Temple University Lewis Katz School of Medicine, Cardiovascular Research Center, Philadelphia, PA, United States.
Division of Cardiology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Sci Rep. 2017 Nov 29;7(1):16587. doi: 10.1038/s41598-017-15851-2.
Heart Failure with preserved Ejection Fraction (HFpEF) represents a major public health problem. The causative mechanisms are multifactorial and there are no effective treatments for HFpEF, partially attributable to the lack of well-established HFpEF animal models. We established a feline HFpEF model induced by slow-progressive pressure overload. Male domestic short hair cats (n = 20), underwent either sham procedures (n = 8) or aortic constriction (n = 12) with a customized pre-shaped band. Pulmonary function, gas exchange, and invasive hemodynamics were measured at 4-months post-banding. In banded cats, echocardiography at 4-months revealed concentric left ventricular (LV) hypertrophy, left atrial (LA) enlargement and dysfunction, and LV diastolic dysfunction with preserved systolic function, which subsequently led to elevated LV end-diastolic pressures and pulmonary hypertension. Furthermore, LV diastolic dysfunction was associated with increased LV fibrosis, cardiomyocyte hypertrophy, elevated NT-proBNP plasma levels, fluid and protein loss in pulmonary interstitium, impaired lung expansion, and alveolar-capillary membrane thickening. We report for the first time in HFpEF perivascular fluid cuff formation around extra-alveolar vessels with decreased respiratory compliance. Ultimately, these cardiopulmonary abnormalities resulted in impaired oxygenation. Our findings support the idea that this model can be used for testing novel therapeutic strategies to treat the ever growing HFpEF population.
射血分数保留的心力衰竭(HFpEF)是一个主要的公共卫生问题。致病机制是多因素的,目前尚无有效的 HFpEF 治疗方法,部分原因是缺乏成熟的 HFpEF 动物模型。我们建立了一种通过缓慢进展性压力超负荷诱导的猫 HFpEF 模型。雄性家短毛猫(n=20)接受假手术(n=8)或主动脉缩窄(n=12)治疗,使用定制的预成型带。在捆绑后 4 个月测量肺功能、气体交换和有创血液动力学。在捆绑猫中,4 个月时的超声心动图显示左心室(LV)向心性肥厚、左心房(LA)扩大和功能障碍以及 LV 舒张功能障碍伴收缩功能保留,随后导致 LV 舒张末期压力升高和肺动脉高压。此外,LV 舒张功能障碍与 LV 纤维化增加、心肌细胞肥大、NT-proBNP 血浆水平升高、肺间质液体和蛋白丢失、肺扩张受损以及肺泡毛细血管膜增厚有关。我们首次报道在 HFpEF 中,肺泡外血管周围形成血管周围液体袖套,导致呼吸顺应性降低。最终,这些心肺异常导致氧合受损。我们的发现支持这样一种观点,即该模型可用于测试治疗日益增长的 HFpEF 人群的新治疗策略。