Left ventricular and aortic dysfunction in cystic fibrosis mice

Zachary M Sellers1, Attila Kovacs, Carla J Weinheimer

  • 1College of Medicine, University of Illinois at Urbana-Champaign, United States. zsellers@stanford.edu

Insights

Cystic fibrosis (CF) transmembrane conductance regulator (CFTR) mutation causes left ventricular remodeling and impaired heart function in mice, independent of lung disease. This highlights potential cardiovascular risks for aging CF patients.

Area of Science:

  • Cardiovascular Physiology
  • Genetic Diseases
  • Pulmonary Medicine

Background:

  • Left ventricular (LV) abnormalities are noted in cystic fibrosis (CF).
  • The direct impact of cystic fibrosis transmembrane conductance regulator (CFTR) dysfunction on cardiac defects, separate from lung disease, is not fully understood.

Purpose of the Study:

  • To investigate if CFTR mutation directly causes cardiac and aortic dysfunction.
  • To assess cardiac and aortic function in a mouse model lacking functional CFTR but without lung disease.

Main Methods:

  • Utilized gut-corrected F508del CFTR mutant mice (ΔF508) that do not develop human lung disease.
  • Assessed in vivo heart and aortic function using 2D transthoracic echocardiography and LV catheterization.
  • Evaluated cardiac reserve through β-adrenergic stimulation.

Main Results:

  • ΔF508 mouse hearts exhibited LV concentric remodeling, enhanced inotropy, and greater lusitropy.
  • Aortas showed increased stiffness and altered diastolic flow.
  • β-adrenergic stimulation revealed a diminished cardiac reserve in mutant mice.

Conclusions:

  • CFTR mutation induces LV remodeling and alters cardiac and aortic function in the absence of lung disease.
  • Cardiovascular disease risk should be considered for cystic fibrosis patients as lifespans increase.
Abstract