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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Cardiovasc+Res
2016 ; 110
(2
): 249-57
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Normalization of cardiac substrate utilization and left ventricular hypertrophy
precede functional recovery in heart failure regression
#MMPMID26968698
Byrne NJ
; Levasseur J
; Sung MM
; Masson G
; Boisvenue J
; Young ME
; Dyck JR
Cardiovasc Res
2016[May]; 110
(2
): 249-57
PMID26968698
show ga
AIMS: Impaired cardiac substrate metabolism plays an important role in heart
failure (HF) pathogenesis. Since many of these metabolic changes occur at the
transcriptional level of metabolic enzymes, it is possible that this loss of
metabolic flexibility is permanent and thus contributes to worsening cardiac
function and/or prevents the full regression of HF upon treatment. However,
despite the importance of cardiac energetics in HF, it remains unclear whether
these metabolic changes can be normalized. In the current study, we investigated
whether a reversal of an elevated aortic afterload in mice with severe HF would
result in the recovery of cardiac function, substrate metabolism, and
transcriptional reprogramming as well as determined the temporal relationship of
these changes. METHODS AND RESULTS: Male C57Bl/6 mice were subjected to either
Sham or transverse aortic constriction (TAC) surgery to induce HF. After HF
development, mice with severe HF (% ejection fraction < 30) underwent a second
surgery to remove the aortic constriction (debanding, DB). Three weeks following
DB, there was a near complete recovery of systolic and diastolic function, and
gene expression of several markers for hypertrophy/HF were returned to values
observed in healthy controls. Interestingly, pressure-overload-induced left
ventricular hypertrophy (LVH) and cardiac substrate metabolism were restored at
1-week post-DB, which preceded functional recovery. CONCLUSIONS: The regression
of severe HF is associated with early and dramatic improvements in cardiac energy
metabolism and LVH normalization that precede restored cardiac function,
suggesting that metabolic and structural improvements may be critical
determinants for functional recovery.
|*Ventricular Remodeling
[MESH]
|Animals
[MESH]
|Aorta/surgery
[MESH]
|Energy Metabolism/physiology
[MESH]
|Heart Failure/*physiopathology
[MESH]
|Hypertrophy, Left Ventricular/*physiopathology
[MESH]