Cardiac hypertrophy in anion exchanger 1-null mutant mice with severe hemolytic anemia

Bernardo V Alvarez1, Dawn M Kieller, Anita L Quon

  • 1Dept of Physiology, CIHR Membrane Protein Research Group, Univ of Alberta, Edmonton, Alberta, Canada.

Insights

Anion exchanger 1 (AE1) deficiency in mice causes severe anemia and cardiac hypertrophy. Despite anemia, AE1 is not essential for heart function, suggesting other factors contribute to cardiac issues in AE1-null mice.

Area of Science:

  • Cardiovascular Physiology
  • Hematology
  • Molecular Biology

Background:

  • Anion exchanger 1 (AE1; SLC4A1) facilitates Cl(-)/HCO(3)(-) exchange in erythrocytes and is present in the heart.
  • AE1-null (AE1(-/-)) mice exhibit severe hemolytic anemia due to erythrocyte fragility.

Purpose of the Study:

  • To investigate the role of AE1 in cardiac function using AE1-null mice.
  • To determine if AE1 deficiency contributes to cardiac abnormalities observed in hereditary red blood cell disorders.

Main Methods:

  • Comparative analysis of heart weight-to-body weight ratios in AE1(-/-), AE1(+/-), and AE1(+/+) mice.
  • Histological examination of adult AE1(-/-) hearts for cardiac hypertrophy, collagen deposition, and fibrosis.
  • M-mode echocardiography to assess cardiac function in AE1(-/-) mice.
  • Quantitative real-time RT-PCR to evaluate intracellular pH-regulatory gene expression.
  • Confocal immunofluorescence microscopy to determine AE1 localization in myocardium.

Main Results:

  • AE1(-/-) mice showed significantly higher heart weight-to-body weight ratios, indicating cardiac hypertrophy.
  • Adult AE1(-/-) hearts displayed increased left ventricular mass, collagen deposition, and fibrosis.
  • Echocardiography revealed impaired cardiac function in AE1(-/-) mice, including ventricular dilation and expanded mass.
  • Expression of intracellular pH regulators was similar across AE1 genotypes.
  • AE1 was localized to the sarcolemma in normal mouse myocardium.

Conclusions:

  • AE1 deficiency in mice leads to cardiac hypertrophy and dysfunction, associated with severe hemolytic anemia and spherocytosis.
  • These cardiac findings in AE1(-/-) mice resemble those in patients with hereditary red blood cell abnormalities.
  • Despite the observed cardiac phenotype, AE1 does not appear to play an essential role in maintaining normal heart function.