Key result
Diabetes mellitus induced by a high-fat diet and streptozocin promoted atrial structural remodeling, fibrosis, and inflammation in mice compared to controls.
Why the study?
Although diabetes mellitus is linked to atrial fibrillation, the underlying mechanisms of increased AF susceptibility and the potential effects of DM on atrial remodeling remain unclear.
Does diabetes mellitus induced by high-fat diet and STZ promote atrial structural remodeling and inflammation in mice?
RCT (n=25)
Randomly assigned
Does diabetes mellitus induced by high-fat diet and STZ promote atrial structural remodeling and inflammation in mice?
Diabetes mellitus induces atrial structural remodeling and inflammation in mice, highlighting potential mechanisms for the increased susceptibility to atrial fibrillation in diabetic patients.
Hypothesis-generating for diabetes-atrial remodeling pathways in mice; clinical translation requires human studies.
BACKGROUND: Diabetes mellitus (DM) has been demonstrated to be linked to atrial fibrillation (AF). However, the underlying mechanisms of the DM-associated increase in AF susceptibility and the potential effects of DM on atrial remodeling remain unclear. METHODS AND RESULTS: Twenty-five C57BL/6 mice were randomly assigned to the normal/control group (Con, n=10) and model group (n=15). Mice in the model group were administered a high-fat diet combined with multiple injections of low-dose streptozocin (STZ) (35 mg/kg). Eleven mice were ultimately included in DM group. Left atrial tissue structural and inflammatory alterations were assessed. In our study, the atrial weights of DM mice were markedly heavier than those of mice in the Con group. DM mice exhibited significantly increased fasting plasma glucose, fasting insulin, and dyslipidaemia. Furthermore, H&E and Masson's staining revealed broadened interstitial spaces, myocyte disarray and atrial fibrosis in DM mice. The expression levels of the atrial inflammation-associated factor nuclear factor κB (NF-κB) and its pathway were significantly altered in the atria of DM mice. CONCLUSION: DM could induce atrial structural remodeling and inflammation in mice.
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Meng et al. (2021) conducted an RCT in Diabetes mellitus (n=25). High-fat diet combined with multiple injections of low-dose streptozocin (STZ) vs. Normal/control group was evaluated on Left atrial tissue structural and inflammatory alterations. Diabetes mellitus induced by a high-fat diet and streptozocin promoted atrial structural remodeling, fibrosis, and inflammation in mice compared to controls.
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