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