Mouse Model of Heart Failure With Preserved Ejection Fraction Driven by Hyperlipidemia and Enhanced Cardiac Low‐Density Lipoprotein Receptor Expression

Background The pathways of diastolic dysfunction and heart failure with preserved ejection fraction driven by lipotoxicity with metabolic syndrome are incompletely understood. Thus, there is an urgent need for animal models that accurately mimic the metabolic and cardiovascular phenotypes of this ph...

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Main Authors: Monique Williams, Jose Manuel Condor Capcha, Camila Iansen Irion, Grace Seo, Guerline Lambert, Ali Kamiar, Keyvan Yousefi, Rosemeire Kanashiro‐Takeuchi, Lauro Takeuchi, Ali G. Saad, Armando Mendez, Keith A. Webster, Jeffrey J. Goldberger, Joshua M. Hare, Lina A. Shehadeh
Format: Article
Language:English
Published: Wiley 2022-09-01
Series:Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
Subjects:
Online Access:https://www.ahajournals.org/doi/10.1161/JAHA.122.027216
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author Monique Williams
Jose Manuel Condor Capcha
Camila Iansen Irion
Grace Seo
Guerline Lambert
Ali Kamiar
Keyvan Yousefi
Rosemeire Kanashiro‐Takeuchi
Lauro Takeuchi
Ali G. Saad
Armando Mendez
Keith A. Webster
Jeffrey J. Goldberger
Joshua M. Hare
Lina A. Shehadeh
author_facet Monique Williams
Jose Manuel Condor Capcha
Camila Iansen Irion
Grace Seo
Guerline Lambert
Ali Kamiar
Keyvan Yousefi
Rosemeire Kanashiro‐Takeuchi
Lauro Takeuchi
Ali G. Saad
Armando Mendez
Keith A. Webster
Jeffrey J. Goldberger
Joshua M. Hare
Lina A. Shehadeh
author_sort Monique Williams
collection DOAJ
description Background The pathways of diastolic dysfunction and heart failure with preserved ejection fraction driven by lipotoxicity with metabolic syndrome are incompletely understood. Thus, there is an urgent need for animal models that accurately mimic the metabolic and cardiovascular phenotypes of this phenogroup for mechanistic studies. Methods and Results Hyperlipidemia was induced in WT‐129 mice by 4 weeks of biweekly poloxamer‐407 intraperitoneal injections with or without a single intravenous injection of adeno‐associatedvirus 9–cardiac troponin T–low‐density lipoprotein receptor (n=31), or single intravenous injection with adeno‐associatedvirus 9–cardiac troponin T–low‐density lipoprotein receptor alone (n=10). Treatment groups were compared with untreated or placebo controls (n=37). Echocardiography, blood pressure, whole‐body plethysmography, ECG telemetry, activity wheel monitoring, and biochemical and histological changes were assessed at 4 to 8 weeks. At 4 weeks, double treatment conferred diastolic dysfunction, preserved ejection fraction, and increased left ventricular wall thickness. Blood pressure and whole‐body plethysmography results were normal, but respiration decreased at 8 weeks (P<0.01). ECG and activity wheel monitoring, respectively, indicated heart block and decreased exercise activity (P<0.001). Double treatment promoted elevated myocardial lipids including total cholesterol, fibrosis, increased wet/dry lung (P<0.001) and heart weight/body weight (P<0.05). Xanthelasma, ascites, and cardiac ischemia were evident in double and single (p407) groups. Sudden death occurred between 6 and 12 weeks in double and single (p407) treatment groups. Conclusions We present a novel model of heart failure with preserved ejection fraction driven by dyslipidemia where mice acquire diastolic dysfunction, arrhythmia, cardiac hypertrophy, fibrosis, pulmonary congestion, exercise intolerance, and preserved ejection fraction in the absence of obesity, hypertension, kidney disease, or diabetes. The model can be applied to dissect pathways of metabolic syndrome that drive diastolic dysfunction in this lipotoxicity‐mediated heart failure with preserved ejection fraction phenogroup mimic.
