
The Hoareau Laboratory
The Hoareau Acute Care and Translational Research Laboratory investigates how mitochondrial injury drives organ dysfunction after trauma, hemorrhagic shock, and ischemia-reperfusion, and how targeted mitochondrial therapies can restore cellular and tissue resilience. The lab’s work is grounded in the concept that mitochondrial dysfunction is not uniform across organs or cell populations. Instead, it occurs in spatially and temporally heterogeneous patterns that shape clinical outcomes. Using a combination of translational large-animal models, small-animal studies, and mechanistic cellular approaches, the laboratory examines mitochondrial energetics, redox balance, structural integrity, and stress signaling in the heart, kidney, and vascular beds. A major focus of the lab is the development and evaluation of mitochondrial-targeted interventions, including peptide-based therapies that preserve mitochondrial architecture and function following severe physiological stress. By integrating clinically realistic models with deep mechanistic readouts, the Hoareau Laboratory aims to define actionable mitochondrial phenotypes that can be translated into novel resuscitation and organ-protective strategies.
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Featured Publications
![]() | Elamipretide mitigates ischemia-reperfusion injury in a swine model of hemorrhagic shockhttps://pubmed.ncbi.nlm.nih.gov/36934127/ | ischemia-reperfusion injury (IRI) after hemorrhage is potentiated by aortic occlusion or resuscitative endovascular balloon occlusion of the aorta (REBOA). Given the central role of mitochondrial injury in shock, we hypothesized that Elamipretide, a peptide that protects mitochondria, would mitigate IRI after hemorrhagic shock and REBOA. | N Patel, M A Johnson, N Vapniarsky, M W Van Brocklin, T K Williams, S T Youngquist , R Ford, N Ewer, L P Neff , G L Hoareau |
![]() | Esmolol reduces myocardial injury induced by resuscitative endovascular balloon occlusion of the aorta (REBOA) in a porcine model of hemorrhagic shockhttps://pubmed.ncbi.nlm.nih.gov/32669205/ | In our porcine model of hemorrhagic shock, zone 1 REBOA was associated with myocardial injury. Pharmacologic heart rate titration with esmolol during occlusion may mitigate the deleterious effects of REBOA on the heart. | Hoareau, GL, Beyer, CA, Caples, CM, Spruce, MW, Gilbert, Z, Grayson, JK, Neff, LP, Williams, TK, Johnson, MA (2020). Esmolol reduces myocardial injury induced by resuscitative endovascular balloon occlusion of the aorta (REBOA) in a porcine model of hemorrhagic shock. Injury, 51, 10:2165-2171. |
![]() | Not ready for prime time: Intermittent versus partial resuscitative endovascular balloon occlusion of the aorta for prolonged hemorrhage control in a highly lethal porcine injury modelhttps://pubmed.ncbi.nlm.nih.gov/31996655/ | Compared with iREBOA, pREBOA reduced the time spent at full occlusion and the number of precipitous drops in proximal mean arterial pressure while delivering more distal aortic flow but not increasing total blood loss in this highly lethal injury model. Neither technique demonstrated a survival benefit. Further refinement of these techniques is necessary before clinical guidelines are issued. | Johnson, MA, Hoareau, GL, Beyer, CA, Caples, CA, Spruce, M, Grayson, JK, Neff, LP, Williams, TK (2020). Not ready for prime time: Intermittent versus partial resuscitative endovascular balloon occlusion of the aorta for prolonged hemorrhage control in a highly lethal porcine injury model. J Trauma Acute Care Surg, 88, 2:298-304. |
The Hoareau Lab Research Team

Guillaume L. Hoareau, DVM, PhD, FCCM
Associate Professor

Amy Taylor, LatG
Translational Laboratory Manager

Jurgen Themen, MS
Basic Science Laboratory Manager

Laurence Saint-Pierre, DVM, DACVECC
Graduate Student

Caitlin Roake, MD, PhD
Post-doctoral Fellow

Kaitlyn Metzger
Laboratory and veterinary technician



