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September 9, 2024Hypertension ResearchOpen Access

Characterization of a new model of chemotherapy-induced heart failure with reduced ejection fraction and nephrotic syndrome in Ren-2 transgenic rats

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Key result

Intravenous doxorubicin administration in Ren-2 transgenic rats induced a severe model of heart failure with reduced ejection fraction and nephrotic syndrome, resulting in 16% survival at 10 weeks compared to 89% in controls.

Why the study?

Current treatments are less effective for anthracycline-induced HFrEF, requiring appropriate animal models to thoroughly understand the pathophysiology and develop new therapeutic approaches.

Population

Ren-2 transgenic rats

Comparison

DOXO via five intravenous injections (cumulative dose 10 mg/kg BW)

Design

Animal model characterization study

Authors

OGOlga GawryśČeské Energetické Závody (Czechia)ŠJŠárka JíchováInstitute of Clinical and Experimental MedicineMMMatúš MiklovičInstitute of Clinical and Experimental Medicine

Discussion

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Implication

May guide new models of anthracycline HFrEF; leaves open clinical translation pending validation.

Structured PICO

P
Population
Male heterozygous Ren-2 transgenic rats at 6 weeks of age were used to characterize a novel model of doxorubicin-induced heart failure and cardiorenal syndrome with up to 10 weeks of follow-up.
I
Intervention
Doxorubicin (DOXO) 2 mg/kg intravenous injection weekly for 5 consecutive weeks (cumulative dose 10 mg/kg of body weight)
C
Comparator
1 ml of saline intravenous injection weekly for 5 consecutive weeks
O
Outcome
Characterization of the model including survival, echocardiography, histological examination of the heart and kidneys, blood pressure, and biomarkers of cardiac remodelling, fibrosis, apoptosis, and oxidative stresssurrogate

Main Result

Absolute Event Rate: 16% vs 89%

p-value: p=<0.0001

The DOXO-treated Ren-2 transgenic rat model adequately mimics chemotherapy-induced HFrEF and cardiorenal syndrome, providing a useful preclinical model for future therapeutic research.

Limitations

  • Only male animals were selected for this first characterisation study; studies in both sexes should be performed in the future.
  • Only male animals were selected for this first characterisation study

Cite This Study

Gawryś et al. (2024) studied Chemotherapy-induced heart failure with reduced ejection fraction and nephrotic syndrome. Doxorubicin vs. Saline was evaluated on Survival at 10 weeks post-treatment (p=<0.0001). Intravenous doxorubicin administration in Ren-2 transgenic rats induced a severe model of heart failure with reduced ejection fraction and nephrotic syndrome, resulting in 16% survival at 10 weeks compared to 89% in controls.

synapsesocial.com/papers/6a731aefa790b8554aacb65fhttps://doi.org/10.1038/s41440-024-01865-7

Topics

HFrEF treatmentHeart failure
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Refractory heart failure and age-related differences in adriamycin-induced myocardial changes in rats1987 · 47 citations
  2. 2Vericiguat in Patients with Heart Failure and Reduced Ejection Fraction2020 · 1,355 citations
  3. 3Primary prevention of chronic anthracycline cardiotoxicity with ACE inhibitor is temporarily effective in rabbits, but benefits wane in post-treatment follow-up2021 · 4 citations
  4. 4Anthracycline-induced cardiotoxicity and renin-angiotensin-aldosterone system—from molecular mechanisms to therapeutic applications2020 · 94 citations
  5. 5The influence of chemotherapy on the right ventricle: did we forget something?2017 · 47 citations