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通过重复压力超负荷建立猪肥厚非依赖性左心室僵硬度模型。

Porcine Model of Hypertrophy-Independent Left Ventricular Stiffening via Repetitive Pressure Overload.

机构信息

From the VA WNY Health Care System, Buffalo, NY, USA.

The Department of Physiology & Biophysics, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, NY, USA.

出版信息

Methods Mol Biol. 2024;2803:205-217. doi: 10.1007/978-1-0716-3846-0_15.


DOI:10.1007/978-1-0716-3846-0_15
PMID:38676895
Abstract

Diastolic dysfunction arising from alterations in myocardial structure and/or function is a central component of several cardiovascular disorders, including heart failure with preserved ejection fraction (HFpEF). Basic research aimed at understanding underlying mechanisms contributing to the development of diastolic dysfunction has generally centered upon models of left ventricular (LV) hypertrophy arising from persistent and severe elevations in myocardial afterload (e.g., aortic banding). Mechanisms of hypertrophy-independent diastolic dysfunction, on the other hand, have received less attention, even though overt anatomic LV hypertrophy is absent in many HFpEF patients. Here, we describe the development of a novel porcine model of repetitive pressure overload (RPO) in which chronic, intermittent exposure to transient episodes of hypertension produces an increase in LV stiffness, interstitial fibrosis, cardiomyocyte hypertrophy, and capillary rarefaction without significant changes in LV mass. This model offers important insight into how diastolic dysfunction and HFpEF may develop in the absence of comorbidities, sustained hypertension, or LV hypertrophy, while also providing a useful translational research tool for investigation of novel therapeutic approaches to restore myocardial compliance and improve diastolic function.

摘要

由心肌结构和/或功能改变引起的舒张功能障碍是几种心血管疾病的核心组成部分,包括射血分数保留的心力衰竭(HFpEF)。旨在了解导致舒张功能障碍发展的潜在机制的基础研究通常集中在由心肌后负荷持续和严重升高引起的左心室(LV)肥大模型上(例如,主动脉缩窄)。另一方面,对于非肥大依赖性舒张功能障碍的机制,尽管在许多 HFpEF 患者中不存在明显的解剖学 LV 肥大,但关注较少。在这里,我们描述了一种新的猪重复压力超负荷(RPO)模型的发展情况,其中慢性、间歇性暴露于短暂的高血压发作会导致 LV 僵硬度增加、间质纤维化、心肌细胞肥大和毛细血管稀疏,而 LV 质量没有明显变化。该模型为舒张功能障碍和 HFpEF 在没有合并症、持续高血压或 LV 肥大的情况下如何发展提供了重要的见解,同时也为研究恢复心肌顺应性和改善舒张功能的新治疗方法提供了有用的转化研究工具。

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Porcine Model of Hypertrophy-Independent Left Ventricular Stiffening via Repetitive Pressure Overload.

Methods Mol Biol. 2024

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引用本文的文献

[1]
Sexual dimorphism in animal models of heart failure with preserved ejection fraction.

J Appl Physiol (1985). 2025-6-1

本文引用的文献

[1]
Transmural variation in microvascular remodeling following percutaneous revascularization of a chronic coronary stenosis in swine.

Am J Physiol Heart Circ Physiol. 2020-2-14

[2]
Adaptive Reductions in Left Ventricular Diastolic Compliance Protect the Heart From Stretch-Induced Stunning.

JACC Basic Transl Sci. 2019-8-26

[3]
Nonocclusive multivessel intracoronary infusion of allogeneic cardiosphere-derived cells early after reperfusion prevents remote zone myocyte loss and improves global left ventricular function in swine with myocardial infarction.

Am J Physiol Heart Circ Physiol. 2019-5-24

[4]
Troponin Release and Reversible Left Ventricular Dysfunction After Transient Pressure Overload.

J Am Coll Cardiol. 2018-6-26

[5]
Heart Failure with Preserved Ejection Fraction.

N Engl J Med. 2016-11-10

[6]
A porcine model of hypertensive cardiomyopathy: implications for heart failure with preserved ejection fraction.

Am J Physiol Heart Circ Physiol. 2015-11

[7]
Comparative Efficacy of Intracoronary Allogeneic Mesenchymal Stem Cells and Cardiosphere-Derived Cells in Swine with Hibernating Myocardium.

Circ Res. 2015-9-11

[8]
Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging.

Eur Heart J Cardiovasc Imaging. 2015-3

[9]
What the dead can teach the living: systemic nature of heart failure with preserved ejection fraction.

Circulation. 2015-2-10

[10]
Heart failure with preserved ejection fraction: mechanisms, clinical features, and therapies.

Circ Res. 2014-6-20

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