Cardiac hypertrophy with obesity is augmented after pregnancy in C57BL/6 mice

Abstract Background Over a third of reproductive-age women in the USA are obese, and the prevalence of cardiovascular disease (CVD) is rising in premenopausal women. Cardiac hypertrophy is an independent predictor of CVD. In contrast to pregnancy, where transiently increased left ventricular (LV) ma...

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Main Authors: Chen Che, Kayla Dudick, Robin Shoemaker
Format: Article
Language:English
Published: BMC 2019-12-01
Series:Biology of Sex Differences
Subjects:
Online Access:https://doi.org/10.1186/s13293-019-0269-z
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author Chen Che
Kayla Dudick
Robin Shoemaker
author_facet Chen Che
Kayla Dudick
Robin Shoemaker
author_sort Chen Che
collection DOAJ
description Abstract Background Over a third of reproductive-age women in the USA are obese, and the prevalence of cardiovascular disease (CVD) is rising in premenopausal women. Cardiac hypertrophy is an independent predictor of CVD. In contrast to pregnancy, where transiently increased left ventricular (LV) mass is not associated with cardiac damage, obesity-mediated cardiac hypertrophy is pathological. There is a paucity of data describing the effect of obesity during pregnancy on maternal cardiovascular health. The purpose of this study was to determine the long-term effect of obesity during pregnancy on cardiac function and structure in mice. Methods Female C57BL/6 J mice were fed a high-fat (HF) or a low-fat (LF) diet for 20 weeks. After 4 weeks, LF- and HF-fed female mice were either crossed with males to become pregnant or remained non-pregnant controls. Following delivery, pups were euthanized, and females maintained on respective diets. After 20 weeks of diet feeding, cardiac function was quantified by echocardiography, and plasma leptin and adiponectin concentrations quantified in LF- and HF-fed postpartum and nulliparous females. mRNA abundance of genes regulating cardiac hypertrophy and remodeling was quantified from left ventricles using the NanoString nCounter Analysis System. Cardiac fibrosis was assessed from picrosirius red staining of left ventricles. Results HF-fed postpartum mice had markedly greater weight gain and fat mass expansion with obesity, associated with significantly increased LV mass, cardiac output, and stroke volume compared with HF-fed nulliparous mice. Plasma leptin, but not adiponectin, concentrations were correlated with LV mass in HF-fed females. HF feeding increased LV posterior wall thickness; however, LV chamber diameter was only increased in HF-fed postpartum females. Despite the marked increase in LV mass in HF-fed postpartum mice, mRNA abundance of genes regulating fibrosis and interstitial collagen content was similar between HF-fed nulliparous and postpartum mice. In contrast, only HF-fed postpartum mice exhibited altered expression of genes regulating the extracellular matrix. Conclusions These results suggest that the combined effects of pregnancy and obesity augment cardiac hypertrophy and promote remodeling. The rising prevalence of CVD in premenopausal women may be attributed to an increased prevalence of women entering pregnancy with an overweight or obese BMI.
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spelling doaj.art-591827370d8a44d1a655f3407ce52fdd2022-12-21T23:18:05ZengBMCBiology of Sex Differences2042-64102019-12-0110111310.1186/s13293-019-0269-zCardiac hypertrophy with obesity is augmented after pregnancy in C57BL/6 miceChen Che0Kayla Dudick1Robin Shoemaker2University of Kentucky, Department of Dietetics and Human NutritionUniversity of Kentucky, Department of Dietetics and Human NutritionUniversity of Kentucky, Department of Dietetics and Human NutritionAbstract Background Over a third of reproductive-age women in the USA are obese, and the prevalence of cardiovascular disease (CVD) is rising in premenopausal women. Cardiac hypertrophy is an independent predictor of CVD. In contrast to pregnancy, where transiently increased left ventricular (LV) mass is not associated with cardiac damage, obesity-mediated cardiac hypertrophy is pathological. There is a paucity of data describing the effect of obesity during pregnancy on maternal cardiovascular health. The purpose of this study was to determine the long-term effect of obesity during pregnancy on cardiac function and structure in mice. Methods Female C57BL/6 J mice were fed a high-fat (HF) or a low-fat (LF) diet for 20 weeks. After 4 weeks, LF- and HF-fed female mice were either crossed with males to become pregnant or remained non-pregnant controls. Following delivery, pups were euthanized, and females maintained on respective diets. After 20 weeks of diet feeding, cardiac function was quantified by echocardiography, and plasma leptin and adiponectin concentrations quantified in LF- and HF-fed postpartum and nulliparous females. mRNA abundance of genes regulating cardiac hypertrophy and remodeling was quantified from left ventricles using the NanoString nCounter Analysis System. Cardiac fibrosis was assessed from picrosirius red staining of left ventricles. Results HF-fed postpartum mice had markedly greater weight gain and fat mass expansion with obesity, associated with significantly increased LV mass, cardiac output, and stroke volume compared with HF-fed nulliparous mice. Plasma leptin, but not adiponectin, concentrations were correlated with LV mass in HF-fed females. HF feeding increased LV posterior wall thickness; however, LV chamber diameter was only increased in HF-fed postpartum females. Despite the marked increase in LV mass in HF-fed postpartum mice, mRNA abundance of genes regulating fibrosis and interstitial collagen content was similar between HF-fed nulliparous and postpartum mice. In contrast, only HF-fed postpartum mice exhibited altered expression of genes regulating the extracellular matrix. Conclusions These results suggest that the combined effects of pregnancy and obesity augment cardiac hypertrophy and promote remodeling. The rising prevalence of CVD in premenopausal women may be attributed to an increased prevalence of women entering pregnancy with an overweight or obese BMI.https://doi.org/10.1186/s13293-019-0269-zPregnancyMaternalCVDRemodelingObesityCardiac hypertrophy
spellingShingle Chen Che
Kayla Dudick
Robin Shoemaker
Cardiac hypertrophy with obesity is augmented after pregnancy in C57BL/6 mice
Biology of Sex Differences
Pregnancy
Maternal
CVD
Remodeling
Obesity
Cardiac hypertrophy
title Cardiac hypertrophy with obesity is augmented after pregnancy in C57BL/6 mice
title_full Cardiac hypertrophy with obesity is augmented after pregnancy in C57BL/6 mice
title_fullStr Cardiac hypertrophy with obesity is augmented after pregnancy in C57BL/6 mice
title_full_unstemmed Cardiac hypertrophy with obesity is augmented after pregnancy in C57BL/6 mice
title_short Cardiac hypertrophy with obesity is augmented after pregnancy in C57BL/6 mice
title_sort cardiac hypertrophy with obesity is augmented after pregnancy in c57bl 6 mice
topic Pregnancy
Maternal
CVD
Remodeling
Obesity
Cardiac hypertrophy
url https://doi.org/10.1186/s13293-019-0269-z
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