Why the study?
The study aimed to quantify coronary atherosclerosis and artery remodeling following transverse aortic constriction in apo E deficient mice, and evaluate how increased remnant lipoproteins affect pressure overload-induced hypertrophy and heart failure.
Do increased remnant lipoproteins in apo E deficient mice aggravate the development of pressure overload-induced cardiac hypertrophy and heart failure following transverse aortic constriction?
Do increased remnant lipoproteins in apo E deficient mice aggravate the development of pressure overload-induced cardiac hypertrophy and heart failure following transverse aortic constriction?
In a murine model, the combination of increased remnant lipoproteins (apo E deficiency) and pressure overload (transverse aortic constriction) induces coronary atherosclerosis and aggravates pathological cardiac hypertrophy and heart failure.
Hypothesis-generating for remnant lipoproteins worsening pressure-overload HF in mice; leaves open human translation and clinical relevance.
Murine coronary arteries are very resistant to the development of atherosclerosis, which may be related to their intramyocardial course. Blood pressure promotes atherosclerotic plaque formation by acting as a physical force that potentiates the migration of pro-atherogenic lipoproteins across the endothelium. C57BL/6N apolipoprotein (apo) E deficient mice have increased remnant lipoproteins that are a risk factor for coronary atherosclerosis. In this study, our aim was to quantify coronary atherosclerosis and artery remodeling following transverse aortic constriction (TAC) in C57BL/6N apo E−/− mice and to evaluate the impact of increased remnant lipoproteins on the development of pressure overload-induced cardiac hypertrophy and heart failure. Advanced atherosclerotic lesions were observed in the left coronary artery of C57BL/6N apo E−/− TAC mice but not in C57BL/6N TAC mice. Pressure overload resulted in markedly increased cardiac hypertrophy and more pronounced heart failure in C57BL/6N apo E−/− TAC mice in comparison to C57BL/6N TAC mice. Pathological hypertrophy, as evidenced by increased myocardial fibrosis and capillary rarefaction, was more prominent in C57BL/6N TAC apo E−/− than in C57BL/6N TAC mice and led to more marked cardiac dysfunction. In conclusion, TAC in apo E deficient mice induces coronary atherosclerosis and aggravates the development of pathological cardiac hypertrophy and heart failure.
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Muthuramu et al. (2022) studied this question.
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