Imperial College London

DrPaulBarton

Faculty of MedicineNational Heart & Lung Institute

Honorary Senior Research Fellow
 
 
 
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Contact

 

+44 (0)20 7351 8140p.barton Website

 
 
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Location

 

2054Sydney StreetRoyal Brompton Campus

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Summary

 

Publications

Publication Type
Year
to

228 results found

Bhavsar PK, Brand NJ, Felkin LE, Luther PK, Cullen ME, Yacoub MH, Barton PJRet al., 2010, Clenbuterol Induces Cardiac Myocyte Hypertrophy via Paracrine Signalling and Fibroblast-derived IGF-1, JOURNAL OF CARDIOVASCULAR TRANSLATIONAL RESEARCH, Vol: 3, Pages: 688-695, ISSN: 1937-5387

Journal article

Taegtmeyer AB, Breen JB, Smith J, Burke M, Leaver N, Pantelidis P, Lyster H, Yacoub MH, Barton PJR, Banner NRet al., 2010, ATP-Binding Cassette Subfamily B Member 1 Polymorphisms Do Not Determine Cyclosporin Exposure, Acute Rejection or Nephrotoxicity After Heart Transplantation, TRANSPLANTATION, Vol: 89, Pages: 75-82, ISSN: 0041-1337

Journal article

Brand NJ, Lara-Pezzi E, Rosenthal N, Barton PJRet al., 2010, Analysis of Cardiac Myocyte Biology in Transgenic Mice: A Protocol for Preparation of Neonatal Mouse Cardiac Myocyte Cultures, MOUSE CELL CULTURE: METHODS AND PROTOCOLS, Vol: 633, Pages: 113-124, ISSN: 1064-3745

Journal article

Breckenridge RA, Zuberi Z, Gomes J, Orford R, Dupays L, Felkin LE, Clark JE, Magee AI, Ehler E, Birks EJ, Barton PJR, Tinker A, Mohun TJet al., 2009, Overexpression of the transcription factor Hand1 causes predisposition towards arrhythmia in mice, JOURNAL OF MOLECULAR AND CELLULAR CARDIOLOGY, Vol: 47, Pages: 133-141, ISSN: 0022-2828

Journal article

Taegtmeyer AB, Breen JB, Rogers P, Johnson PH, Smith J, Smolenski RT, Banner NR, Yacoub MH, Barton PJet al., 2009, Effect of Adenosine Monophosphate Deaminase-1 C34T Allele on the Requirement for Donor Inotropic Support and on the Incidence of Early Graft Dysfunction After Cardiac Transplantation, AMERICAN JOURNAL OF CARDIOLOGY, Vol: 103, Pages: 1457-1462, ISSN: 0002-9149

Journal article

Rider JE, Polster SP, Lee S, Charles NJ, Adhikari N, Mariash A, Tadros G, Stangland S, Smolenski RT, Terracciano CM, Barton PJR, Yacoub MH, Miller LW, Hall JLet al., 2009, Chronic treatment with clenbuterol modulates endothelial progenitor cells and circulating factors in a murine model of cardiomyopathy, Journal of Cardiovascular Translational Research, Vol: 2, Pages: 182-190, ISSN: 1937-5395

The purpose of this study was to determine the effects of chronic treatment with the beta 2 adrenergic receptor agonist clenbuterol on endothelial progenitor cells (EPC) in a well-characterized model of heart failure, the muscle LIM protein knockout (MLP−/−) mouse. MLP−/− mice were treated daily with clenbuterol (2 mg/kg) or saline subcutaneously for 6 weeks. Clenbuterol led to a 30% increase in CD31+ cells in the bone marrow of MLP−/− heart failure mice (p < 0.004). Clenbuterol did not improve ejection fraction. Clenbuterol treatment in MLP−/− mice was associated with significant changes in the following circulating factors: tissue inhibitor of metalloproteinase-type 1, leukemia inhibitory factor 1, C-reactive protein, apolipoprotein A1, fibroblast growth factor 2, serum glutamic oxaloacetic transaminase, macrophage-derived chemokine, and monocyte chemoattractant protein-3. Clenbuterol treatment in the MLP−/− model of heart failure did not rescue heart function, yet did increase CD31+ cells in the bone marrow. This is the first evidence that a beta 2 agonist increases EPC proliferation in the bone marrow in a preclinical model of heart failure.

