Key result
Obese ZSF1 rats with HFpEF exhibited significantly lower serum levels of arginine (-31%) and homoarginine (-72%) compared to healthy lean controls, indicating altered nitric oxide metabolism.
Why the study?
Endothelial dysfunction and altered nitric oxide metabolism are considered causal in HFpEF, and nitric oxide synthase activity depends on arginine availability.
Absolute Event Rate: 0.544% vs 1.94%
p-value: p=<0.0001
Should not yet change HFpEF management; hypothesis-generating for NO metabolism-targeted therapies.
Endothelial dysfunction and altered nitric oxide (NO) metabolism are considered causal factors in heart failure with preserved ejection fraction (HFpEF). NO synthase activity depends on the availability of arginine and its derivatives. Thus, we analyzed arginine, associated metabolites, arginine-metabolizing enzymes and NO turnover in 20-week-old female healthy lean (L-ZSF1) and obese ZSF1 rats (O-ZSF1) with HFpEF. Serum, urine and lysates of liver, kidney and heart were analyzed. There were significantly lower lysine (- 28%), arginine (- 31%), homoarginine (- 72%) and nitrite (- 32%) levels in serum of O-ZSF1 rats. Ornithine (+ 60%) and citrulline (+ 20%) levels were higher. Similar results were found in the heart. Expression of arginine consuming enzymes in liver and kidney was unchanged. Instead, we observed a 5.8-fold higher arginase 1 expression, presumably of granulocyte origin, in serum and > fourfold increased cardiac macrophage invasion in O-ZSF1. We conclude that inflammatory cells in blood and heart consume arginine and probably homoarginine via arginase 1 and inducible NO synthase and release ornithine and citrulline. In combination with evidence for decreased NO turnover in O-ZSF1 rats, we assume lower arginine bioavailability to endothelial NO synthase.
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Büttner et al. (2021) studied Heart failure with preserved ejection fraction (HFpEF) (n=24). Obese ZSF1 (O-ZSF1) phenotype vs. Lean ZSF1 (L-ZSF1) healthy rats was evaluated on Serum homoarginine concentration (µM) (p=<0.0001). Obese ZSF1 rats with HFpEF exhibited significantly lower serum levels of arginine (-31%) and homoarginine (-72%) compared to healthy lean controls, indicating altered nitric oxide metabolism.
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