Monday, October 5, 2015

Summer Research Internship: Predictors of claudication in patients with PAD

             A few summers ago, I took on an internship at the University of Nebraska Medical Center and was able to gain valuable research experience. As a lab, we were researching factors that could be considered predictors for dysfunction of claudicating limbs (claudicating can be defined as problems walking or pain in the limbs that is relieved by rest). Prior research has indicated that reduced blood flow is the main cause of dysfunction in the limbs of claudicating patients, but my lab hypothesized that other factors, including mitochondrial dysfunction, oxidative damage, and inflammation in the claudicating muscle, might also be predictors of dysfunction. There were three experimental groups of participants: claudicating patients, patients who underwent revascularization, and patients who did a 12-week exercise therapy program. Gastrocnemius tissue samples were collected via needle biopsy and then analyzed using a spectrophotometer.
            My specific job was spinning down the muscle tissue samples to collect the supernate, which was then used for running a complex I assay. Complex 1 is the first step in the electron transport chain; NADH was added to the muscle sample to begin the assay. This assay was the overall measure of how much complex I activity is produced per gram of muscle.

            Overall, the aim of this ongoing research study is to better understand the factors that cause dysfunction in claudicating limbs, specifically associated with Peripheral Arterial Disease, or PAD. A growing proportion of elderly people are facing physical limitations associated with claudication. However, by better understanding the mechanisms that play into the claudication of limbs we can create new therapeutic, surgical, and pharmacological treatments.

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