Journal article

Felkin LE, Lara-Pezzi E, George R, Yacoub MH, Birks EJ, Barton PJRet al., 2009, Expression of Extracellular Matrix Genes During Myocardial Recovery From Heart Failure After Left Ventricular Assist Device Support, JOURNAL OF HEART AND LUNG TRANSPLANTATION, Vol: 28, Pages: 117-122, ISSN: 1053-2498

Journal article

Lara-Pezzi E, Terracciano CM, Soppa GK, Smolenski RT, Felkin LE, Yacoub MH, Barton PJRet al., 2009, A gene expression profile of the myocardial response to clenbuterol, Journal of Cardiovascular Translational Research, Vol: 2, Pages: 191-197, ISSN: 1937-5395

Clenbuterol is currently being used as part of a clinical trial into a novel therapeutic approach for the treatment of end-stage heart failure. The purpose of this study was to determine the global pattern of myocardial gene expression in response to clenbuterol and to identify novel targets and pathways involved. Rats were treated with clenbuterol (n = 6) or saline (n = 6) for periods of 1, 3, 9, or 28 days. Rats treated for 28 days were also subject to continuous electrocardiogram analysis using implantable telemetry. RNA was extracted from rats at days 1 and 28 and used from microarray analysis, and further samples from rats at days 1, 3, 9, and 28 were used for analysis by real-time polymerase chain reaction. Clenbuterol treatment induced rapid development of cardiac hypertrophy with increased muscle mass at day 1 and elevated heart rate and QT interval throughout the 28-day period. Microarray analysis revealed a marked but largely transitory change in gene expression with 1,423 genes up-regulated and 964 genes down-regulated at day 1. Up-regulated genes revealed an unexpected association with angiogenesis and integrin-mediated cell adhesion and signaling. Moreover, direct treatment of endothelial cells cultured in vitro resulted in increased cell proliferation and tube formation. Our data show that clenbuterol treatment is associated with rapid cardiac hypertrophy and identify angiogenesis and integrin signaling as novel pathways of clenbuterol action. The data have implications both for our understanding of the physiologic hypertrophy induced by clenbuterol and for treatment of heart failure

Journal article

Lara-Pezzi E, Felkin LE, Birks EJ, Sarathchandra P, Panse KD, George R, Hall JL, Yacoub MH, Rosenthal N, Barton PJRet al., 2008, Expression of Follistatin-Related Genes Is Altered in Heart Failure, ENDOCRINOLOGY, Vol: 149, Pages: 5822-5827, ISSN: 0013-7227

Journal article

Stagg MA, Carter E, Sohrabi N, Siedlecka U, Soppa GK, Mead F, Mohandas N, Taylor-Harris P, Baines A, Bennett P, Yacoub MH, Pinder JC, Terracciano CMNet al., 2008, Cytoskeletal protein 4.1R affects repolarization and regulates calcium handling in the heart, CIRCULATION RESEARCH, Vol: 103, Pages: 855-U177, ISSN: 0009-7330

Journal article

Stagg MA, Carter E, Shorabi N, Siedlecka U, Soppa G, Mead F, Mohandas N, Taylor-Harris P, Baines A, Bennett P, Yacoub MH, Pinder J, Terracciano CMet al., 2008, Cytoskeletal protein 4.1R affects repolarization and regulates calcium handling in the heart, Circulation Research, Vol: 103, Pages: 855-863, ISSN: 0009-7330

