结合饮食诱导肥胖和肾素介导高血压的射血分数保留的心力衰竭双打击小鼠模型

Two-hit mouse model of heart failure with preserved ejection fraction combining diet-induced obesity and renin-mediated hypertension.

作者信息

Berger Justin H, Shi Yuji, Matsuura Timothy R, Batmanov Kirill, Chen Xian, Tam Kelly, Marshall Mackenzie, Kue Richard, Patel Jiten, Taing Renee, Callaway Russell, Griffin Joanna, Kovacs Attila, Hirenallur-Shanthappa Dinesh, Miller Russell, Zhang Bei B, Flach Rachel J Roth, Kelly Daniel P

机构信息

Cardiovascular Institute, Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Cardiovascular Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

出版信息

Sci Rep. 2025 Jan 2;15(1):422. doi: 10.1038/s41598-024-84515-9.

Abstract

Heart failure with preserved ejection fraction (HFpEF) is increasingly common but its pathogenesis is poorly understood. The ability to assess genetic and pharmacologic interventions is hampered by the lack of robust preclinical mouse models of HFpEF. We developed a novel "two-hit" model, which combines obesity and insulin resistance with chronic pressure overload to recapitulate clinical features of HFpEF. C57Bl6/NJ mice fed a high-fat diet (HFD) for > 10 weeks were administered an AAV8-driven vector resulting in constitutive overexpression of mouse Renin1d. HFD-Renin (aka "HFpEF") mice demonstrated obesity and insulin resistance, moderate left ventricular hypertrophy, preserved systolic function, and diastolic dysfunction indicated by echocardiographic measurements; increased left atrial mass; elevated natriuretic peptides; and exercise intolerance. Transcriptomic and metabolomic profiling of HFD-Renin myocardium demonstrated upregulation of pro-fibrotic pathways and downregulation of metabolic pathways, in particular branched chain amino acid catabolism, similar to human HFpEF. Treatment with empagliflozin, an effective but incompletely understood HFpEF therapy, improved multiple endpoints. The HFD-Renin mouse model recapitulates key features of human HFpEF and will enable studies dissecting the contribution of individual pathogenic drivers to this complex syndrome. Additional preclinical HFpEF models allow for orthogonal studies to increase validity in assessment of interventions.

摘要

射血分数保留的心力衰竭(HFpEF)越来越常见,但其发病机制仍知之甚少。由于缺乏强大的HFpEF临床前小鼠模型,评估基因和药物干预的能力受到阻碍。我们开发了一种新型的“双打击”模型,该模型将肥胖和胰岛素抵抗与慢性压力超负荷相结合,以重现HFpEF的临床特征。给喂食高脂饮食(HFD)超过10周的C57Bl6/NJ小鼠注射一种由腺相关病毒8(AAV8)驱动的载体,导致小鼠肾素1d(Renin1d)的组成性过表达。HFD-肾素(又名“HFpEF”)小鼠表现出肥胖和胰岛素抵抗、中度左心室肥厚、收缩功能保留以及超声心动图测量显示的舒张功能障碍;左心房质量增加;利钠肽升高;以及运动不耐受。HFD-肾素心肌的转录组学和代谢组学分析表明,促纤维化途径上调,代谢途径下调,特别是支链氨基酸分解代谢,这与人类HFpEF相似。用恩格列净治疗,这是一种有效但尚未完全了解的HFpEF疗法,改善了多个终点。HFD-肾素小鼠模型重现了人类HFpEF的关键特征,并将有助于研究剖析个体致病驱动因素对这种复杂综合征的贡献。额外的临床前HFpEF模型允许进行正交研究,以提高干预评估的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8335/11696687/893103afa6d1/41598_2024_84515_Fig1_HTML.jpg

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