Key result
In mice undergoing transverse aortic constriction, the use of prolene sutures resulted in a more severe heart failure phenotype, including a faster decline in fractional shortening and increased left ventricular mass, compared to silk sutures.
Why the study?
Cardiac response to TAC exhibits considerable variability in mice, prompting investigation into whether suture material and size influence the TAC-induced phenotype.
Does the choice of suture material (prolene vs silk) affect the development of heart failure in a mouse transverse-aortic constriction model?
Does the choice of suture material (prolene vs silk) affect the development of heart failure in a mouse transverse-aortic constriction model?
The choice of suture material (prolene vs. silk) significantly impacts the severity and progression of heart failure in the mouse transverse aortic constriction model, highlighting a critical methodological variable for preclinical research.
Suture material warrants consideration in mouse TAC models; leaves open standardization of surgical techniques in preclinical heart failure research.
Introduction: Transverse-aortic constriction (TAC) operation is a widely used animal model to induce hypertrophy and heart failure through left-ventricular pressure overload. In mice, the cardiac response to TAC exhibits considerable variability influenced by factors such as strain, sub-strain, age, sex and vendor. Methods: To investigate the impact of suture material (silk versus prolene) and size (6-0 versus 7-0) on the TAC-induced phenotype, we performed surgeries on male C57BL6/N mice at 9 weeks of age defining the aortic constriction by a 27G needle, thereby employing most frequently used methodological settings. The mice were randomly assigned into four separate groups, 6-0 silk, 7-0 silk, 6-0 prolene and 7-0 prolene (10 mice per group). Echocardiography was conducted before TAC and every 4 weeks thereafter to monitor the development of heart failure. Repeated measures correlation analysis was employed to compare disease progression among the different groups. Results: Our findings reveal a significant influence of the chosen suture material on TAC outcomes. Mice operated with prolene showed increased mortality, slower body weight gain, faster left-ventricular mass increase, and a faster decline in left-ventricular ejection fraction, fractional shortening and aortic pressure gradient compared to silk-operated mice. Moreover, despite non significant, using thinner suture threads (7-0) tended to result in a more severe phenotype compared to thicker threads (6-0) across all tested parameters. Discussion: Collectively, our results highlight the importance of suture material selection in determining the cardiac phenotype induced by TAC and emphasize the need to consider this factor when comparing data across different research laboratories.
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Hackl et al. (2023) studied Transverse aortic constriction-induced heart failure (n=40). Prolene suture vs. Silk suture was evaluated on Heart failure development (fractional shortening, left ventricular mass, and mortality). In mice undergoing transverse aortic constriction, the use of prolene sutures resulted in a more severe heart failure phenotype, including a faster decline in fractional shortening and increased left ventricular mass, compared to silk sutures.
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