Journal article

Soppa GKR, Lee J, Stagg MA, Felkin LE, Barton PJR, Siedlecka U, Youssef S, Yacoub MH, Terracciano CMNet al., 2008, Role and possible mechanisms of clenbuterol in enhancing reverse remodelling during mechanical unloading in murine heart failure (vol 77, pg 695, 2008), CARDIOVASCULAR RESEARCH, Vol: 80, Pages: 159-159, ISSN: 0008-6363

Journal article

Fukushima S, Coppen SR, Lee J, Yamahara K, Felkin LE, Terracciano CMN, Barton PJR, Yacoub MH, Suzuki Ket al., 2008, Choice of cell-delivery route for skeletal myoblast transplantation for treating post-infarction chronic heart failure in rat, PLOS One, Vol: 3, ISSN: 1932-6203

BackgroundIntramyocardial injection of skeletal myoblasts (SMB) has been shown to be a promising strategy for treating post-infarction chronic heart failure. However, insufficient therapeutic benefit and occurrence of ventricular arrhythmias are concerns. We hypothesised that the use of a retrograde intracoronary route for SMB-delivery might favourably alter the behaviour of the grafted SMB, consequently modulating the therapeutic effects and arrhythmogenicity.Methods and ResultsThree weeks after coronary artery ligation in female wild-type rats, 5×106 GFP-expressing SMB or PBS only (control) were injected via either the intramyocardial or retrograde intracoronary routes. Injection of SMB via either route similarly improved cardiac performance and physical activity, associated with reduced cardiomyocyte-hypertrophy and fibrosis. Grafted SMB via either route were only present in low numbers in the myocardium, analysed by real-time PCR for the Y-chromosome specific gene, Sry. Cardiomyogenic differentiation of grafted SMB was extremely rare. Continuous ECG monitoring by telemetry revealed that only intramyocardial injection of SMB produced spontaneous ventricular tachycardia up to 14 days, associated with local myocardial heterogeneity generated by clusters of injected SMB and accumulated inflammatory cells. A small number of ventricular premature contractions with latent ventricular tachycardia were detected in the late-phase of SMB injection regardless of the injection-route.ConclusionRetrograde intracoronary injection of SMB provided significant therapeutic benefits with attenuated early-phase arrhythmogenicity in treating ischaemic cardiomyopathy, indicating the promising utility of this route for SMB-delivery. Late-phase arrhythmogenicity remains a concern, regardless of the delivery route.

Journal article

Birks EJ, Latif N, Enesa K, Folkvang T, Luong LA, Sarathchandra P, Khan M, Ovaa H, Terracciano CM, Barton PJR, Yacoub MH, Evans PCet al., 2008, Elevated p53 expression is associated with dysregulation of the ubiquitin-proteasome system in dilated cardiomyopathy, CARDIOVASCULAR RESEARCH, Vol: 79, Pages: 472-480, ISSN: 0008-6363

Journal article

Yamahara K, Fukushima S, Coppen SR, Felkin LE, Varela-Carver A, Barton PJR, Yacoub MH, Suzuki Ket al., 2008, Heterogeneic nature of adult cardiac side population cells, BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS, Vol: 371, Pages: 615-620, ISSN: 0006-291X

Journal article

Soppa GKR, Barton PJR, Terracciano CMN, Yacoub MHet al., 2008, Left ventricular assist device-induced molecular changes in the failing myocardium, CURRENT OPINION IN CARDIOLOGY, Vol: 23, Pages: 206-218, ISSN: 0268-4705

Journal article

Taegtmeyer AB, Rogers P, Breen JB, Barton PJ, Banner NR, Yacoub MHet al., 2008, The effects of pre- and post-transplant anemia on 1-year survival after cardiac transplantation, JOURNAL OF HEART AND LUNG TRANSPLANTATION, Vol: 27, Pages: 394-399, ISSN: 1053-2498

