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Metabolic Acidosis Results in Sexually Dimorphic Response in the Heart Tissue
Yamin Liu1, Amina Atiq1, Anna Peterson1
1Department of Biomedical Engineering, University of Connecticut Health, Farmington, CT 06032, USA.
Insights
Low-grade metabolic acidosis (MA) impacts the heart, altering genes differently in male and female mice. This study reveals sex-specific cardiovascular changes, offering insights into managing MA-related heart damage.
Area of Science:
- Cardiovascular Physiology
- Metabolic Disorders
- Transcriptomics
Background:
- Metabolic acidosis (MA) is a prevalent blood pH imbalance affecting the heart.
- The heart's limited regeneration and high metabolic rate make it susceptible to chronic low-grade MA.
- Understanding MA's cardiac effects is crucial for managing associated health risks.
Purpose of the Study:
- To systematically investigate the cardiac effects of low-grade metabolic acidosis.
- To identify gender-based differences in MA-induced cardiovascular gene expression.
- To establish a systems-level understanding of MA's impact on cardiovascular tissue.
Main Methods:
- Male and female mice were treated with ammonium chloride (NH4Cl) for two weeks to induce low-grade MA.
- Blood chemistry was analyzed to confirm MA and assess physiological compensation.
- Cardiac tissue transcriptomic analysis was performed to identify gene expression changes.
Main Results:
- Low-grade MA was confirmed by reduced blood pH and bicarbonate levels with minimal respiratory compensation.
- Significant gender-based differences were observed in cardiac gene expression profiles.
- Males showed alterations in genes linked to dilated cardiomyopathy, while females exhibited changes in cardiac contractility and Na/K/ATPase-Src signaling.
Conclusions:
- Low-grade MA induces distinct cardiovascular transcriptomic changes in male and female mice.
- These findings highlight sex differences in MA-related cardiac damage.
- The study provides a foundation for developing targeted interventions to mitigate MA-induced cardiovascular pathology.
Abstract:
Metabolic acidosis (MA) is a highly prevalent disorder in a significant proportion of the population, resulting from imbalance in blood pH homeostasis. The heart, being an organ with very low regenerative capacity and high metabolic activity, is vulnerable to chronic, although low-grade, MA. To systematically characterize the effect of low-grade MA on the heart, we treated male and female mice with NH4Cl supplementation for 2 weeks and analyzed their blood chemistry and transcriptomic signature of the heart tissue. The reduction of pH and plasma bicarbonate levels without an associated change in anion gap indicated a physiological manifestation of low-grade MA with minimal respiratory compensation. On transcriptomic analysis, we observed changes in cardiac-specific genes with significant gender-based differences due to MA. We found many genes contributing to dilated cardiomyopathy to be altered in males, more than in females, while cardiac contractility and Na/K/ATPase-Src signaling were affected in the opposite way. Our model presents a systems-level understanding of how the cardiovascular tissue is affected by MA. As low-grade MA is a common ailment with many dietary and pharmaceutical interventions, our work presents avenues to limit chronic cardiac damage and disease manifestation, as well as highlighting the sex differences in MA-induced cardiovascular damage.
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