Myocardial Mechanics in a Rat Model with Banding and Debanding of the Ascending Aorta
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Background: Aortic banding and debanding models have provided useful information on the development and regression ofleft ventricular hypertrophy (LVH). In this animal study, we aimed to evaluate left ventricular (LV) deformation related to thedevelopment and regression of LVH. Methods: Minimally invasive ascending aorta banding was performed in rats (10 Sprague Dawley rats, 7 weeks). Ten ratsunderwent a sham operation. Thirty-five days later, the band was removed. Echocardiographic and histopathologic analysis wasassessed at pre-banding, 35 days of banding and 14 days of debanding. Results: Banding of the ascending aorta created an expected increase in the aortic velocity and gradient, which normalizedwith the debanding procedure. Pressure overload resulted in a robust hypertrophic response as assessed by gross and microscopichistology, transthoracic echocardiography [heart weight/tibia length (g/m); 21.0 ± 0.8 vs. 33.2 ± 2.0 vs. 26.6 ± 2.8, p < 0.001]. The circumferential (CS) and radial strains were not different between the groups. However, there were significant differences inthe degree of fibrosis according to the banding status (fibrosis; 0.10 ± 0.20% vs. 5.26 ± 3.12% vs. 4.03 ± 3.93%, p = 0.003),and global CS showed a significant correlation with the degree of myocardial fibrosis in this animal model (r = 0.688, p = 0.028). Conclusion: In this animal study, simulating a severe LV pressure overload state, a significant increase in the LV mass indexdid not result in a significant reduction in the LV mechanical parameters. The degree of LV fibrosis, which developed withpressure overload, was significantly related to the magnitude of left ventricular mechanics.
Abstract
Background: Aortic banding and debanding models have provided useful information on the development and regression ofleft ventricular hypertrophy (LVH). In this animal study, we aimed to evaluate left ventricular (LV) deformation related to thedevelopment and regression of LVH. Methods: Minimally invasive ascending aorta banding was performed in rats (10 Sprague Dawley rats, 7 weeks). Ten ratsunderwent a sham operation. Thirty-five days later, the band was removed. Echocardiographic and histopathologic analysis wasassessed at pre-banding, 35 days of banding and 14 days of debanding. Results: Banding of the ascending aorta created an expected increase in the aortic velocity and gradient, which normalizedwith the debanding procedure. Pressure overload resulted in a robust hypertrophic response as assessed by gross and microscopichistology, transthoracic echocardiography [heart weight/tibia length (g/m); 21.0 ± 0.8 vs. 33.2 ± 2.0 vs. 26.6 ± 2.8, p < 0.001]. The circumferential (CS) and radial strains were not different between the groups. However, there were significant differences inthe degree of fibrosis according to the banding status (fibrosis; 0.10 ± 0.20% vs. 5.26 ± 3.12% vs. 4.03 ± 3.93%, p = 0.003),and global CS showed a significant correlation with the degree of myocardial fibrosis in this animal model (r = 0.688, p = 0.028). Conclusion: In this animal study, simulating a severe LV pressure overload state, a significant increase in the LV mass indexdid not result in a significant reduction in the LV mechanical parameters. The degree of LV fibrosis, which developed withpressure overload, was significantly related to the magnitude of left ventricular mechanics.
참고문헌 (20)
- Houser SR, "Animal models of heart failure: a scientific statement from the American Heart Association", Circ Res, 111, pp.131~150 (2012)
- Gao XM, "Regression of pressure overload-induced left ventricular hypertrophy in mice", Am J Physiol Heart Circ Physiol, 288, pp.H2702~H2707 (2005)
- Bjørnstad JL, "A mouse model of reverse cardiac remodelling following banding-debanding of the ascending aorta", Acta Physiol(Oxf), 205, pp.92~102 (2012)
- Stansfield WE, "Characterization of a model to independently study regression of ventricular hypertrophy", J Surg Res, 142, pp.387~393 (2007)
- Carasso S, "Relation of myocardial mechanics in severe aortic stenosis to left ventricular ejection fraction and response to aortic valve replacement", Am J Cardiol, 107, pp.1052~1057 (2011)
- Carasso S, "Differential effects of afterload on left ventricular long-and short-axis function : insights from a clinical model of patients with aortic valve stenosis undergoing aortic valve replacement", Am Heart J, 158, pp.540~545 (2009)
- Schattke S, "Acute regional improvement of myocardial function after interventional transfemoral aortic valve replacement in aortic stenosis : a speckle tracking echocardiography study", Cardiovasc Ultrasound, 10, pp.15~ (2012)
- Bauer F, "Acute improvement in global and regional left ventricular systolic function after percutaneous heart valve implantation in patients with symptomatic aortic stenosis", Circulation, 110, pp.1473~1476 (2004)
- Peng Y, "Speckle tracking echocardiography in the assessment of mouse models of cardiac dysfunction", Am J Physiol Heart Circ Physiol, 297, pp.H811~H820 (2009)
- Popović ZB, "Speckle-tracking echocardiography correctly identifies segmental left ventricular dysfunction induced by scarring in a rat model of myocardial infarction", Am J Physiol Heart Circ Physiol, 292, pp.H2809~H2816 (2007)
- Azam S, "Comparison of velocity vector imaging echocardiography with magnetic resonance imaging in mouse models of cardiomyopathy", Circ Car diovasc Imaging, 5, pp.776~781 (2012)
- Gao S, "Echocardiography in Mice", Curr Protoc Mouse Biol, 1, pp.71~83 (2011)
- Täng MS, "Velocity vector imaging fails to quantify regional myocardial dysfunction in a mouse model of isoprenaline-induced cardiotoxicity", Echocardiography, 29, pp.818~826 (2012)
- Heymans S, "Increased cardiac expression of tissue inhibitor of metalloproteinase-1 and tissue inhibitor of metalloproteinase-2 is related to cardiac fibrosis and dysfunction in the chronic pressure-overloaded human heart", Circulation, 112, pp.1136~1144 (2005)
- Krayenbuehl HP, "Left ventricular myocardial structure in aortic valve disease before, intermediate, and late after aortic valve replacement", Circulation, 79, pp.744~755 (1989)
- Mewton N, "Assessment of myocardial fibrosis with cardiovascular magnetic resonance", J Am Coll Cardiol, 57, pp.891~903 (2011)
- Derumeaux G, "Tissue Doppler imaging differentiates physiological from pathological pressure-overload left ventricular hypertrophy in rats", Circulation, 105, pp.1602~1608 (2002)
- Urbano-Moral JA, "Investigation of global and regional myocardial mechanics with 3-dimensional speckle tracking echocardiography and relations to hypertrophy and fibrosis in hypertrophic cardiomyopathy", Circ Cardiovasc Imaging, 7, pp.11~19 (2014)
- Kakkar R, "Intramyocardial fibroblast myocyte communication", Circ Res, 106, pp.47~57 (2010)
- Bauer M, "Echocardiographic speckle-tracking based strain imaging for rapid cardiovascular phenotyping in mice", Circ Res, 108, pp.908~916 (2011)
