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大鼠的心血管表型——杜氏肌营养不良症的合适动物模型。

Cardiovascular phenotype of the rat - a suitable animal model for Duchenne muscular dystrophy.

机构信息

Ludwig Boltzmann Institute for Cardiovascular Research at Center for Biomedical Research, Medical University of Vienna, Vienna 1090, Austria.

Department of Neurophysiology and Pharmacology, Center for Physiology and Pharmacology, Medical University of Vienna, Vienna 1090, Austria.

出版信息

Dis Model Mech. 2021 Feb 22;14(2):dmm047704. doi: 10.1242/dmm.047704.

Abstract

Besides skeletal muscle abnormalities, Duchenne muscular dystrophy (DMD) patients present with dilated cardiomyopathy development, which considerably contributes to morbidity and mortality. Because the mechanisms responsible for the cardiac complications in the context of DMD are largely unknown, evidence-based therapy approaches are still lacking. This has increased the need for basic research efforts into animal models for DMD. Here, we characterized in detail the cardiovascular abnormalities of rats, with the aim of determining the suitability of this recently established dystrophin-deficient small animal as a model for DMD.Various methods were applied to compare cardiovascular properties between wild-type and rats, and to characterize the cardiomyopathy. These methods comprised echocardiography, invasive assessment of left ventricular hemodynamics, examination of adverse remodeling and endothelial cell inflammation, and evaluation of vascular function, employing wire myography. Finally, intracellular Ca transient measurements, and recordings of currents through L-type Ca channels were performed in isolated single ventricular cardiomyocytes. We found that, similar to respective observations in DMD patients, the hearts of rats show significantly impaired cardiac function, fibrosis and inflammation, consistent with the development of a dilated cardiomyopathy. Moreover, in rats, vascular endothelial function is impaired, which may relate to inflammation and oxidative stress, and Ca handling in cardiomyocytes is abnormal.These findings indicate that rats represent a promising small-animal model to elucidate mechanisms of cardiomyopathy development in the dystrophic heart, and to test mechanism-based therapies aiming to combat cardiovascular complications in DMD.

摘要

除了骨骼肌异常,杜氏肌营养不良症(DMD)患者还会发展为扩张型心肌病,这极大地导致了发病率和死亡率的增加。由于导致 DMD 患者心脏并发症的机制在很大程度上尚未可知,因此仍然缺乏基于证据的治疗方法。这增加了对 DMD 动物模型进行基础研究的必要性。在这里,我们详细描述了大鼠的心血管异常,目的是确定最近建立的这种肌营养不良蛋白缺陷的小型动物作为 DMD 模型的适用性。我们应用了各种方法来比较野生型和 大鼠之间的心血管特性,并对 心肌病进行特征描述。这些方法包括超声心动图、左心室血流动力学的侵入性评估、不良重构和内皮细胞炎症的检查,以及使用电生理研究血管功能。最后,在分离的单个心室心肌细胞中进行了细胞内 Ca 瞬变测量和 L 型 Ca 通道电流的记录。我们发现,与 DMD 患者的相应观察结果类似, 大鼠的心脏表现出明显受损的心脏功能、纤维化和炎症,与扩张型心肌病的发展一致。此外,在 大鼠中,血管内皮功能受损,这可能与炎症和氧化应激有关,并且 心肌细胞中的 Ca 处理异常。这些发现表明, 大鼠是一种很有前途的小型动物模型,可以阐明营养不良心脏中心肌病发展的机制,并测试旨在对抗 DMD 心血管并发症的基于机制的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c3c/7927653/7c5de4e7b6d2/dmm-14-047704-g1.jpg

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