Barrick Cordelia J, Rojas Mauricio, Schoonhoven Robert, Smyth Susan S, Threadgill David W
Curriculum in Toxicology, University of North Carolina, Chapel Hill, NC 27599, USA.
Am J Physiol Heart Circ Physiol. 2007 May;292(5):H2119-30. doi: 10.1152/ajpheart.00816.2006. Epub 2006 Dec 15.
Left ventricular hypertrophy (LVH), a risk factor for cardiovascular morbidity and mortality, is commonly caused by essential hypertension. Three geometric patterns of LVH can be induced by hypertension: concentric remodeling, concentric hypertrophy, and eccentric hypertrophy. Clinical studies suggest that different underlying etiologies, genetic modifiers, and risk of mortality are associated with LVH geometric patterns. Since pressure overload-induced LVH can be modeled experimentally using transverse aortic constriction (TAC) and since C57BL/6J (B6) and 129S1/SvImJ (129S1) strains, which have different baseline cardiovascular phenotypes, are commonly used, we conducted serial echocardiographic studies to assess cardiac function up to 8 wk of post-TAC in male B6, 129S1, and B6129F1 (F1) mice. B6 mice had an earlier onset and more pronounced impairment in contractile function, with corresponding left and right ventricular dilatation, fibrosis, change in expression of hypertrophy marker, and increased liver weights at 5 wk of post-TAC. These observations suggest that B6 mice had eccentric hypertrophy with systolic dysfunction and right-sided heart failure. In contrast, we found that 129S1 and F1 mice delayed transition to decompensated heart failure, with 129S1 mice exhibiting preserved systolic function until 8 wk of post-TAC and relatively mild alterations in histology and markers of hypertrophy at 5 wk post-TAC. Consistent with concentric hypertrophy, our results show that these strains manifest different cardiac responses to pressure overload in a time-dependent manner and that genetic susceptibility to initial concentric hypertrophy is dominant to eccentric hypertrophy. These results also imply that genetic background differences can complicate interpretation of TAC studies when using mixed genetic backgrounds.
左心室肥厚(LVH)是心血管疾病发病和死亡的危险因素,通常由原发性高血压引起。高血压可诱发三种LVH几何模式:向心性重构、向心性肥厚和离心性肥厚。临床研究表明,不同的潜在病因、基因修饰因子和死亡风险与LVH几何模式相关。由于压力超负荷诱导的LVH可以通过横向主动脉缩窄(TAC)进行实验建模,并且由于具有不同基线心血管表型的C57BL/6J(B6)和129S1/SvImJ(129S1)品系常用,我们进行了系列超声心动图研究,以评估雄性B6、129S1和B6129F1(F1)小鼠TAC术后8周内的心脏功能。B6小鼠收缩功能障碍的发病更早且更明显,伴有相应的左、右心室扩张、纤维化、肥厚标志物表达变化以及TAC术后5周肝脏重量增加。这些观察结果表明,B6小鼠存在离心性肥厚并伴有收缩功能障碍和右侧心力衰竭。相比之下,我们发现129S1和F1小鼠向失代偿性心力衰竭的转变延迟,129S1小鼠在TAC术后8周时收缩功能仍保持正常,且在TAC术后5周时组织学和肥厚标志物的改变相对较轻。与向心性肥厚一致,我们的结果表明,这些品系对压力超负荷表现出不同的时间依赖性心脏反应,并且对初始向心性肥厚的遗传易感性比离心性肥厚更占优势。这些结果还意味着,在使用混合遗传背景时,遗传背景差异会使TAC研究的解释变得复杂。