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Updated: Nov 16, 2025

A Rat Model of Pressure Overload Induced Moderate Remodeling and Systolic Dysfunction as Opposed to Overt Systolic Heart Failure
Published on: April 30, 2020
Calcium homeostasis behavior and cardiac function on left ventricular remodeling by pressure overload
I F S Mazeto1, K Okoshi2, C F S M P Silveira2
1Departamento de Infectologia, Dermatologia, Diagnóstico por Imagem e Radioterapia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brasil.
Insights
Pressure overload from aortic stenosis impairs heart function by altering calcium handling proteins, specifically decreasing Na+/Ca2+ exchanger (NCX1) and SERCA2a, leading to diastolic dysfunction.
Area of Science:
- Cardiology
- Molecular Biology
- Physiology
Background:
- Cardiac calcium (Ca2+) homeostasis is crucial for heart function.
- Sarcoplasmic reticulum Ca2+-ATPase (SERCA2a) and sarcolemmal Na+/Ca2+ exchanger (NCX1) are key regulators of Ca2+ handling.
- Previous research indicates altered SERCA2a and NCX1 function in heart failure.
Purpose of the Study:
- To investigate the impact of pressure overload on heart function.
- To evaluate the behavior of Ca2+-handling proteins in hypertrophied heart muscle.
- To assess changes in SERCA2a and NCX1 under pressure overload conditions.
Main Methods:
- Aortic stenosis (AoS) model in Wistar rats (n=20) compared to Sham controls.
- Echocardiography for cardiac function and structure assessment.
- Isolated papillary muscle (IPM) analysis for myocardial function and Ca2+ handling.
- Western blot (WB) for Ca2+-handling protein expression (NCX1, SERCA2a, PLB).
Main Results:
- AoS induced concentric hypertrophy with preserved ejection fraction but diastolic dysfunction (dilated left atrium, increased wall thickness).
- IPM studies revealed increased resting tension (stiffness) and altered Ca2+ handling in AoS rats.
- WB showed decreased expression of NCX1, SERCA2a, and phosphorylated phospholambam (PLB) on serine-16 in the AoS group.
Conclusions:
- Aortic stenosis leads to left ventricular hypertrophy and diastolic dysfunction.
- Impaired cardiac function in AoS is associated with deficits in NCX1, SERCA2a, and phosphorylated PLB.
- These findings highlight the critical role of Ca2+ handling protein dysregulation in pressure-induced heart disease.
Abstract:
Sarcoplasmic reticulum Ca2+-ATPase (SERCA2a) and sarcolemmal Na+/Ca2+ exchanger (NCX1) structures are involved in heart cell Ca2+ homeostasis. Previous studies have shown discrepancies in their function and expression in heart failure. The goal of this study was to evaluate heart function and hypertrophied muscle Ca2+-handling protein behavior under pressure overload. Twenty male Wistar rats were divided into two groups: Aortic stenosis (AoS), induced by a clip placed at the beginning of the aorta, and Control (Sham). After 18 weeks, heart function and structure were evaluated by echocardiogram. Myocardial function was analyzed by isolated papillary muscle (IPM) at basal condition and Ca2+ protein functions were evaluated after post-pause contraction and blockage with cyclopiazonic acid in IPM. Ca2+-handling protein expression was studied by western blot (WB). Echocardiogram showed that AoS caused concentric hypertrophy with enhanced ejection fraction and diastolic dysfunction inferred by dilated left atrium and increased relative wall thickness. IPM study showed developed tension was the same in both groups. AoS showed increased stiffness revealed by enhanced resting tension, and changes in Ca2+ homeostasis shown by calcium elevation and SERCA2a blockage maneuvers. WB revealed decreased NCX1, SERCA2a, and phosphorylated phospholambam (PLB) on serine-16 in AoS. AoS had left ventricular hypertrophy and diastolic dysfunction compared to Sham; this could be related to our findings regarding calcium homeostasis behavior: deficit in NCX1, SERCA2a, and phosphorylated PLB on serine-16.
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