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Updated: Feb 27, 2026

Echocardiographic and Histological Examination of Cardiac Morphology in the Mouse
Published on: October 26, 2017
Increased Postnatal Cardiac Hyperplasia Precedes Cardiomyocyte Hypertrophy in a Model of Hypertrophic Cardiomyopathy
Emily T Farrell1, Adrian C Grimes2, Willem J de Lange1
1Department of Pediatrics, University of Wisconsin School of Medicine and Public HealthMadison, WI, United States.
Insights
In hypertrophic cardiomyopathy (HCM), increased cell division, not just cell growth, precedes heart enlargement in a mouse model. This early proliferation may determine disease severity in this common genetic heart condition.
Area of Science:
- Cardiovascular Biology
- Developmental Biology
- Genetics
Background:
- Hypertrophic cardiomyopathy (HCM) affects ~0.5% of the population and is a major cause of sudden cardiac death in young adults.
- While cardiomyocyte hypertrophy is the accepted mechanism for cardiac enlargement in HCM, the early signaling pathways initiating this process remain poorly understood.
- Mutations in cardiac myosin binding protein C (MYBPC3) are a common cause of HCM.
Purpose of the Study:
- To investigate the early cellular and molecular events preceding overt cardiac enlargement in a mouse model of MYBPC3-associated HCM.
- To characterize the perinatal phenotype of cMyBP-C knockout (cMyBP-C-/-) mice, which rapidly develop cardiomegaly.
- To determine whether cardiomyocyte proliferation or hypertrophy is the primary driver of early cardiac growth in this model.
Main Methods:
- Utilized a cMyBP-C-/- mouse model of HCM, comparing knockout mice to wild-type littermates.
- Employed a multi-omics approach including microarray analysis, quantitative PCR (qPCR), and immunohistochemistry (IHC).
- Conducted echocardiography and isolated cardiomyocyte measurements to assess cardiac function and cell size/number over a time course from birth to postnatal day 9.
Main Results:
- cMyBP-C-/- hearts exhibited elevated cardiomyocyte cell cycling at postnatal day 1, preceding the onset of overt hypertrophy by postnatal day 9.
- Increased heart weight-to-body weight ratios were observed prior to cellular hypertrophy, correlating with increased cardiomyocyte proliferation.
- Heterozygous cMyBP-C deletion showed a trend towards increased heart size but did not reach statistical significance by postnatal day 9.
Conclusions:
- Altered cell cycle regulation and elevated cardiomyocyte proliferation precede hypertrophy in the cMyBP-C-/- HCM mouse model.
- Increased cardiomyocyte number, resulting from proliferation, contributes significantly to early heart enlargement in this HCM model.
- The pre-hypertrophic period characterized by proliferation represents a critical window for determining HCM commitment and disease severity.
Abstract:
Rationale: Hypertrophic cardiomyopathy (HCM) occurs in ~0.5% of the population and is a leading cause of sudden cardiac death (SCD) in young adults. Cardiomyocyte hypertrophy has been the accepted mechanism for cardiac enlargement in HCM, but the early signaling responsible for initiating hypertrophy is poorly understood. Mutations in cardiac myosin binding protein C (MYBPC3) are among the most common HCM-causing mutations. Ablation of Mybpc3 in an HCM mouse model (cMyBP-C-/-) rapidly leads to cardiomegaly by postnatal day (PND) 9, though hearts are indistinguishable from wild-type (WT) at birth. This model provides a unique opportunity to explore early processes involved in the dramatic postnatal transition to hypertrophy. Methods and Results: We performed microarray analysis, echocardiography, qPCR, immunohistochemistry (IHC), and isolated cardiomyocyte measurements to characterize the perinatal cMyBP-C-/- phenotype before and after overt hypertrophy. cMyBP-C-/- hearts showed elevated cell cycling at PND1 that transitioned to hypertrophy by PND9. An expanded time course revealed that increased cardiomyocyte cycling was associated with elevated heart weight to body weight ratios prior to cellular hypertrophy, suggesting that cell cycling resulted in cardiomyocyte proliferation. Animals heterozygous for the cMyBP-C deletion trended in the direction of the homozygous null, yet did not show increased heart size by PND9. Conclusions: Results indicate that altered regulation of the cell cycling pathway and elevated proliferation precedes hypertrophy in the cMyBP-C-/- HCM model, and suggests that increased cardiomyocyte number contributes to increased heart size in cMyBP-C-/- mice. This pre-hypertrophic period may reflect a unique time during which the commitment to HCM is determined and disease severity is influenced.
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