Department of Cardiovascular Medicine, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, 20156 Milan, Italy.
School of Medicine and Surgery, University of Milano-Bicocca, 20126 Milan, Italy.
Int J Mol Sci. 2023 Jul 22;24(14):11805. doi: 10.3390/ijms241411805.
Duchenne muscular dystrophy (DMD) is the most common form of muscle degenerative hereditary disease. Muscular replacement by fibrosis and calcification are the principal causes of progressive and severe musculoskeletal, respiratory, and cardiac dysfunction. To date, the D2.B10-/J (D2-) model is proposed as the closest to DMD, but the results are controversial. In this study, the cardiac structure and function was characterized in D2- mice from 16-17 up to 24-25 weeks of age. Echocardiographic assessment in conscious mice, gross pathology, and histological and cardiac biomarker analyses were performed. At 16-17 weeks of age, D2- mice presented mild left ventricular function impairment and increased pulmonary vascular resistance. Cardiac fibrosis was more extended in the right ventricle, principally on the epicardium. In 24-25-week-old D2- mice, functional and structural alterations increased but with large individual variation. High-sensitivity cardiac Troponin T, but not N-terminal pro-atrial natriuretic peptide, plasma levels were increased. In conclusion, left ventricle remodeling was mild to moderate in both young and adult mice. We confirmed that right ventricle epicardial fibrosis is the most outstanding finding in D2- mice. Further long-term studies are needed to evaluate whether this mouse model can also be considered a model of DMD cardiomyopathy.
杜氏肌营养不良症(DMD)是最常见的肌肉退行性遗传疾病。纤维组织增生和钙化导致进行性和严重的肌肉骨骼、呼吸和心脏功能障碍。迄今为止,D2.B10-/J(D2-)模型被认为最接近 DMD,但结果存在争议。在这项研究中,从 16-17 周龄到 24-25 周龄,对 D2- 小鼠的心脏结构和功能进行了特征描述。在清醒小鼠中进行超声心动图评估、大体病理学以及组织学和心脏生物标志物分析。在 16-17 周龄时,D2- 小鼠出现轻度左心室功能障碍和肺血管阻力增加。右心室的纤维化更为广泛,主要位于心外膜。在 24-25 周龄的 D2- 小鼠中,功能和结构改变增加,但个体差异较大。高敏心肌肌钙蛋白 T,但不是 N 末端脑钠肽前体,血浆水平升高。总之,左心室重构在幼鼠和成年鼠中均为轻度至中度。我们证实 D2- 小鼠的心外膜纤维化是最突出的发现。需要进一步的长期研究来评估这种小鼠模型是否也可以被认为是 DMD 心肌病的模型。