proteins.

3. Maternal Diabetes and Congenital Heart Defects
Diabetes is a major health problem worldwide. Women with pre-existing diabetes (type 1 or 2) have 3-5 times higher risk of developing congenital heart defects in their offspring. We have recently demonstrated that pregestational diabetes induced by streptozotocin (STZ) in mice leads to congenital heart defects including atrial and septal defects, tetralogy of Fallot, transposition of great arteries, double outlet right ventricle and hypoplastic coronary arteries in the offspring, which simulates diabetes-induced congenital heart defects in humans. Notably, treatment with N-acetylcysteine (NAC) in the diabetic mothers inhibits oxidative stress and prevents the development of congenital heart defects in the offspring. Our ongoing research is to investigate how maternal diabetes affects heart health in the offspring and its underlying molecular mechanisms in mice. Our studies may have implications in the treatment of women with maternal diabetes to prevent adverse cardiac outcomes in the offspring.

4. Epicardial Activation and Cardiac Repair
The epicardium is an outside layer of epithelial cells that cover the heart. Its major function in the adult is to reduce friction between the heart and pericardial membrane during heart contractions. Notably, during embryonic heart development, the epicardium contributes to the formation of coronary arteries and growth of heart muscle. In the adult heart, the epicardium can be activated after myocardial infarction (MI). We recently demonstrated that cardiac-specific overexpression of stem cell factor (SCF) improves cardiac function and animal survival post-MI. We further showed that cardiac specific SCF overexpression promotes epicardial activation and myocardial arteriogenesis post-MI. Ongoing studies are investigating molecular mechanisms of epicardial activation and strategies to enhance the regenerative potential of the adult epicardium post-MI.

5. Signal Transduction and Cardiac dysfunction in Sepsis
Another area of my research is the signal transduction mechanisms that lead to inflammatory cytokine expression and cardiac dysfunction during sepsis. Our work is focused on tumor necrosis factor-alpha (TNF-α) in the heart as TNF-α is considered a major cytokine that causes cardiac depression during sepsis. We demonstrated that eNOS promotes while nNOS inhibits TNF-α expression in the heart during sepsis. We showed for the first time an important role of Nox2-containing NADPH oxidase in cytokine expression and cardiac dysfunction during sepsis. Genetic deletion of Nox2 or pharmacological inhibition of NADPH oxidase activity decreases myocardial TNF-α expression and improves cardiac function during sepsis. In addition, we demonstrated an important cross-talk between MAPKs in sepsis. Specifically, we showed that JNK1/c-fos inhibits ERK1/2 and p38 MAPK signalling, leading to decreased cardiomyocyte TNF-α expression and improvements in cardiac function during sepsis. These studies have provided novel insights into the pathogenesis of cardiac dysfunction during sepsis. Furthermore, our studies suggest that modulation of different NOS isoforms and inhibition of Nox2-containing NADPH oxidase may serve as potential strategies for the treatment of sepsis.


Research Interest Area: Cardiovascular and vascular health
Research Overview: Heart failure; Systemic inflammatory response syndrome; Nitric oxide

Positions

Present Associate Scientist, Lawson Health Research Institute ‐ Children's Health Research Institute (CHRI)
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Present Professor, Western University Department of Physiology and Pharmacology
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Disciplines



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Recent Works (44)