Key result
Moderate chronic transverse aortic constriction induced a 12% greater heart mass and 17% higher heart-to-body mass ratio in male rats compared to sham, with preserved ejection fraction.
Why the study?
To determine whether long-term moderate transverse aortic constriction in male and female rats induces ventricular hypertrophy, preserved ejection fraction, skeletal muscle changes, and sex-specific differences mimicking HFpEF.
Does moderate transverse aortic constriction induce sex-specific ventricular hypertrophy, preserved ejection fraction, and skeletal muscle changes in rats?
Does moderate transverse aortic constriction induce sex-specific ventricular hypertrophy, preserved ejection fraction, and skeletal muscle changes in rats?
Effect estimate: 12% greater
p-value: p=0.049
Moderate, chronic pressure overload via TAC in rats induces modest, sex-specific cardiac hypertrophy in males but not females, without progressing to overt heart failure or skeletal muscle atrophy at 40 weeks.
This rat TAC model may aid preclinical HFpEF research with sex-specific insights; leaves open clinical translation.
Heart failure with preserved ejection fraction (HFpEF) accounts for ∼50 % of heart failure diagnoses, occurs in older individuals, is more prevalent in females than males, and includes hypertension as contributing factor. We sought to determine whether a long-term, moderate, transverse aortic constriction in male and female rats induces ventricular hypertrophy and preserved ejection fraction, changes in skeletal muscle mass and strength, and sex-specific differences in these outcomes, mimicking HFpEF. Transverse aortic constriction (TAC) surgery was performed on male and female rats at 4 weeks of age, and rats were sacrificed 40 weeks after surgery, following echocardiography and grip strength measures. Male TAC rats demonstrated a 12 % greater heart mass and 17 % higher heart to body mass ratio than Sham rats; however, these parameters did not differ between female TAC and Sham rats. TAC rats demonstrated a preserved ejection fraction, and TAC had no effect on skeletal muscle size or strength. In summary, male rats were more susceptible to TAC-induced pressure-overload hypertrophy than female rats, and this moderate constriction resulted in preserved ejection fraction despite a long time course. Collectively, these investigations reveal, in the absence of comorbidities, pressure overload produces modest, sex-specific effects in the myocardium and skeletal muscle.
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Evans et al. (2025) studied Heart failure with preserved ejection fraction (HFpEF) model (n=55). Transverse aortic constriction (TAC) vs. Sham surgery was evaluated on Heart mass in male rats (12% greater, p=0.049). Moderate chronic transverse aortic constriction induced a 12% greater heart mass and 17% higher heart-to-body mass ratio in male rats compared to sham, with preserved ejection fraction.
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