Pathological observation of acute myocardial infarction in Chinese miniswine

Chuang Wang1, Shao-Xin Wang1, Ping-Shuan Dong1

  • 1Department of Cardiology, The First Affiliated Hospital, Henan University of Science and Technology Jinghua Road No. 24, Luoyang 471003, China.

Insights

This study successfully created an acute myocardial infarction (AMI) model in Chinese miniswine. Tumor necrosis factor alpha (TNF-α) expression peaked at 10 days, correlating with myocardial inflammation and repair processes.

Area of Science:

  • Cardiovascular Research
  • Pathology
  • Biomedical Engineering

Background:

  • Acute myocardial infarction (AMI) is a leading cause of mortality worldwide.
  • Understanding the temporal dynamics of inflammation and tissue repair post-AMI is crucial for developing effective treatments.
  • Chinese miniswine offer a relevant preclinical model for studying human cardiovascular diseases.

Purpose of the Study:

  • To establish a reliable percutaneous coronary artery occlusion model of AMI in Chinese miniswine.
  • To characterize the pathological changes and temporal expression patterns of tumor necrosis factor alpha (TNF-α) in the infarcted myocardium.
  • To provide a basis for future studies on blood flow reconstruction and therapeutic interventions following AMI.

Main Methods:

  • AMI was induced in Chinese miniswine by percutaneous occlusion of the obtuse marginal (OM) branch using gelfoam injection.
  • Pathological changes were assessed using hematoxylin-eosin (HE) staining at various time points post-modeling (1-17 days).
  • Tumor necrosis factor alpha (TNF-α) expression was detected via immunohistochemistry in myocardial tissues.

Main Results:

  • Successful induction of AMI was confirmed by coronary angiography showing occluded OM branch and absent blood flow.
  • Histopathological analysis revealed progressive myocardial necrosis, inflammatory cell infiltration, granulation tissue formation, and eventual scar tissue replacement.
  • TNF-α expression was absent in normal myocardium, first detected at 3 days post-AMI, peaking at 10 days, and declining by 14-17 days, coinciding with peak inflammation and early repair stages.

Conclusions:

  • The established Chinese miniswine AMI model accurately reflects pathological progression and inflammatory responses.
  • Temporal TNF-α expression correlates with the inflammatory and reparative phases of myocardial infarction.
  • This model serves as a valuable platform for investigating therapeutic strategies aimed at mitigating AMI damage and promoting myocardial recovery.

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