Key result
Female rats with LV volume overload gain ~79% more mass than males but suffer fewer transcriptional defects.
Why the study?
Sexual dimorphism in myocardial transcriptional adaptations to aortic valve regurgitation-induced left ventricle volume overload is not well understood.
Does sex influence myocardial transcriptional adaptations and hypertrophy in rats with severe left ventricle volume overload?
Does sex influence myocardial transcriptional adaptations and hypertrophy in rats with severe left ventricle volume overload?
Absolute Event Rate: 75% vs 42%
Female rats with severe volume overload develop more LV hypertrophy but maintain more normal myocardial gene expression compared to males, which may provide survival benefits.
Suggests sex-specific remodeling resilience in females; leaves open translation to human valvular disease.
Aortic valve regurgitation (AR) imposes a volume overload (VO) to the left ventricle (LV). Male rats with a pathological heart overload usually progress more quickly towards heart failure than females. We examined whether a sexual dimorphism exists in the myocardial transcriptional adaptations to AR. Adult Wistar male and female rats either underwent a sham operation or were induced with AR and then followed for 26 weeks. Female AR rats gained relatively more LV mass than males (75 vs. 42%). They had a similar increase in LV chamber dimensions compared to males but more wall thickening. On the other hand, fatty acid oxidation (FAO)-related LV enzyme activity was only decreased in AR males. The expression of genes encoding FAO-related enzymes was only reduced in AR males and not in females. A similar situation was observed for the expression of genes involved in mitochondrial biogenesis or function as well as for genes encoding for transcription factors implicated in the control of bioenergetics and mitochondrial function (Errα, Errγ or Pgc1α). Although females develop more LV hypertrophy from severe VO, their myocardial gene expression remains closer to normal. This could provide survival benefits for females with severe VO.
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Beaumont et al. (2017) studied Severe aortic valve regurgitation (volume overload) (n=36). Female sex (in the context of severe aortic valve regurgitation) vs. Male sex was evaluated on Relative left ventricle mass gain. Female rats with severe left ventricle volume overload exhibited a greater increase in left ventricular mass compared to males (75% vs 42%) but had fewer detrimental myocardial transcriptional changes.
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