Aortic and Cardiac Structure and Function Using High-Resolution Echocardiography and Optical Coherence Tomography in

Ling Lee1,2, Jason Z Cui1,3, Michelle Cua4

  • 1Child and Family Research Institute, Department of Cardiovascular Sciences, Vancouver, BC, Canada.

Plos One
|November 9, 2016
PubMed

Insights

Marfan syndrome (MFS) in mice shows increased aortic stiffness and heart dysfunction. This study non-invasively measured pulse wave velocity, revealing age-related aortic changes in MFS mice.

Area of Science:

  • Cardiovascular Research
  • Genetics and Heritable Diseases
  • Medical Imaging

Background:

  • Marfan syndrome (MFS) is an inherited connective tissue disorder caused by FBN1 gene mutations.
  • MFS commonly leads to life-threatening aortic dissection and rupture.
  • Understanding MFS pathophysiology in preclinical models is crucial for developing effective treatments.

Purpose of the Study:

  • To investigate cardiac and aortic structural and functional changes in a mouse model of Marfan syndrome ([Fbn1C1039G/+]).
  • To assess aortic stiffness using in vivo pulse wave velocity (PWV) measurements.
  • To characterize left ventricular (LV) and mitral valve function in MFS mice.

Main Methods:

  • Utilized high-resolution ultrasound (echocardiography) and optical coherence tomography (OCT) in wild-type (WT) and MFS mice.
  • Measured in vivo PWV, aortic root diameter, LV dimensions, and mitral valve velocities.
  • Analyzed fixed hearts with OCT for ventricular volume and mass.

Main Results:

  • Significantly increased PWV in MFS mice compared to WT at 6 and 12 months, with PWV increasing with age only in MFS mice.
  • Demonstrated significantly enlarged aortic root diameter and decreased E/A ratio in MFS mice across both age groups.
  • The [Fbn1C1039G/+] mouse model accurately replicates key MFS cardiovascular anomalies, including aortic dilation and stiffness.

Conclusions:

  • The [Fbn1C1039G/+] mouse model is a valuable tool for studying Marfan syndrome cardiovascular pathology.
  • Non-invasive in vivo measurement of PWV in MFS mice provides a robust assessment of aortic stiffness.
  • Findings highlight significant aortic and cardiac dysfunction in MFS mice, mirroring human disease progression.

Related Concept Videos