Dr. Hu, Yu-Feng ’s Lab
Research Field
I am a physician-scientist conducting clinical service and research in cardiac arrhythmias. By fostering multidisciplinary collaborations, I bridge the gap between clinical practice and scientific exploration.
In my basic research endeavors, I received comprehensive training in Marban Eduardo's lab. After that, I focus on the physiology of the sinoatrial node (SAN), disease mechanisms, and innovative biological therapies. I have developed various models of pacemaker cardiomyocytes, utilizing techniques such as non-viral reprogramming and induced pluripotent stem-cell-derived cardiomyocytes, as well as employing small to large animal models. These models have been instrumental in dissecting disease processes and exploring novel therapeutic strategies. My work has also laid the foundation for understanding the metabolic regulation of pacemaker cardiomyocytes and the potential for rejuvenating dysfunctional heartbeats by restoring proper metabolism. In parallel, my clinical research involves the development of artificial intelligence-based models for ECG analysis and investigating the genetics underlying cardiac arrhythmias. These efforts have culminated in the development of software for medical devices, currently under review by the Taiwan FDA, to enhance clinical utilization. The outcomes of my research have been published in renowned journals such as Nature Biomedical Engineering, Circulation Research (as the cover story), Science Translational Medicine, Nature Review Cardiology, Nature Communication, and the Journal of the American College of Cardiology, among others. The recognition of my work through prestigious research awards in Taiwan and funding from highly competitive grants, including Taiwan's international outstanding research grant, further attest to the quality and impact of my research. I am also honored to have been the first recipient of the Paul Dudley White International Scholar Award (American Heart Association 2018) in Taiwan. In addition to my research accomplishments, I actively contribute to the scientific community as a committee member of the Asian Pacific Heart Rhythm, Taiwan Society of Cardiology, and Taiwan Heart Rhythm Society. Furthermore, I serve as an associate editor of an official journal in the field. Collaborating with multidisciplinary teams, I have contributed to international guidelines and participated in nationally-planned projects, ensuring that my research findings are integrated into practical applications and advancements in the field
The research interests of our laboratory focus on the translational approach to investigate the mechanisms and discover new therapies for arrhythmias. We bridge the clinical and basic research units to work out the solution by the multidisciplinary collaboration. Several active fields of interests are the creation of biological pacemakers by direct reprogramming for cardiac conduction diseases; translational approaches to study genetics and mechanisms of arrhythmias; artificial intelligence (A.I.) to screen, prevent, and treat arrhythmias. The delivery of the transcription factor (TBX18) reprograms quiescent ventricular cardiomyocytes into beating pacemaker cells. Based on this interesting finding, we have further developed the innovative methods utilizing biomaterials and small molecules to create pacemaker cells in an efficient way. The biological pacemaker cells not only could be used as the alternative to the electronic device, but also applied as an in-vitro engineered cell or tissue model. Clinical genetics screening in the patients with arrhythmias revealed several potential pathogenetic genes for cardiac conduction diseases and arrhythmias. These have been undergoing validation by the arrhythmia models of transgenic mice and human induced pluripotent stem cell-derived cardiomyocytes. To catch up with future trend of biomedical analysis, we use A.I. to explore the clinical databases of arrhythmias including ECGs, genes, and biomarkers. We have come up with several A.I. models to diagnose arrhythmias, rare diseases, and non-invasive monitoring of cardiac phenotypes.
1-Fibroblasts Drive Metabolic Reprogramming in Pacemaker Cardiomyocytes
Circulation Research, Jun 24, 2022
Methods: Tbx18 (T-box transcription factor 18)-induced PCs and fibroblasts were used for cocultures and engineered tissues, which were used as the in vitro models to explore how fibroblasts regulate the functional integrity of SANs. RNA-sequencing, metabolomics, and cellular and molecular techniques were applied to characterize the molecular signals underlying metabolic reprogramming and identify its critical regulators. These pathways were further validated in vivo in rodents and induced human pluripotent stem cell-derived cardiomyocytes.
Conclusions: Fibroblasts drive Aldoc-mediated metabolic reprogramming and rhythmic regulation in SANs. This work details the cellular machinery behind the complex milieu of vertebrate SANs and opens a new direction for future therapy.
2-Biomaterial-induced conversion of quiescent cardiomyocytes into pacemaker cells in rats
Nature Biomedical Engineering , Nov 22, 2021
Pacemaker cells can be differentiated from stem cells or transdifferentiated from quiescent mature cardiac cells via genetic manipulation. Here we show that the exposure of rat quiescent ventricular cardiomyocytes to a silk-fibroin hydrogel activates the direct conversion of the quiescent cardiomyocytes to pacemaker cardiomyocytes by inducing the ectopic expression of the vascular endothelial cell-adhesion glycoprotein cadherin. The silk-fibroin-induced pacemaker cells exhibited functional and morphological features of genuine sinoatrial-node cardiomyocytes in vitro, and pacemaker cells generated via the injection of silk fibroin in the left ventricles of rats functioned as a surrogate in situ sinoatrial node. Biomaterials with suitable surface structure, mechanics and biochemistry could facilitate the scalable production of biological pacemakers for human use.
2009, Young Investigator Award, Taiwan society of cardiology
2013, Asian Pacific Heart Rhythm Society fellowship award
2015, Benjamin N. Chiang Prize
2017, Best Article Award, Acta Cardiologica Sinica
2018, Paul Dudley White International Scholar Award, American Heart Association
2021, NCKU Outstanding Young Alumni Award
2022, FutureTech Award
2022, Wu Ho-Su Medical Research Award
2022, Physician Innovation Award
2022, Investigator High Impact Factor Award, Taipei Veterans General Hospital
MD. National Cheng-Kung University Ph.D. National Yang-Ming University Post-doctor fellow, Heart Institute, Cedar Sinai Medical Center, USA Attending physician, Division of Cardiology, Taipei Veterans General