Tanwar Vineeta, Gorr Matthew W, Velten Markus, Eichenseer Clayton M, Long Victor P, Bonilla Ingrid M, Shettigar Vikram, Ziolo Mark T, Davis Jonathan P, Baine Stephen H, Carnes Cynthia A, Wold Loren E
Dorothy M. Davis Heart and Lung Research Institute, College of Medicine, The Ohio State University, Columbus, OH.
College of Nursing, The Ohio State University, Columbus, OH.
J Am Heart Assoc. 2017 Apr 11;6(4):e005796. doi: 10.1161/JAHA.117.005796.
Particulate matter (PM; PM [PM with diameters of <2.5 μm]) exposure during development is strongly associated with adverse cardiovascular outcomes at adulthood. In the present study, we tested the hypothesis that in utero PM exposure alone could alter cardiac structure and function at adulthood.
Female FVB mice were exposed either to filtered air or PM at an average concentration of 73.61 μg/m for 6 h/day, 7 days/week throughout pregnancy. After birth, animals were analyzed at 12 weeks of age. Echocardiographic (n=9-10 mice/group) and pressure-volume loop analyses (n=5 mice/group) revealed reduced fractional shortening, increased left ventricular end-systolic and -diastolic diameters, reduced left ventricular posterior wall thickness, end-systolic elastance, contractile reserve (dP/dt/end-systolic volume), frequency-dependent acceleration of relaxation), and blunted contractile response to β-adrenergic stimulation in PM-exposed mice. Isolated cardiomyocyte (n=4-5 mice/group) function illustrated reduced peak shortening, ±dL/dT, and prolonged action potential duration at 90% repolarization. Histological left ventricular analyses (n=3 mice/group) showed increased collagen deposition in in utero PM-exposed mice at adulthood. Cardiac interleukin (IL)-6, IL-1ß, collagen-1, matrix metalloproteinase (MMP) 9, and MMP13 gene expressions were increased at birth in in utero PM-exposed mice (n=4 mice/group). In adult hearts (n=5 mice/group), gene expressions of sirtuin (Sirt) 1 and Sirt2 were decreased, DNA methyltransferase (Dnmt) 1, Dnmt3a, and Dnmt3b were increased, and protein expression (n=6 mice/group) of Ca-ATPase, phosphorylated phospholamban, and Na/Ca exchanger were decreased.
In utero PM exposure triggers an acute inflammatory response, chronic matrix remodeling, and alterations in Ca handling proteins, resulting in global adult cardiac dysfunction. These results also highlight the potential involvement of epigenetics in priming of adult cardiac disease.
发育过程中暴露于颗粒物(PM;直径<2.5μm的PM)与成年期不良心血管结局密切相关。在本研究中,我们检验了以下假设:仅子宫内PM暴露就可能改变成年期的心脏结构和功能。
雌性FVB小鼠在整个孕期每天6小时、每周7天暴露于过滤空气或平均浓度为73.61μg/m的PM中。出生后,在12周龄时对动物进行分析。超声心动图(每组9 - 10只小鼠)和压力 - 容积环分析(每组5只小鼠)显示,暴露于PM的小鼠缩短分数降低、左心室收缩末期和舒张末期直径增加、左心室后壁厚度减小、收缩末期弹性降低、收缩储备(dP/dt/收缩末期容积)降低、频率依赖性舒张加速降低,以及对β - 肾上腺素能刺激的收缩反应减弱。分离心肌细胞(每组4 - 5只小鼠)功能显示缩短峰值、±dL/dT降低,90%复极化时动作电位时程延长。组织学左心室分析(每组3只小鼠)显示,成年期子宫内暴露于PM的小鼠胶原沉积增加。子宫内暴露于PM的小鼠(每组4只小鼠)出生时心脏白细胞介素(IL)-6、IL - 1β、胶原 - 1、基质金属蛋白酶(MMP)9和MMP13基因表达增加。在成年心脏(每组5只小鼠)中,沉默调节蛋白(Sirt)1和Sirt2的基因表达降低,DNA甲基转移酶(Dnmt)1、Dnmt3a和Dnmt3b增加,钙 - ATP酶、磷酸化受磷蛋白和钠/钙交换器的蛋白表达(每组6只小鼠)降低。
子宫内PM暴露引发急性炎症反应、慢性基质重塑以及钙处理蛋白改变,导致成年期整体心脏功能障碍。这些结果还突出了表观遗传学在成年心脏病引发中的潜在作用。