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Electrophysiological deterioration and resurrection in the scarred heart. Pijnappels, D.A.

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Electrophysiological deterioration and resurrection in the scarred heart.

Pijnappels, D.A.

Citation

Pijnappels, D. A. (2009, June 18). Electrophysiological deterioration and resurrection in the scarred heart. Retrieved from

https://hdl.handle.net/1887/13851

Version: Corrected Publisher’s Version

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden

Downloaded from: https://hdl.handle.net/1887/13851

Note: To cite this publication please use the final published version (if

applicable).

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Stellingen

Behorend bij het proefschrift

“Electrophysiological Deterioration and Resurrection in the Scarred Heart”

1. Alignment of transplanted cells in cardiac tissue affects the degree of functional integration and may therefore determine therapeutic outcome of cardiac cell therapy. (this thesis)

2. Genetic modification of ventricular scar fibroblasts, resulting in improved electrical conduction, may contribute to resynchronization of the infarcted, dyssynchronous ventricle. (this thesis)

3. Induced pluripotent stem (iPS) cells, derived from reprogrammed adult skin fibroblasts, are able to dif- ferentiate into functional cardiomyocytes, but the reprogramming processes need to be refined further to make these cells suitable for screening and clinical purposes. (this thesis)

4. The velocity by which an action potential is conducted across mesenchymal stem cells may increase in- dependently from cardiomyogenic differentiation. (this thesis)

5. Fibroblasts of cardiac origin are capable of synchronizing electrical activity of multicellular cardiac tis- sue over extended distances through electrotonic interactions. (Gaudesius G., et al. Circ Res. 2003;93:

421-428)

6. It is a characteristic of complex and nonlinear systems that relatively small perturbations in elementa- ry processes can have a major effect on the system behavior. (Klebér A.G. and Rudy Y. Physiol Rev.

2004;84:431-488)

7. Engraftment of Cx43-expressing myocytes has the potential to reduce life-threatening post-infarct arrhythmias through the augmentation of intercellular coupling, suggesting autologous strategies for cardiac cell-based therapy. (Roell W., et al. Nature. 2007;450:819-824)

8. Perhaps one of the most unexplored areas of cardiogenesis has been in understanding how differentia- ted cell types are assembled into the specific three-dimensional structures of the mature heart. (Chien K.R., et al. Science. 2008;322:1494-1497)

9. Dear friend, all theory is gray, and green the golden tree of life. (Mephistopheles - Faust, Goethe) 10. Improving electrical conduction across a scarred myocardium is as introducing a novel conductor into a disharmonic orchestra.

11. In vitro veritas.

12. The difference between science fiction and science friction is found in the R of reality.

Daniël A Pijnappels Leiden, 18 juni 2009

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