High-Fat Diet Has a Protective Sex-Dependent Effect on Aortic Aneurysm Severity in a Marfan Syndrome Mouse Model

Cori Lau1, Muthu L Muthu1, Iram Fatima Siddiqui1

  • 1Faculty of Medicine and Health Sciences, Department of Anatomy and Cell Biology, McGill University, Montréal, Québec, Canada.

Abstract

Insights

A high-fat diet (HFD) shows a protective effect against aortic disease in female Marfan syndrome (MFS) mice, unlike in males. This finding highlights sex-specific responses to diet in MFS, potentially informing future nutritional strategies.

Area of Science:

  • Cardiovascular Genetics
  • Nutritional Science
  • Disease Modeling

Background:

  • Marfan syndrome (MFS) is a genetic disorder affecting connective tissue, primarily caused by fibrillin-1 mutations.
  • MFS is associated with thoracic aortic aneurysms, with known sexual dimorphisms in disease progression.
  • Previous research indicates potential sex-based differences in aortic aneurysm development in MFS patients.

Purpose of the Study:

  • To investigate the combined impact of a high-fat diet (HFD) and biological sex on aortic disease in a mouse model of Marfan syndrome (MFS).
  • To analyze specific aortic pathology markers in response to dietary fat content and sex.
  • To determine if HFD confers a protective effect against MFS-related aortic complications in a sex-dependent manner.

Main Methods:

  • Male and female mgR/mgR (MFS model) and wild-type mice were fed either a control diet (CD) or a high-fat diet (HFD) from 4 to 12 weeks of age.
  • Aortic wall diameter, elastic fiber fragmentation, and proteoglycan content were quantified.
  • Gene expression of Mmp12, Col1a1, Col3a1, and Fbn1, along with fibrillin-1 deposition, were analyzed in the aortic wall.

Main Results:

  • Female MFS mice on HFD exhibited significantly reduced aortic diameter, elastic fiber fragmentation, and proteoglycan content compared to males on HFD.
  • Expression of Mmp12, Col1a1, and Col3a1 was significantly lower in HFD-fed female MFS mice versus males.
  • Fibrillin-1 deposition and Fbn1 mRNA levels were not significantly altered by HFD in either sex, but HFD demonstrated a protective effect specifically in females.

Conclusions:

  • A high-fat diet exerts a significant protective effect on aortic disease severity in female Marfan syndrome mice, demonstrating a clear sexual dimorphism.
  • This protective effect was not observed in male MFS mice or with a control diet.
  • These preclinical findings suggest potential for developing sex-specific nutritional recommendations for managing Marfan syndrome.

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