Key result
Elderly female mice, unlike young mice, exhibited impaired reverse remodeling with persistent tissue fibrosis and cardiac dysfunction after withdrawal of chronic isoproterenol infusion.
Why the study?
Information regarding HFrEF in women and the effects of aging on the female heart is scarce.
Does aging impair reverse remodeling and recovery of ventricular function after isoproterenol-induced cardiomyopathy in female mice?
Does aging impair reverse remodeling and recovery of ventricular function after isoproterenol-induced cardiomyopathy in female mice?
In a female mouse model of isoproterenol-induced cardiomyopathy, aging impairs reverse remodeling and recovery of ventricular function after beta-adrenergic withdrawal.
Should not yet change clinical practice; leaves open whether aging impairs reverse remodeling in women.
Information about heart failure with reduced ejection fraction (HFrEF) in women and the potential effects of aging in the female heart is scarce. We investigated the vulnerability to develop HFrEF in female elderly mice compared to young animals, as well as potential differences in reverse remodeling. First, HF was induced by isoproterenol infusion (30 mg/kg/day, 28 days) in young (10-week-old) and elderly (22-month-old) female mice. In a second set of animals, mice underwent isoproterenol infusion followed by no treatment during 28 additional days. Cardiac remodeling was assessed by echocardiography, histology and gene expression of collagen-I and collagen-III. Following isoproterenol infusion, elderly mice developed similar HFrEF features compared to young animals, except for greater cell hypertrophy and tissue fibrosis. After beta-adrenergic withdrawal, young female mice experienced complete reversal of the HFrEF phenotype. Conversely, reversed remodeling was impaired in elderly animals, with no significant recovery of LV ejection fraction, cardiomyocyte hypertrophy and collagen deposition. In conclusion, chronic isoproterenol infusion is a valid HF model for elderly and young female mice and induces a similar HF phenotype in both. Elderly animals, unlike young, show impaired reverse remodeling, with persistent tissue fibrosis and cardiac dysfunction even after beta-adrenergic withdrawal.
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Yáñez-Bisbe et al. (2021) studied Heart failure with reduced ejection fraction (HFrEF). Aging (elderly vs young) vs. Young female mice was evaluated on Reverse remodeling and recovery of ventricular function. Elderly female mice, unlike young mice, exhibited impaired reverse remodeling with persistent tissue fibrosis and cardiac dysfunction after withdrawal of chronic isoproterenol infusion.
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