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In Vitro Model of Physiological and Pathological Blood Flow with Application to Investigations of Vascular Cell Remodeling
Published on: November 3, 2015
Effects of an aging vascular model on healthy and diseased hearts
David Jegger1, Rafaela F da Silva, Isabelle Lartaud
1Ecole Polytechnique Fédérale de Lausanne (EPFL), Laboratory of Haemodynamics and Cardiovascular Technology, CH-1015 Lausanne, Switzerland. David.Jegger@epfl.ch
Insights
The vitamin D(3) and nicotine model combined with myocardial infarction significantly worsens cardiac function, mimicking cardiovascular aging. This study highlights combined effects on heart health and arterial stiffness.
Area of Science:
- Cardiovascular Research
- Aging Models
- Pharmacology
Background:
- The vitamin D(3) and nicotine (VDN) model induces isolated systolic hypertension (ISH) via arterial calcification, mimicking arterial aging.
- Arterial stiffness and elevated vascular impedance are key features of cardiovascular aging.
- Understanding the impact of this aging model on cardiac health, especially with co-existing conditions like myocardial infarction (MI), is crucial.
Purpose of the Study:
- To investigate the combined effects of the VDN-induced aging model and myocardial infarction (MI) on cardiac function in Wistar rats.
- To analyze alterations in cardiac and vascular parameters under conditions of aging, MI, and their combination.
- To evaluate the utility of this combined VDN/MI model for studying cardiovascular aging and potential therapies.
Main Methods:
- Wistar rats were assigned to four groups: VDN treatment, MI induction, combined VDN/MI treatment, and sham control.
- Transthoracic echocardiography was performed bi-weekly, with invasive hemodynamic and cardiac assessments at 8 weeks.
- Cardiac and aortic tissues were analyzed for calcium, collagen, and protein content.
Main Results:
- The VDN group exhibited the highest systolic blood pressure, pulse pressure, aortic calcium, and myocardial contractility (end-systolic elastance).
- The combined VDN/MI group showed the highest left ventricular wall stress and brain natriuretic peptide levels.
- The VDN/MI group displayed the lowest ejection fraction, stroke volume, and cardiac output compared to all other groups.
Conclusions:
- The combination of ISH from the VDN aging model and MI leads to significant cardiac dysfunction.
- This VDN/MI model effectively replicates key aspects of cardiovascular aging and disease.
- The model provides a valuable platform for investigating novel therapeutic strategies for age-related cardiovascular conditions.
Abstract:
The vitamin D(3) and nicotine (VDN) model is a model of isolated systolic hypertension (ISH) due to arterial calcification raising arterial stiffness and vascular impedance similar to an aged and stiffened arterial tree. We therefore analyzed the impact of this aging model on normal and diseased hearts with myocardial infarction (MI). Wistar rats were treated with VDN (n = 9), subjected to MI by coronary ligation (n = 10), or subjected to a combination of both MI and VDN treatment (VDN/MI, n = 14). A sham-treated group served as control (Ctrl, n = 10). Transthoracic echocardiography was performed every 2 wk, whereas invasive indexes were obtained at week 8 before death. Calcium, collagen, and protein contents were measured in the heart and the aorta. Systolic blood pressure, pulse pressure, thoracic aortic calcium, and end-systolic elastance as an index of myocardial contractility were highest in the aging model group compared with MI and Ctrl groups (P(VDN) < 0.05, 2-way ANOVA). Left ventricular wall stress and brain natriuretic peptide (P(VDNxMI) = not significant) were highest, while ejection fraction, stroke volume, and cardiac output were lowest in the combined group versus all other groups (P(VDNxMI) < 0.05). The combination of ISH due to this aging model and MI demonstrates significant alterations in cardiac function. This model mimics several clinical phenomena of cardiovascular aging and may thus serve to further study novel therapies.
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