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Post-traumatic stress disorder (PTSD) is a risk factor for cardiovascular disease, however the mechanism behind this correlation is unknown. We hypothesized that PTSD alters cardiac homeostasis by increasing macrophage numbers and initiating cardiac fibrosis. To induce experimental PTSD, male and female C57BL/6 mice (4-weeks: n=16-17/sex, males=4.7±0.4 months old; females=4.8±0.3 months old; 8-weeks: n=13-16/sex, males=6.0±0.3 months old; females=6.3±0.5 months old) were exposed to 5 separate foot-shock incidences (IFS; 1.0 mA, 1 sec duration) in 6 min. Control mice (n=8-9/sex) were placed in the same chambers but experienced no foot shocks. Behavioral tests (16 parameters based on the DSM-5 clinical standards) were performed to characterize mice that do not demonstrate PTSD-like behavioral characteristics (NR) and PTSD-like mice. Doppler echocardiography measurements were collected serially up to 8-weeks post-IFS. Histological and gene assessments were collected 4- and 8-weeks post-IFS to measure markers of adverse cardiac remodeling that resulted in later functional changes. Over time PTSD-like mice demonstrated a decline in cardiac function becoming significantly impaired by 8-weeks as shown by an increase in E/e’ ratio along with left atrial diameter compared to controls, indicative of impaired LV filling pressure and diastolic dysfunction (p<0.05 for all). Beginning at 4-weeks post-IFS, PTSD-like mice had increased picrosirius red staining (PSR) compared to control mice (p<0.05) that remained elevated at 8-weeks. PTSD-like mice had increased macrophage numbers (Mac3) at 4-weeks post-IFS compared to control mice (p<0.05) and showed an increased trend when compared to controls 8-weeks post-IFS (p=0.09). To determine potential signaling mechanisms, Ccl2, Ccl5, and discoidin domain receptor tyrosine kinase 2 (DDR2) mRNA levels were assessed. Gene expression of Ccl2 demonstrated a decreased trend in PTSD-like mice (p=0.13), while Ccl5 (p=0.08) and DDR2 (p=0.06) mRNA demonstrated an increased trend in PTSD-like mice when compared to controls. Our data indicates that in a mouse model of PTSD, animals that demonstrate PTSD-like behaviors show signs of increased cardiac inflammation stimulating cardiac remodeling and cardiac dysfunction. This work was supported by the National Institutes of Health T32GM123055; the American Heart Association Innovator Project IPA35260039, GM113278; the Biomedical Laboratory Research and Development Service of the Veterans Affairs Offce of Research and Development Award IK2BX003922, I01BX00584; and South Carolina Translational Research Center UL1TR001450. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.
Corker et al. (Wed,) studied this question.