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spelling doaj.art-432212ebf6704b49a53ed9538b43891e2023-11-17T17:38:24ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802022-09-01111710.1161/JAHA.122.027216Mouse Model of Heart Failure With Preserved Ejection Fraction Driven by Hyperlipidemia and Enhanced Cardiac Low‐Density Lipoprotein Receptor ExpressionMonique Williams0Jose Manuel Condor Capcha1Camila Iansen Irion2Grace Seo3Guerline Lambert4Ali Kamiar5Keyvan Yousefi6Rosemeire Kanashiro‐Takeuchi7Lauro Takeuchi8Ali G. Saad9Armando Mendez10Keith A. Webster11Jeffrey J. Goldberger12Joshua M. Hare13Lina A. Shehadeh14Department of Medicine Division of Cardiology University of Miami Leonard M. Miller School of Medicine Miami FLDepartment of Medicine Division of Cardiology University of Miami Leonard M. Miller School of Medicine Miami FLDepartment of Medicine Division of Cardiology University of Miami Leonard M. Miller School of Medicine Miami FLDepartment of Medical Education University of Miami Leonard M. Miller School of Medicine Miami FLDepartment of Medicine Division of Cardiology University of Miami Leonard M. Miller School of Medicine Miami FLInterdisciplinary Stem Cell Institute University of Miami Leonard M. Miller School of Medicine Miami FLInterdisciplinary Stem Cell Institute University of Miami Leonard M. Miller School of Medicine Miami FLInterdisciplinary Stem Cell Institute University of Miami Leonard M. Miller School of Medicine Miami FLInterdisciplinary Stem Cell Institute University of Miami Leonard M. Miller School of Medicine Miami FLDepartments of Pathology and Pediatrics University of Miami Leonard M. Miller School of Medicine Miami FLDivision of Endocrinology, Diabetes and Metabolism Diabetes Research Institute University of Miami Leonard M. Miller School of Medicine Miami FLCullen Eye Institute Baylor College of Medicine Houston TXDepartment of Medicine Division of Cardiology University of Miami Leonard M. Miller School of Medicine Miami FLInterdisciplinary Stem Cell Institute University of Miami Leonard M. Miller School of Medicine Miami FLDepartment of Medicine Division of Cardiology University of Miami Leonard M. Miller School of Medicine Miami FLBackground The pathways of diastolic dysfunction and heart failure with preserved ejection fraction driven by lipotoxicity with metabolic syndrome are incompletely understood. Thus, there is an urgent need for animal models that accurately mimic the metabolic and cardiovascular phenotypes of this phenogroup for mechanistic studies. Methods and Results Hyperlipidemia was induced in WT‐129 mice by 4 weeks of biweekly poloxamer‐407 intraperitoneal injections with or without a single intravenous injection of adeno‐associatedvirus 9–cardiac troponin T–low‐density lipoprotein receptor (n=31), or single intravenous injection with adeno‐associatedvirus 9–cardiac troponin T–low‐density lipoprotein receptor alone (n=10). Treatment groups were compared with untreated or placebo controls (n=37). Echocardiography, blood pressure, whole‐body plethysmography, ECG telemetry, activity wheel monitoring, and biochemical and histological changes were assessed at 4 to 8 weeks. At 4 weeks, double treatment conferred diastolic dysfunction, preserved ejection fraction, and increased left ventricular wall thickness. Blood pressure and whole‐body plethysmography results were normal, but respiration decreased at 8 weeks (P<0.01). ECG and activity wheel monitoring, respectively, indicated heart block and decreased exercise activity (P<0.001). Double treatment promoted elevated myocardial lipids including total cholesterol, fibrosis, increased wet/dry lung (P<0.001) and heart weight/body weight (P<0.05). Xanthelasma, ascites, and cardiac ischemia were evident in double and single (p407) groups. Sudden death occurred between 6 and 12 weeks in double and single (p407) treatment groups. Conclusions We present a novel model of heart failure with preserved ejection fraction driven by dyslipidemia where mice acquire diastolic dysfunction, arrhythmia, cardiac hypertrophy, fibrosis, pulmonary congestion, exercise intolerance, and preserved ejection fraction in the absence of obesity, hypertension, kidney disease, or diabetes. The model can be applied to dissect pathways of metabolic syndrome that drive diastolic dysfunction in this lipotoxicity‐mediated heart failure with preserved ejection fraction phenogroup mimic.https://www.ahajournals.org/doi/10.1161/JAHA.122.027216heart failurehyperlipidemiasmicestroke volume
spellingShingle Monique Williams
Jose Manuel Condor Capcha
Camila Iansen Irion
Grace Seo
Guerline Lambert
Ali Kamiar
Keyvan Yousefi
Rosemeire Kanashiro‐Takeuchi
Lauro Takeuchi
Ali G. Saad
Armando Mendez
Keith A. Webster
Jeffrey J. Goldberger
Joshua M. Hare
Lina A. Shehadeh
Mouse Model of Heart Failure With Preserved Ejection Fraction Driven by Hyperlipidemia and Enhanced Cardiac Low‐Density Lipoprotein Receptor Expression
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
heart failure
hyperlipidemias
mice
stroke volume
title Mouse Model of Heart Failure With Preserved Ejection Fraction Driven by Hyperlipidemia and Enhanced Cardiac Low‐Density Lipoprotein Receptor Expression
title_full Mouse Model of Heart Failure With Preserved Ejection Fraction Driven by Hyperlipidemia and Enhanced Cardiac Low‐Density Lipoprotein Receptor Expression
title_fullStr Mouse Model of Heart Failure With Preserved Ejection Fraction Driven by Hyperlipidemia and Enhanced Cardiac Low‐Density Lipoprotein Receptor Expression
title_full_unstemmed Mouse Model of Heart Failure With Preserved Ejection Fraction Driven by Hyperlipidemia and Enhanced Cardiac Low‐Density Lipoprotein Receptor Expression
title_short Mouse Model of Heart Failure With Preserved Ejection Fraction Driven by Hyperlipidemia and Enhanced Cardiac Low‐Density Lipoprotein Receptor Expression
title_sort mouse model of heart failure with preserved ejection fraction driven by hyperlipidemia and enhanced cardiac low density lipoprotein receptor expression
topic heart failure
hyperlipidemias
mice
stroke volume
url https://www.ahajournals.org/doi/10.1161/JAHA.122.027216
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