Journal article

Soppa GKR, Lee J, Stagg MA, Felkin LE, Barton PJR, Siedlecka U, Youssef S, Yacoub MH, Terracciano CMNet al., 2008, Role and possible mechanisms of clenbuterol in enhancing reverse remodelling during mechanical unloading in murine heart failure, Cardiovascular Research, Vol: 77, Pages: 695-706, ISSN: 1755-3245

AimsCombined left ventricular assist device (LVAD) and pharmacological therapy has been proposed to favour myocardial recovery in patients with end-stage heart failure (HF). Clenbuterol (Clen), a β2-adrenoceptor (β2-AR) agonist, has been used as a part of this strategy. In this study, we investigated the direct effects of clenbuterol on unloaded myocardium in HF.Methods and resultsLeft coronary artery ligation or sham operation was performed in male Lewis rats. After 4–6 weeks, heterotopic abdominal transplantation of the failing hearts into normal recipients was performed to induce LV unloading (UN). Recipient rats were treated with saline (Sal) or clenbuterol (2 mg/kg/day) via osmotic minipumps (HF + UN + Sal or HF + UN + Clen) for 7 days. Non-transplanted HF animals were treated with Sal (Sham + Sal, HF + Sal) or clenbuterol (HF + Clen). LV myocytes were isolated and studied using optical, fluorescence, and electrophysiological techniques. Clenbuterol treatment improved in vivo LV function measured with echocardiography (LVEF (%): HF 35.9 ± 2 [16], HF + Clen 52.1 ± 1.4 [16]; P < 0.001; mean ± SEM [n]). In combination with unloading, clenbuterol increased sarcomere shortening (amplitude (µm): HF + UN + Clen 0.1 ± 0.01 [50], HF + UN + Sal 0.07 ± 0.01 [38]; P < 0.001) by normalizing the depressed myofilament sensitivity to Ca2+ (slope of the linear relationship between Ca2+ transient and sarcomere shortening hysteresis loop during relaxation (μm/ratio unit): HF + UN + Clen 2.13 ± 0.2 [52], HF + UN + Sal 1.42 ± 0.13 [38]; P < 0.05).ConclusionClenbuterol treatment of failing rat hearts, alone or in combination with mechanical unloading, improves LV function at the whole-heart and cellular levels by affecting cell morphology, excitation–contraction coupling, and myofilament sensitivity to calcium. This study supports the use of this drug in the strategy to enhance recovery in HF pa

Journal article

Lara-Pezzi E, Felkin LE, Birks E, Yacoub MH, Rosenthal N, Barton PJet al., 2007, Myocardial follistatin gene expression is elevated in heart failure and decreases following recovery, Publisher: OXFORD UNIV PRESS, Pages: 787-787, ISSN: 0195-668X

Conference paper

Fukushima S, Varela-Carver A, Coppen SR, Yamahara K, Felkin LE, Lee J, Barton PJR, Terracciano CMN, Yacoub MH, Suzuki Ket al., 2007, Direct intramyocardial but not intracoronary injection of bone marrow cells induces ventricular arrhythmias in a rat chronic ischemic heart failure model, CIRCULATION, Vol: 115, Pages: 2254-2261, ISSN: 0009-7322

Journal article

Latif N, Yacoub MH, George R, Barton PJR, Birks EJet al., 2007, Changes in sarcomeric and non-sarcomeric cytoskeletal proteins and focal adhesion molecules during clinical myocardial recovery after left ventricular assist device support, JOURNAL OF HEART AND LUNG TRANSPLANTATION, Vol: 26, Pages: 230-235, ISSN: 1053-2498

Journal article

Hall JL, Birks EJ, Grindle S, Cullen ME, Barton PJ, Rider JE, Lee S, Harwalker S, Mariash A, Adhikari N, Charles NJ, Felkin LE, Polster S, George RS, Miller LW, Yacoub MHet al., 2007, Molecular signature of recovery following combination left ventricular assist device (LVAD) support and pharmacologic therapy, EUROPEAN HEART JOURNAL, Vol: 28, Pages: 613-627, ISSN: 0195-668X

