Cardiopulmonary remodeling in fattened beef cattle: a naturally occurring large animal model of obesity-associated pulmonary hypertension with left heart disease

The obesity epidemic in developed societies has led to increased cardiovascular diseases including pulmonary hypertension associated with left heart disease (PH-LHD), the largest and fastest-growing class of PH. Similar to obese humans, PH and heart failure (HF) are increasingly recognized in North...

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Main Authors: Greta M. Krafsur, Joseph M. Neary, Franklyn Garry, Timothy Holt, Daniel H. Gould, Gary L. Mason, Milton G. Thomas, R. Mark Enns, Rubin M. Tuder, Michael P. Heaton, R. Dale Brown, Kurt R. Stenmark
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Pulmonary Circulation
Online Access:https://doi.org/10.1177/2045894018796804
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author Greta M. Krafsur
Joseph M. Neary
Franklyn Garry
Timothy Holt
Daniel H. Gould
Gary L. Mason
Milton G. Thomas
R. Mark Enns
Rubin M. Tuder
Michael P. Heaton
R. Dale Brown
Kurt R. Stenmark
author_facet Greta M. Krafsur
Joseph M. Neary
Franklyn Garry
Timothy Holt
Daniel H. Gould
Gary L. Mason
Milton G. Thomas
R. Mark Enns
Rubin M. Tuder
Michael P. Heaton
R. Dale Brown
Kurt R. Stenmark
author_sort Greta M. Krafsur
collection DOAJ
description The obesity epidemic in developed societies has led to increased cardiovascular diseases including pulmonary hypertension associated with left heart disease (PH-LHD), the largest and fastest-growing class of PH. Similar to obese humans, PH and heart failure (HF) are increasingly recognized in North American fattened beef cattle. We hypothesized that PH and HF in fattened beef cattle are novel, phenotypically distinct manifestations of bovine PH arising from left ventricular (LV) dysfunction similar to obesity-related PH-LHD in humans. We conducted a semi-quantitative histopathological assessment of cardiopulmonary tissues obtained from fattened beef cattle suffering end-stage HF compared to asymptomatic cattle of equivalent age undergoing the same fattening regimens. In HF animals we observed significant LV fibrosis, abundant cardiac adipose depots, coronary artery injury, and pulmonary venous remodeling recapitulating human obesity-related PH-LHD. Additionally, striking muscularization, medial hypertrophy, adventitial fibrosis, and vasa vasorum hyperplasia in the pulmonary arterial circulation were associated with sequela of pathologic right ventricular (RV) remodeling suggesting combined pulmonary venous and arterial hypertension. The association between obesity, pathologic cardiopulmonary remodeling, and HF in fattened beef cattle appears to recapitulate the complex pathophysiology of obesity-associated PH-LHD in humans. This novel, naturally occurring, and large animal model may provide mechanistic and translational insights into human disease.
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spelling doaj.art-440dfeb8daf044be9bebb2ecdcdb36eb2022-12-22T03:37:40ZengWileyPulmonary Circulation2045-89402019-01-01910.1177/2045894018796804Cardiopulmonary remodeling in fattened beef cattle: a naturally occurring large animal model of obesity-associated pulmonary hypertension with left heart diseaseGreta M. Krafsur0Joseph M. Neary1Franklyn Garry2Timothy Holt3Daniel H. Gould4Gary L. Mason5Milton G. Thomas6R. Mark Enns7Rubin M. Tuder8Michael P. Heaton9R. Dale Brown10Kurt R. Stenmark11Department of Animal Sciences, Colorado State University, Fort Collins, CO, USADepartment of Animal and Food Sciences, Texas Tech University, Lubbock, TX, USADepartment of Clinical Sciences, Colorado State University College of Veterinary Medicine and Biomedical Sciences, Fort Collins, CO, USADepartment of Clinical Sciences, Colorado State University College of Veterinary Medicine and Biomedical Sciences, Fort Collins, CO, USADepartment of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, CO, USADepartment of Microbiology, Immunology and Pathology, Colorado State University, Fort Collins, CO, USADepartment of Animal Sciences, Colorado State University, Fort Collins, CO, USADepartment of Animal Sciences, Colorado State University, Fort Collins, CO, USADepartment of Pulmonary Sciences and Critical Care Medicine, Translational Lung Program, University of Colorado Denver Anschutz School of Medicine, Aurora, CO, USAGenetics, Breeding and Animal Health, United States Meat Animal Research Center, Clay Center, NE, USADepartment of Pediatrics, Critical Care Medicine and Cardiovascular Pulmonary Research Labs, University of Colorado Denver Anschutz School of Medicine, Aurora, CO, USADepartment of Pediatrics, Critical Care Medicine and Cardiovascular Pulmonary Research Labs, University of Colorado Denver Anschutz School of Medicine, Aurora, CO, USAThe obesity epidemic in developed societies has led to increased cardiovascular diseases including pulmonary hypertension associated with left heart disease (PH-LHD), the largest and fastest-growing class of PH. Similar to obese humans, PH and heart failure (HF) are increasingly recognized in North American fattened beef cattle. We hypothesized that PH and HF in fattened beef cattle are novel, phenotypically distinct manifestations of bovine PH arising from left ventricular (LV) dysfunction similar to obesity-related PH-LHD in humans. We conducted a semi-quantitative histopathological assessment of cardiopulmonary tissues obtained from fattened beef cattle suffering end-stage HF compared to asymptomatic cattle of equivalent age undergoing the same fattening regimens. In HF animals we observed significant LV fibrosis, abundant cardiac adipose depots, coronary artery injury, and pulmonary venous remodeling recapitulating human obesity-related PH-LHD. Additionally, striking muscularization, medial hypertrophy, adventitial fibrosis, and vasa vasorum hyperplasia in the pulmonary arterial circulation were associated with sequela of pathologic right ventricular (RV) remodeling suggesting combined pulmonary venous and arterial hypertension. The association between obesity, pathologic cardiopulmonary remodeling, and HF in fattened beef cattle appears to recapitulate the complex pathophysiology of obesity-associated PH-LHD in humans. This novel, naturally occurring, and large animal model may provide mechanistic and translational insights into human disease.https://doi.org/10.1177/2045894018796804
spellingShingle Greta M. Krafsur
Joseph M. Neary
Franklyn Garry
Timothy Holt
Daniel H. Gould
Gary L. Mason
Milton G. Thomas
R. Mark Enns
Rubin M. Tuder
Michael P. Heaton
R. Dale Brown
Kurt R. Stenmark
Cardiopulmonary remodeling in fattened beef cattle: a naturally occurring large animal model of obesity-associated pulmonary hypertension with left heart disease
Pulmonary Circulation
title Cardiopulmonary remodeling in fattened beef cattle: a naturally occurring large animal model of obesity-associated pulmonary hypertension with left heart disease
title_full Cardiopulmonary remodeling in fattened beef cattle: a naturally occurring large animal model of obesity-associated pulmonary hypertension with left heart disease
title_fullStr Cardiopulmonary remodeling in fattened beef cattle: a naturally occurring large animal model of obesity-associated pulmonary hypertension with left heart disease
title_full_unstemmed Cardiopulmonary remodeling in fattened beef cattle: a naturally occurring large animal model of obesity-associated pulmonary hypertension with left heart disease
title_short Cardiopulmonary remodeling in fattened beef cattle: a naturally occurring large animal model of obesity-associated pulmonary hypertension with left heart disease
title_sort cardiopulmonary remodeling in fattened beef cattle a naturally occurring large animal model of obesity associated pulmonary hypertension with left heart disease
url https://doi.org/10.1177/2045894018796804
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