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Post-Myocardial Infarction Heart Failure in Closed-chest Coronary Occlusion/Reperfusion Model in Göttingen Minipigs and Landrace Pigs
Published on: April 17, 2021
Cell-specific effects of Nox2 on the acute and chronic response to myocardial infarction
Alexander Sirker1, Colin E Murdoch1, Andrea Protti1
1King's College London British Heart Foundation Centre of Excellence, Cardiovascular Division, London, UK.
Background:
Increased reactive oxygen species (ROS) production is involved in the process of adverse cardiac remodeling and development of heart failure after myocardial infarction (MI). NADPH oxidase-2 (Nox2) is a major ROS source within the heart and its activity increases after MI. Furthermore, genetic deletion of Nox2 is protective against post-MI cardiac remodeling. Nox2 levels may increase both in cardiomyocytes and endothelial cells and recent studies indicate cell-specific effects of Nox2, but it is not known which of these cell types is important in post-MI remodeling.
Methods And Results:
We have generated transgenic mouse models in which Nox2 expression is targeted either to cardiomyocytes (cardio-Nox2TG) or endothelial cells (endo-Nox2TG). We here studied the response of cardio-Nox2TG mice, endo-Nox2TG mice and matched wild-type littermates (WT) to MI induced by permanent left coronary artery ligation up to 4weeks. Initial infarct size assessed by magnetic resonance imaging (MRI) and cardiac dysfunction were similar among groups. Cardiomyocyte hypertrophy and interstitial fibrosis were augmented in cardio-Nox2TG compared to WT after MI and post-MI survival tended to be worse whereas endo-Nox2TG mice showed no significant difference compared to WT.
Conclusions:
These results indicate that cardiomyocyte rather than endothelial cell Nox2 may have the more important role in post-MI remodeling.
Insights
Cardiomyocyte NADPH oxidase-2 (Nox2) activity worsens heart remodeling after myocardial infarction (MI). Targeting Nox2 in heart cells, not blood vessel cells, may improve outcomes following heart attack.
Area of Science:
- Cardiovascular Biology
- Oxidative Stress Research
- Myocardial Infarction Pathophysiology
Background:
- Increased reactive oxygen species (ROS) contribute to adverse cardiac remodeling and heart failure post-myocardial infarction (MI).
- NADPH oxidase-2 (Nox2) is a key cardiac ROS source, upregulated after MI, and its genetic deletion shows protective effects.
- The specific cell type (cardiomyocyte vs. endothelial cell) mediating Nox2's detrimental role in post-MI remodeling remains unclear.
Purpose of the Study:
- To investigate the cell-specific roles of NADPH oxidase-2 (Nox2) in cardiac remodeling following myocardial infarction (MI).
- To compare the impact of Nox2 overexpression in cardiomyocytes versus endothelial cells on post-MI cardiac function and structure.
Main Methods:
- Generation of transgenic mouse models with targeted Nox2 overexpression in cardiomyocytes (cardio-Nox2TG) and endothelial cells (endo-Nox2TG).
- Induction of permanent myocardial infarction (MI) via left coronary artery ligation in transgenic mice and wild-type littermates (WT).
- Assessment of infarct size (MRI), cardiac dysfunction, cardiomyocyte hypertrophy, interstitial fibrosis, and survival up to 4 weeks post-MI.
Main Results:
- Initial infarct size and cardiac dysfunction were comparable across all groups post-MI.
- Cardiomyocyte hypertrophy and interstitial fibrosis were significantly increased in cardio-Nox2TG mice compared to WT after MI.
- Post-MI survival tended to be worse in cardio-Nox2TG mice, while endo-Nox2TG mice showed no significant differences compared to WT.
Conclusions:
- Cardiomyocyte-specific Nox2 activity plays a more critical role in adverse cardiac remodeling after myocardial infarction than endothelial cell Nox2.
- Targeting Nox2 within cardiomyocytes may be a more effective strategy for mitigating post-MI cardiac remodeling.
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Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