Journal article

Cullen ME, Barton PJR, 2007, Mapping transcriptional start sites and in silico DNA footprinting., Methods Mol Biol, Vol: 366, Pages: 203-216, ISSN: 1064-3745

Determination of a gene's transcriptional start site underlies the identification of the proximal promoter region and thus facilitates the subsequent analysis of components controlling its expression, namely, cis-acting regulatory elements and their cognate binding proteins. It also enables assembly of meaningful reporter constructs to examine promoter function in different cellular contexts. In this chapter, basic protocols for two experimental approaches to transcriptional start site determination are described: primer extension analysis and the ribonuclease protection assay. Consideration is also given to RNA sources, RNA purification, and primer design. The explosion in genomic DNA and mRNA sequence information derived from genomic sequencing projects, expressed sequence tags and microarrays, combined with in silico analysis, such as automated sequence annotation and gene identification algorithms, now provides an alternative source of detailed information on gene structure and expression. Two approaches to the in silico identification of transcription factor binding sites are described.

Journal article

Felkin LE, Birks EJ, George R, Wong S, Khaghani A, Yacoub MH, Barton PJRet al., 2006, A quantitative gene expression profile of matrix metalloproteinases (MMPS) and their inhibitors (TIMPS) in the myocardium of patients with deteriorating heart failure requiring left ventricular assist device support, JOURNAL OF HEART AND LUNG TRANSPLANTATION, Vol: 25, Pages: 1413-1419, ISSN: 1053-2498

Journal article

Cullen ME, Yuen AHY, Felkin LE, Smolenski RT, Hall JL, Grindle S, Miller LW, Birks EJ, Yacoub MH, Barton PJRet al., 2006, Myocardial expression of the arginine: Glycine amidinotransferase gene is elevated in heart failure and normalized after recovery - Potential implications for local creatine synthesis, CIRCULATION, Vol: 114, Pages: I16-I20, ISSN: 0009-7322

Journal article

Felkin LE, Birks EJ, Khaghani A, Yacoub MH, Barton PJRet al., 2006, Gene expression profile and regulation of MMPS and TIMPS in the myocardium of patients with deteriorating heart failure requiring LVAD support compared to stable end-stage heart failure, JOURNAL OF HEART AND LUNG TRANSPLANTATION, Vol: 25, Pages: S94-S95, ISSN: 1053-2498

Journal article

Taegtmeyer AB, Barton PJR, Yacoub MH, 2006, Genetic association studies: personalized medicine in cardiac transplantation, NATURE CLINICAL PRACTICE CARDIOVASCULAR MEDICINE, Vol: 3, Pages: 58-59, ISSN: 1743-4297

Journal article

Raman M, Yacoub MH, Barton PJR, Brand NJet al., 2006, Cloning of HCB1 & HCB2, two novel cardiac-enriched transcription factors, Annual Autumn Meeting of the British-Society-for-Cardiovascular-Research, Publisher: B M J PUBLISHING GROUP, ISSN: 1355-6037

Conference paper

Brand NJ, Barton PJR, Felkin LE, Clark LA, Chester AH, Soppa GK, Terracciano CMN, Lara-Pezzi E, Yacoub MHet al., 2006, Igf-1 transcription in cardiac myocytes and fibroblasts: Relevance to heart failure, Annual Autumn Meeting of the British-Society-for-Cardiovascular-Research, Publisher: B M J PUBLISHING GROUP, ISSN: 1355-6037

Conference paper

Felkin LE, Birks EJ, Soppa GK, Terracciano CM, Yacoub MH, Barton PJRet al., 2006, Matrix metalloproteinase (MMP) and tissue inhibitor of MMPs (TIMP) gene expression in myocardial recovery from heart failure, Annual Autumn Meeting of the British-Society-for-Cardiovascular-Research, Publisher: B M J PUBLISHING GROUP, ISSN: 1355-6037

Conference paper

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