Why the study?
Hyperoxia causes adverse cardiac remodeling, which is influenced by risk factors such as sex and pre-existing conditions, prompting investigation into cardiac remodeling in Type 1 Diabetic (Akita) mice subjected to hyperoxia.
Does hyperoxic treatment induce distinct cardiac remodeling in Type 1 diabetic mice compared to wild type mice, and how does sex influence this?
Does hyperoxic treatment induce distinct cardiac remodeling in Type 1 diabetic mice compared to wild type mice, and how does sex influence this?
Type 1 diabetic patients, particularly males, may be at higher risk for adverse cardiac remodeling when exposed to hyperoxia, suggesting a need for careful oxygen management in the ICU.
Hyperoxia may heighten cardiac risk in type 1 diabetic males; leaves open whether sex- and diabetes-specific oxygen titration improves outcomes.
Oxygen supplementation, although a cornerstone of emergency and cardiovascular medicine, often results in hyperoxia, a condition characterized by excessive tissue oxygen which results in adverse cardiac remodeling and subsequent injurious effects to physiological function. Cardiac remodeling is further influenced by various risk factors, including pre-existing conditions and sex. Thus, the purpose of this experiment was to investigate cardiac remodeling in Type I Diabetic (Akita) mice subjected to hyperoxic treatment. Overall, we demonstrated that Akita mice experience distinct challenges from wild type (WT) mice. Specifically, Akita males at both normoxia and hyperoxia showed significant decreases in body and heart weights, prolonged PR, QRS, and QTc intervals, and reduced %EF and %FS at normoxia compared to WT controls. Moreover, Akita males largely resemble female mice (both WT and Akita) with regards to the parameters studied. Finally, statistical analysis revealed hyperoxia to have the greatest influence on cardiac pathophysiology, followed by sex, and finally genotype. Taken together, our data suggest that Type I diabetic patients may have distinct cardiac pathophysiology under hyperoxia compared to uncomplicated patients, with males being at high risk. These findings can be used to enhance provision of care in ICU patients with Type I diabetes as a comorbid condition.
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Bojkovic et al. (2021) studied this question.
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