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SUMMARY:Genetics and the heartbeat - Andrew Grace (University of Cambridge
 )
DTSTART:20250904T123000Z
DTEND:20250904T133000Z
UID:TALK235342@talks.cam.ac.uk
CONTACT:Spencer Keene
DESCRIPTION:One significant challenge for translational biology is underst
 anding how genomic variation affects temporo-spatial and quantitative expr
 ession of genes\, the activity and localisation of proteins and how these 
 relate to physiological function. In this presentation I will argue that 
 ‘human heart excitation’ provides an appealing model system for examin
 ation. \n\nCardiac excitation is highly evolved\, stable\, robust\, essent
 ially genetic and safely measurable clinically\, with patterns of activity
  highly quantifiable. Furthermore in the population electrocardiograms pro
 vide for readily applicable phenotyping as a comparator at scale and we al
 so have hugely abundant albeit yet to be understood GWAS data. \n\nDisturb
 ances of the heartbeat (arrhythmias) have major public health impacts incl
 uding sudden death\, heart failure and stroke and greater understanding of
  their underlying biology will be invaluable. \n\nThe presentation will fi
 rst consider how linkage analysis identified candidate disease genes encod
 ing ion channels and how these were characterized using model systems. I w
 ill go on to discuss deep intracardiac phenotyping of patients with geneti
 cally complex disease that has already facilitated both risk assessment an
 d guidance of therapy. I will then close by describing technology we have 
 also developed to sample cells from human hearts with multiple clinical ap
 plications. Application of this approach will bridge critical gaps using s
 patial-omics to provide functional insights into tissue architectures unde
 rpinning excitation and the heartbeat itself. \n\nBio\n\nAndrew Grace is P
 rofessor of Experimental Cardiology at the University of Cambridge. He tra
 ined in cardiology in London and Cambridge and then delivered a consistent
 ly high-volume interventional practice focused on arrhythmias over >30 yea
 rs. He completed post-doctoral studies as a Fulbright Scholar in the Depar
 tment of Medicine\, University of California\, San Diego returning to Camb
 ridge as British Heart Foundation Senior Research Fellow. He is a recogniz
 ed innovator having a particular interest in ‘disruptive’ technologies
  that have included devices\, diagnostics and drugs. Some of his work has 
 changed practice significantly and he made some of the ‘most important c
 ontributions’ to the development and implementation of subcutaneous defi
 brillators. His clinical research focus is currently on both activation ma
 pping and risk prediction of ventricular fibrillation. He has spent over 2
 5 years addressing the impact of genetic variation on the heartbeat and mo
 st recently has established a network of colleagues based respectively in 
 Cambridge\, Seattle\, Sydney and San Diego to provide a physically robust 
 model of cardiac electrical measurement extending from charge movements th
 rough structurally resolved sodium channels to surface recordings. Working
  with the Theory of Condensed Matter Physics Group (Cavendish Laboratory\,
  Cambridge) and the Wellcome Trust Sanger Institute high-resolution charge
  density mapping of cardiac activation is being linked to multi-omics in s
 ingle cells acquired through novel in vivo freeze-sampling\; there is high
  anticipation of therapeutic target identification and rescue.\n
LOCATION:Heart and Lung Research Institute (R.100 to 102)
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